Kinesiophobia is not required to predict chronic low back pain in workers: a decision curve analysis In our study ‘kinesiophobia’ (measured by the TS) seemed not required to improve the prediction of chronic occupational LBP and that it was not needed to adapt the treatment strategy. The performance measures NRI and DCA were not used in LBP research and practice yet. Why these measures were not used is unclear. Perhaps because the most published articles concerning the NRI and NB methods were published in methodological or statistical oriented journals. Although, the use of probability thresholds was mentioned before for physical therapists within the context of clinical decision making [37, 38]. The DCA gave the best insight in the clinical usefulness of prediction models for physical therapists. They could translate clinical usefulness and benefits in terms of number of TP patients that were identified, which is attractive for healthcare professionals and their patients especially in the light of making good treatment decisions.
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