A Spinal Triage Programme Delivered by Physiotherapists in Collaboration with Orthopaedic Surgeons.
Purpose: To describe the characteristics of participants in a physiotherapist spinal triage programme, compare the profiles of patients for whom surgery was and was not recommended by a surgeon, and determine the surgical yield among those referred to surgeons. Methods: Data were collected retrospec...
| Publicado en: | Physiotherapy Canada Vol. 64; no. 4; pp. 356 - 367 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
University of Toronto Press
2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104429850&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104429850 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03000508 R42 jtl: Physiotherapy Canada issn: 03000508 maglogo: N pubinfo: dt: 2012 vid: 64 iid: 4 pid: 678 pub: University of Toronto Press place: North York, Ontario artinfo: ui: 104429850 82562850 2011723318 10.3138/ptc.2011-29 NLM23997390 104429850 ppf: 356 ppct: 11 formats: fmt: @attributes: type: P tig: atl: A Spinal Triage Programme Delivered by Physiotherapists in Collaboration with Orthopaedic Surgeons. aug: au: Bath, Brenna Grona, Stacey Lovo Janzen, Bonnie affil: School of Physical Therapy sug: subj: Collaboration Evaluation Low Back Pain Diagnosis Orthopedic Surgery Physical Therapy Assessment Triage Evaluation Adult Aged Chi Square Test Data Analysis Software Data Analysis, Statistical Descriptive Statistics Female Fisher's Exact Test Funding Source Human Male Middle Age P-Value Record Review Retrospective Design Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: Purpose: To describe the characteristics of participants in a physiotherapist spinal triage programme, compare the profiles of patients for whom surgery was and was not recommended by a surgeon, and determine the surgical yield among those referred to surgeons. Methods: Data were collected retrospectively by reviewing charts of people who used the service over a 3-year period (2003DS2006). Data from up to1,096 people were used in the analysis; complete data were available for 299 people. Descriptive statistics were used to summarize demographics, clinical features, and management recommendations. Characteristics of those who were and were not recommended for surgery were examined using Pearson's chi-square or Fisher's Exact tests. Results: The majority of 746 participants were classified as ''mechanical spine'' (92.5%), 2.9% were ''other body part,'' 2.5% were ''medical/ other,'' and only 2% were classified as ''surgical spine.'' Recommendations for surgery (by a surgeon) were independent of patients' age, sex, duration of symptoms, residence (urban/rural), source of health care funding, and diagnosis. The surgical yield was 80%. Conclusions: Most people were not considered candidates for surgery. Triage assessment by physiotherapists can increase the efficiency of an orthopaedic surgeon's caseload by reducing the number of non-surgical referrals and can thus help to ensure more timely access to appropriate health care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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