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OpenTrials
Completed

NCT Number: NCT02265172

Physiotherapy Assessment of Patients Referred to Orthopaedic Surgeon

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.

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Key information

Age range

18 year–67 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

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).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • patients referred for orthopaedic surgeon with sub acute (four weeks to three months) or chronic (>three months) musculoskeletal pain who had the ability to understand written and spoken Swedish.

Exclusion criteria

  • diagnosed hallux valgus, ganglion or trigger finger.

Treatment and study plan

Physiotherapy screening

Procedure

Physiotherapy screening.

Standard practice

Procedure

Orthopaedic surgeon assessment

Primary outcomes

  1. Number of referrals after consultation as a measure of Management outcome

    Time frame: 12 months

Secondary outcomes

  1. Scores on the questionnaire Quality from the Patient Perspective as a measure of Patient satisfaction

    Time frame: 30 days

  2. Scores on the EuroQol-5D as a measure of Health-related quality of life

    Time frame: 12 months

  3. Scores on the Pain Disability Index as a measure of Pain-related disability

    Time frame: 12 months

  4. Number of sick-leave days

    Time frame: 12 months

  5. Cost per quality adjusted life year (QUALY) gained as a measure of cost-utitily

    Time frame: 12 months

    QUALYs are calculated from the EuroQol-5D

  6. Scores on the Pain Belief Screening Instrument as a measure of risk for long-term disability

    Time frame: 12 months

Sponsors and collaborators

Lead sponsor

Vastra Gotaland Region

Other Gov

Registry information

Official study title

Does Orthopaedic Manual Therapy Assessment of Patients Referred to Orthopaedic Surgeon Bring Any Changes to Referral Routines, Patient Satisfaction and Health-related Variables?

Important dates

Study start
2009
Primary completion
2011
Study completion
2012
First posted
Oct 15, 2014
Registry last updated
Oct 27, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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