• Manual therapy · Feb 2015

    Randomized Controlled Trial

    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.

    • Karin S Samsson and Maria E H Larsson.
    • Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy, Gothenburg University, Box 430, 405 30 Gothenburg, Sweden; Närhalsan Tjörn Rehabilitation Clinic, Primary Healthcare, Region Västra Götaland, Syster Ebbas väg 1, 471 94 Kållekärr, Sweden. Electronic address: karin.samsson@vgregion.se.
    • Man Ther. 2015 Feb 1; 20 (1): 38-45.

    IntroductionThe 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.AimTo 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.MethodsPatients 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.ResultsThe 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.ConclusionThis 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.Copyright © 2014 Elsevier Ltd. All rights reserved.

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