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- W2496117004 abstract "Previous reports indicated The Pain Validity Test (PVT) can predict the presence of abnormalities on the correct medical testing, with 94% accuracy, and the absence of abnormalities on the correct medical testing with 85% accuracy, in patients with chronic back, neck or limb pain. However, 40%-71% of chronic pain patients are misdiagnosed, primarily because physicians use the wrong medical tests, or use tests, such as the MRI, which have a false negative rate as high as 78%. Rather than rely on inaccurate medical testing which is typically used, we conducted research to see if the Pain Validity Test could predict a more reliable and irrefutable indication of pathology, i.e. intra-operative findings. Prior to surgery, the Pain Validity Test (PVT) correctly predicted which patients had abnormal results on the correct medical tests with 94% accuracy, (r = 0.554; p < .0001). Of the original 149 patient studied in the original report, 74 patients had surgery. In the 71 patients with abnormal medical testing, the Pain Validity Test correctly predicted that 69 patients would have abnormal testing (97.1 %). Of the 74 patients with intra-operative pathology, the Pain Validity Test predicted 69 would have pathology (93.2%). Of the 69 patients predicted to have abnormal medical testing, 69 of the 69 had moderate or severe intra-operative pathology (100%), so there were no false positives. Two of the remaining 5 patients in whom the Pain Validity Test predicted no pathology, did have abnormal medical testing, and intra-operatively did have pathology. Three of the remaining 5 patients in whom the Pain Validity Test predicted no abnormal medical testing did not have abnormal testing, but intra-operatively, were found to have moderate pathology. Therefore, The Pain Validity Test can predict who will have a) abnormal medical testing with 97.1% accuracy (69/71) and b) regardless of pre-operative testing, will predict who will have intra-operative pathology if surgery is indicated with 93% accuracy (69/74)." @default.
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- W2496117004 date "2016-06-15" @default.
- W2496117004 modified "2023-09-27" @default.
- W2496117004 title "Predicting Medical Test Results and Intra-Operative Findings in Chronic Pain Patients Using the On-Line “Pain Validity Test”" @default.
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- W2496117004 doi "https://doi.org/10.15406/jaccoa.2016.05.00174" @default.
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