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Patient-reported outcome measures in advanced musculoskeletal physiotherapy practice: a systematic review
- Source :
- Musculoskeletal Care. 16:188-208
- Publication Year :
- 2017
- Publisher :
- Wiley, 2017.
-
Abstract
- Objective Advanced practice physiotherapists (APPs), also known as extended scope physiotherapists, provide a new model of service delivery for musculoskeletal (MSK) disorders. Research to date has largely focused on health service efficiencies, with less emphasis on patient outcomes. The present systematic review aimed to identify the patient-reported outcome measures (PROMs) being utilized by APPs. Method A wide search strategy was employed, including the PubMed, Embase, CINAHL, CENTRAL and PEDro databases, to identify studies relating to PROMs utilized by APPs in MSK healthcare settings. PROMs identified were classified into predetermined outcome domains, with additional contextual data extracted. Results Of the initial 12,302 studies, 38 met the inclusion criteria. These involved APPs across different settings, utilizing 72 different PROMs and most commonly capturing: Patient Satisfaction, Quality of Life (QoL), Functional Status, and Pain; and, less frequently: Global Status (i.e. overall improvement), Psychological Well-Being, Work ability, and Healthcare Consumption and Costs. The quality of the PROMs varied greatly, with Satisfaction most commonly measured utilizing non-standardized locally-devised tools; the EuroQol five-dimensions questionnaire (EuroQoL-5D) and 36-Item Short-Form (SF-36) cited most frequently to capture QoL; and the Visual Analogue Scale (VAS) to capture Pain. No key measure was identified to capture Functional Status, with 15 different tools utilized. Conclusion APPs utilized a multiplicity of PROMs across a range of MSK disorders. The present review will act as an important resource, informing the selection of outcomes for MSK disorders, with a view to greater standardization of outcome measurement in MSK clinical practice, service evaluation and research.
- Subjects :
- medicine.medical_specialty
Nursing (miscellaneous)
Service delivery framework
Visual analogue scale
Physical Therapy, Sports Therapy and Rehabilitation
CINAHL
03 medical and health sciences
0302 clinical medicine
Patient satisfaction
Quality of life (healthcare)
Rheumatology
Health care
Humans
Medicine
Orthopedics and Sports Medicine
Musculoskeletal Diseases
Patient Reported Outcome Measures
030212 general & internal medicine
Physical Therapy Modalities
030203 arthritis & rheumatology
business.industry
Rehabilitation
Triage
Physical therapy
Patient-reported outcome
Chiropractics
business
Subjects
Details
- ISSN :
- 14782189
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- Musculoskeletal Care
- Accession number :
- edsair.doi.dedup.....4867b9d2d053b6860cea7b7a5eb68ae8