{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:39:49Z","timestamp":1786977589942,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T00:00:00Z","timestamp":1571616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Referral to secondary care is common for a considerable proportion of patients with persistent sciatica symptoms. It is unclear if information from clinical assessment can further identify distinct subgroups of disc\u2010related sciatica, with perhaps different clinical courses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to identify and describe clusters of imaging confirmed disc\u2010related sciatica patients using latent class analysis, and compare their clinical course.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study population were 466 patients with disc\u2010related sciatica. Variables from clinical assessment were included in the analysis. Characteristics of the identified clusters were described and their clinical course over 2 years was compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A four\u2010cluster solution was optimal. Cluster 1 (n\u00a0=\u00a0110) had mild back and leg pain; cluster 2 (n\u00a0=\u00a059) had moderate back and leg pain; cluster 3 (n\u00a0=\u00a0158) had mild back pain and severe leg pain; cluster 4 (n\u00a0=\u00a0139) had severe back and leg pain. Patients in cluster 4 had the most severe profile in terms of disability, distress and comorbidity and the lowest reported global change and the smallest proportion of patients with a successful outcome at 2 years. Of the 135 patients who underwent surgery, 42% and 41% were in clusters 3 and 4, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using a strict diagnosis of sciatica, this work identified four clusters of patients primarily differentiated by back and leg pain severity. Patients with severe back and leg pain had the most\u00a0severe\u00a0profile\u00a0at baseline and follow\u2010up\u00a0irrespective of intervention. This simple classification system\u00a0may be useful when considering prognosis and management with sciatica patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance<\/jats:title>\n                    <jats:p>Using data from a large observational prospective study, this work identifies four distinct clusters of patients with imaging confirmed disc\u2010related sciatica. This classification could be used when considering prognosis and management with sciatica patients at their initial consultation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ejp.1475","type":"journal-article","created":{"date-parts":[[2019,8,27]],"date-time":"2019-08-27T16:33:51Z","timestamp":1566923631000},"page":"171-181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["New insight to the characteristics and clinical course of clusters of patients with imaging confirmed disc\u2010related sciatica"],"prefix":"10.1002","volume":"24","author":[{"given":"Siobh\u00e1n","family":"Stynes","sequence":"first","affiliation":[{"name":"Primary Care Centre Versus Arthritis School of Primary, Community and Social Care Keele University Keele Staffordshire UK"},{"name":"Haywood Hospital Midlands Partnership NHS Foundation Trust Stoke\u2010on\u2010Trent, Staffordshire 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