Many patients with musculoskeletal pain in primary healthcare are referred to orthopaedic surgeon, however, a relatively low percentage of these patients are considered suitable for orthopaedic intervention. Physiotherapists are suitable for musculoskeletal assessments and are used as such in many countries i.e. Advanced Practice Physiotherapists or Extended Scope Physiotherapists, however, this is not an existing model of care in Sweden. To be able to consider this model for implementation in Sweden it is necessary to evaluate it from a healthcare as well as from a patient perspective. The study is a randomised controlled trial. Overall aim is to evaluate if a orthopaedic manual therapy assessment (physiotherapy) assessment of patients referred to orthopaedic surgeon bring any changes to referral routines, patient satisfaction and health-related variables when compared to standard practice.
The study is a randomised controlled trial. Overall aim is to evaluate if a orthopaedic manual therapy assessment (physiotherapy) assessment of patients referred to orthopaedic surgeon bring any changes to referral routines, patient satisfaction and health-related variables when compared to standard practice. Patients were randomised to either physiotherapy assessment or standard practice (orthopaedic surgeon assessment).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
208
Physiotherapy screening.
Orthopaedic surgeon assessment
Number of referrals after consultation as a measure of Management outcome
Time frame: 12 months
Scores on the questionnaire Quality from the Patient Perspective as a measure of Patient satisfaction
Time frame: 30 days
Scores on the EuroQol-5D as a measure of Health-related quality of life
Time frame: 12 months
Scores on the Pain Disability Index as a measure of Pain-related disability
Time frame: 12 months
Number of sick-leave days
Time frame: 12 months
Cost per quality adjusted life year (QUALY) gained as a measure of cost-utitily
QUALYs are calculated from the EuroQol-5D
Time frame: 12 months
Scores on the Pain Belief Screening Instrument as a measure of risk for long-term disability
Time frame: 12 months
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