ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations]
Background Clinical specialist physiotherapist-led musculoskeletal triage clinics were introduced nationally in Ireland in 2011 to improve patient care and reduce waiting times for secondary care orthopaedics and rheumatology. Evidence has shown them to be effective in reducing waiting lists, howeve...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
F1000 Research Ltd
2025-01-01
|
| Series: | HRB Open Research |
| Subjects: | |
| Online Access: | https://hrbopenresearch.org/articles/6-73/v2 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832590352012279808 |
|---|---|
| author | Louise Keating Fiona Callan Helen P. French Sarah Casserley-Feeney |
| author_facet | Louise Keating Fiona Callan Helen P. French Sarah Casserley-Feeney |
| author_sort | Louise Keating |
| collection | DOAJ |
| description | Background Clinical specialist physiotherapist-led musculoskeletal triage clinics were introduced nationally in Ireland in 2011 to improve patient care and reduce waiting times for secondary care orthopaedics and rheumatology. Evidence has shown them to be effective in reducing waiting lists, however there are currently no data on longitudinal patient outcomes following attendance at these clinics. The primary aim of this prospective, cohort study is to identify predictors of clinical outcome (pain and function) at 12-months post MSK-triage appointment. Secondary aims are to describe the clinical course of patients attending MSK triage clinics and measure self-reported use of healthcare resources up to 12 months post-MSK-triage appointment. This is a prospective cohort study. Methods ADvAnced PhysioTherapy in MuSculosKeletal Triage (ADAPT MSK) will recruit a cohort of 252 adults through musculoskeletal triage clinics across five secondary care sites in Ireland. The STrengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines will be adhered to for future reporting. Adults (≥ 18 years old) attending physiotherapist-led musculoskeletal triage clinics with musculoskeletal pain, who do not require surgical or consultant-led medical care will be considered for participation in this study. Participant demographics, health literacy, healthcare utilisation, and self-report questionnaires on pain, function, musculoskeletal health status, musculoskeletal risk stratification, fear of movement, and psychological distress will be obtained at baseline, with follow-ups at three, six, and 12 months. The primary outcomes are pain intensity and function. Secondary outcomes include musculoskeletal risk stratification status, musculoskeletal health status, healthcare utilisation, and work status. Descriptive statistics will be used to profile the cohort of participants and predictors of outcome will be assessed using multivariable linear regression. Results Results will be disseminated via peer-reviewed journal publication and presentation at national and international conferences. Engagement with a public patient involvement (PPI) panel will explore dissemination strategies for public and service user engagement. |
| format | Article |
| id | doaj-art-af71ef96140d42ceb78a9359ddb5f1a8 |
| institution | Kabale University |
| issn | 2515-4826 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | HRB Open Research |
| spelling | doaj-art-af71ef96140d42ceb78a9359ddb5f1a82025-01-24T01:00:00ZengF1000 Research LtdHRB Open Research2515-48262025-01-01615444ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations]Louise Keating0https://orcid.org/0000-0003-4747-0491Fiona Callan1https://orcid.org/0000-0001-6560-2983Helen P. French2https://orcid.org/0000-0002-0300-4395Sarah Casserley-Feeney3School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, IrelandSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, IrelandSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, IrelandNational Musculoskeletal Triage Initiative, National Clinical Programme for Trauma & Orthopaedic Surgery (NCPTOS), Royal College of Surgeons in Ireland, Dublin, IrelandBackground Clinical specialist physiotherapist-led musculoskeletal triage clinics were introduced nationally in Ireland in 2011 to improve patient care and reduce waiting times for secondary care orthopaedics and rheumatology. Evidence has shown them to be effective in reducing waiting lists, however there are currently no data on longitudinal patient outcomes following attendance at these clinics. The primary aim of this prospective, cohort study is to identify predictors of clinical outcome (pain and function) at 12-months post MSK-triage appointment. Secondary aims are to describe the clinical course of patients attending MSK triage clinics and measure self-reported use of healthcare resources up to 12 months post-MSK-triage appointment. This is a prospective cohort study. Methods ADvAnced PhysioTherapy in MuSculosKeletal Triage (ADAPT MSK) will recruit a cohort of 252 adults through musculoskeletal triage clinics across five secondary care sites in Ireland. The STrengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines will be adhered to for future reporting. Adults (≥ 18 years old) attending physiotherapist-led musculoskeletal triage clinics with musculoskeletal pain, who do not require surgical or consultant-led medical care will be considered for participation in this study. Participant demographics, health literacy, healthcare utilisation, and self-report questionnaires on pain, function, musculoskeletal health status, musculoskeletal risk stratification, fear of movement, and psychological distress will be obtained at baseline, with follow-ups at three, six, and 12 months. The primary outcomes are pain intensity and function. Secondary outcomes include musculoskeletal risk stratification status, musculoskeletal health status, healthcare utilisation, and work status. Descriptive statistics will be used to profile the cohort of participants and predictors of outcome will be assessed using multivariable linear regression. Results Results will be disseminated via peer-reviewed journal publication and presentation at national and international conferences. Engagement with a public patient involvement (PPI) panel will explore dissemination strategies for public and service user engagement.https://hrbopenresearch.org/articles/6-73/v2Musculoskeletal triage; physiotherapy; orthopaedic triage rheumatology triage; predictors of outcome; musculoskeletal pain healthcare utilisation cohort studyeng |
| spellingShingle | Louise Keating Fiona Callan Helen P. French Sarah Casserley-Feeney ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations] HRB Open Research Musculoskeletal triage; physiotherapy; orthopaedic triage rheumatology triage; predictors of outcome; musculoskeletal pain healthcare utilisation cohort study eng |
| title | ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations] |
| title_full | ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations] |
| title_fullStr | ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations] |
| title_full_unstemmed | ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations] |
| title_short | ADvAnced PhysioTherapy in MuSculosKeletal Triage: Investigating prognostic factors, healthcare utilisation and clinical outcomes (ADAPT MSK) - a cohort study protocol. [version 2; peer review: 1 approved, 2 approved with reservations] |
| title_sort | advanced physiotherapy in musculoskeletal triage investigating prognostic factors healthcare utilisation and clinical outcomes adapt msk a cohort study protocol version 2 peer review 1 approved 2 approved with reservations |
| topic | Musculoskeletal triage; physiotherapy; orthopaedic triage rheumatology triage; predictors of outcome; musculoskeletal pain healthcare utilisation cohort study eng |
| url | https://hrbopenresearch.org/articles/6-73/v2 |
| work_keys_str_mv | AT louisekeating advancedphysiotherapyinmusculoskeletaltriageinvestigatingprognosticfactorshealthcareutilisationandclinicaloutcomesadaptmskacohortstudyprotocolversion2peerreview1approved2approvedwithreservations AT fionacallan advancedphysiotherapyinmusculoskeletaltriageinvestigatingprognosticfactorshealthcareutilisationandclinicaloutcomesadaptmskacohortstudyprotocolversion2peerreview1approved2approvedwithreservations AT helenpfrench advancedphysiotherapyinmusculoskeletaltriageinvestigatingprognosticfactorshealthcareutilisationandclinicaloutcomesadaptmskacohortstudyprotocolversion2peerreview1approved2approvedwithreservations AT sarahcasserleyfeeney advancedphysiotherapyinmusculoskeletaltriageinvestigatingprognosticfactorshealthcareutilisationandclinicaloutcomesadaptmskacohortstudyprotocolversion2peerreview1approved2approvedwithreservations |