Frymoyer J W, Cats-Baril W
Clin Orthop Relat Res. 1987 Aug(221):89-98.
Low back pain has major socioeconomic implications; much of the costs relate to disability and compensation. Theoretically, the early identification of patients at risk to become disabled from a low back episode would lead to more aggressive intervention and reduction of subsequent disability. Low back disability is related to occupational, psychosocial, diagnostic, demographic, anthropometric, health behavior, and injury factors that have been reported in the literature. The multiattribute utility model is a new experimental approach to prediction of disability. The relative weights of the various factors that might be predictive of low back disability are determined by a panel of experts. Although this model is not yet scientifically proven, it offers a promising method of answering the question, "Can low back disability be predicted?"
腰痛具有重大的社会经济影响；大部分成本与残疾和赔偿有关。从理论上讲，早期识别有因腰痛发作而致残风险的患者将导致更积极的干预，并减少随后的残疾情况。腰痛导致的残疾与文献中报道的职业、心理社会、诊断、人口统计学、人体测量学、健康行为和损伤因素有关。多属性效用模型是一种预测残疾的新实验方法。可能预测腰痛导致残疾的各种因素的相对权重由专家小组确定。虽然这个模型尚未得到科学验证，但它为回答“腰痛导致的残疾能否被预测？”这个问题提供了一种有前景的方法。
