PMID- 25088308
OWN - NLM
STAT- MEDLINE
DCOM- 20161109
LR  - 20161230
IS  - 1532-2769 (Electronic)
IS  - 1356-689X (Linking)
VI  - 20
IP  - 1
DP  - 2015 Feb
TI  - Physiotherapy triage assessment of patients referred for orthopaedic consultation 
      - Long-term follow-up of health-related quality of life, pain-related disability 
      and sick leave.
PG  - 38-45
LID - S1356-689X(14)00131-3 [pii]
LID - 10.1016/j.math.2014.06.009 [doi]
AB  - INTRODUCTION: The literature indicates that physiotherapy triage assessment can 
      be efficient for patients referred for orthopaedic consultation, however 
      long-term follow up of patient reported outcome measures are not available. AIM: 
      To report a long-term evaluation of patient-reported health-related quality of 
      life, pain-related disability, and sick leave after a physiotherapy triage 
      assessment of patients referred for orthopaedic consultation compared with 
      standard practice. METHODS: Patients referred for orthopaedic consultation (n = 
      208) were randomised to physiotherapy triage assessment or standard practice. The 
      randomised cohort was analysed on an intention-to-treat (ITT) basis. The patient 
      reported outcome measures EuroQol VAS (self-reported health-state), EuroQol 5D-3L 
      (EQ-5D) and Pain Disability Index (PDI) were assessed at baseline and after 3, 6 
      and 12 months. EQ VAS was analysed using a repeated measure ANOVA. PDI and EQ-5D 
      were analysed using a marginal logistic regression model. Sick leave was analysed 
      for the 12 months following consultation using a Mann-Whitney U-test. RESULTS: 
      The patients rated a significantly better health-state at 3 after physiotherapy 
      triage assessment [mean difference -5.7 (95% CI -11.1; -0.2); p = 0.04]. There 
      were no other statistically significant differences in perceived health-related 
      quality of life or pain related disability between the groups at any of the 
      follow-ups, or sick leave. CONCLUSION: This study reports that the long-term 
      follow up of the patient related outcome measures health-related quality of life, 
      pain-related disability and sick leave after physiotherapy triage assessment did 
      not differ from standard practice, indicating the possible benefits of 
      implementation of this model of care.
CI  - Copyright (c) 2014 Elsevier Ltd. All rights reserved.
FAU - Samsson, Karin S
AU  - Samsson KS
AD  - Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy, 
      Gothenburg University, Box 430, 405 30 Gothenburg, Sweden; Narhalsan Tjorn 
      Rehabilitation Clinic, Primary Healthcare, Region Vastra Gotaland, Syster Ebbas 
      vag 1, 471 94 Kallekarr, Sweden. Electronic address: karin.samsson@vgregion.se.
FAU - Larsson, Maria E H
AU  - Larsson ME
AD  - Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy, 
      Gothenburg University, Box 430, 405 30 Gothenburg, Sweden; Narhalsan Research and 
      Development, Primary Healthcare, Region Vastra Gotaland, Kungsgatan 12, level 6 
      411 18 Gothenburg, Sweden.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20140715
PL  - Scotland
TA  - Man Ther
JT  - Manual therapy
JID - 9610924
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Musculoskeletal Diseases/*therapy
MH  - *Orthopedic Procedures
MH  - Pain Measurement
MH  - *Physical Therapy Modalities
MH  - *Quality of Life
MH  - Sick Leave/*statistics & numerical data
MH  - Sweden
MH  - Treatment Outcome
MH  - *Triage
OTO - NOTNLM
OT  - EQ-5D
OT  - PDI
OT  - Primary care
OT  - Randomised controlled trial
EDAT- 2014/08/05 06:00
MHDA- 2016/11/10 06:00
CRDT- 2014/08/05 06:00
PHST- 2013/12/20 00:00 [received]
PHST- 2014/05/09 00:00 [revised]
PHST- 2014/06/24 00:00 [accepted]
PHST- 2014/08/05 06:00 [entrez]
PHST- 2014/08/05 06:00 [pubmed]
PHST- 2016/11/10 06:00 [medline]
AID - S1356-689X(14)00131-3 [pii]
AID - 10.1016/j.math.2014.06.009 [doi]
PST - ppublish
SO  - Man Ther. 2015 Feb;20(1):38-45. doi: 10.1016/j.math.2014.06.009. Epub 2014 Jul 
      15.