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The goal of this prospective observational study is to evaluate advanced practice physiotherapy and orthopedic surgeon care and clinical outcomes for new patients with a peripheral musculoskeletal disorders consulting at the orthopedic outpatient clinic of the Hôpital Jean-Talon.
The main questions it aims to answer are: 1. To describe the models of care at the Hôpital Jean-Talon orthopedic outpatient clinic; 2. To assess change in pain, disability, quality of life and pain catastrophizing at 6, 12 and 26 weeks after the initial evaluation; 3. To assess interprofessional collaboration between the advanced practice physiotherapists and orthopedic surgeons; 4. To assess patient satisfaction with care; 5. To assess waiting time before an initial consultation.
Researchers will compare patients cared in the advanced practice physiotherapy and orthopedic surgeon group and the orthopedic surgeon only group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Advanced practice physiotherapy and orthopedic surgeon group | Patients cared by both an advanced practice physiotherapist and an orthopedic surgeon. |
| |
| Orthopedic surgeon only group | Patients cared only by an orthopedic surgeon. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Advanced practice physiotherapy and orthopedic surgeon management | Other | Management of their musculoskeletal condition by an advanced practice physiotherapist and an orthopedic surgeon. |
| Measure | Description | Time Frame |
|---|---|---|
| Brief pain inventory severity | Pain questionnaire (0-10; higher score=worse) | 6 weeks (change from baseline) |
| Brief pain inventory severity | Pain questionnaire (0-10; higher score=worse) | 12 weeks (change from baseline) |
| Brief pain inventory severity | Pain questionnaire (0-10; higher score=worse) | 26 weeks (change from baseline) |
| Brief pain inventory inventory | Pain interference (disability) questionnaire (0-10; higher score=worse) | 6 weeks (change from baseline) |
| Brief pain inventory inventory | Pain interference (disability) questionnaire (0-10; higher score=worse) | 12 weeks (change from baseline) |
| Brief pain inventory inventory | Pain interference (disability) questionnaire (0-10; higher score=worse) | 26 weeks (change from baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Shortened Disability of the Arm, Shoulder and Hand (QuickDASH) | Disability questionnaire for upper extremity disorders (0-100; higher=worse) | 6 weeks (change from baseline) |
| Shortened Disability of the Arm, Shoulder and Hand (QuickDASH) |
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Inclusion Criteria:
Exclusion Criteria:
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Adults with a peripheral musculoskeletal disorders
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de recherche de l'Hôpital Maisonneuve-Rosemont | Montreal | Quebec | H1T 2M4 | Canada |
Data will be available upon resonable request
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| Orthopedic surgeon management | Other | Management of their musculoskeletal condition by an orthopedic surgeon. |
|
Disability questionnaire for upper extremity disorders (0-100; higher=worse)
| 12 weeks (change from baseline) |
| Shortened Disability of the Arm, Shoulder and Hand (QuickDASH) | Disability questionnaire for upper extremity disorders (0-100; higher=worse) | 26 weeks (change from baseline) |
| Hip disability and Osteoarthritis Outcomes Score (HOOS) | Disability questionnaire for hip disorders (0-100; higher=better) | 6 weeks (change from baseline) |
| Hip disability and Osteoarthritis Outcomes Score (HOOS) | Disability questionnaire for hip disorders (0-100; higher=better) | 12 weeks (change from baseline) |
| Hip disability and Osteoarthritis Outcomes Score (HOOS) | Disability questionnaire for hip disorders (0-100; higher=better) | 26 weeks (change from baseline) |
| Knee injury and Osteoarthritis Outcomes Score (KOOS) | Disability questionnaire for knee disorders (0-100; higher=better) | 6 weeks (change from baseline) |
| Knee injury and Osteoarthritis Outcomes Score (KOOS) | Disability questionnaire for knee disorders (0-100; higher=better) | 12 weeks (change from baseline) |
| Knee injury and Osteoarthritis Outcomes Score (KOOS) | Disability questionnaire for knee disorders (0-100; higher=better) | 26 weeks (change from baseline) |
| Foot and Ankle Ability Measure (FAAM) | Disability questionnaire for ankle/foot disorders (0-100; higher=better) | 6 weeks (change from baseline) |
| Foot and Ankle Ability Measure (FAAM) | Disability questionnaire for ankle/foot disorders (0-100; higher=better) | 12 weeks (change from baseline) |
| Foot and Ankle Ability Measure (FAAM) | Disability questionnaire for ankle/foot disorders (0-100; higher=better) | 26 weeks (change from baseline) |
| EQ-5D-5L | Health-related quality of life questionnaire (to be converted in QALYs 0-1; higher=better) | 6 weeks (change from baseline) |
| EQ-5D-5L | Health-related quality of life questionnaire (to be converted in QALYs 0-1; higher=better) | 12 weeks (change from baseline) |
| EQ-5D-5L | Health-related quality of life questionnaire (to be converted in QALYs 0-1; higher=better) | 26 weeks (change from baseline) |
| EQ-5D-VAS | Health-related quality of life questionnaire (0-100; higher=better) | 6 weeks (change from baseline) |
| EQ-5D-VAS | Health-related quality of life questionnaire (0-100; higher=better) | 12 weeks (change from baseline) |
| EQ-5D-VAS | Health-related quality of life questionnaire (0-100; higher=better) | 26 weeks (change from baseline) |
| Pain Catastrophizing Scale (PCS) | Health-related quality of life questionnaire (0-50; higher=worse) | 6 weeks (change from baseline) |
| Pain Catastrophizing Scale (PCS) | Health-related quality of life questionnaire (0-50; higher=worse) | 12 weeks (change from baseline) |
| Pain Catastrophizing Scale (PCS) | Health-related quality of life questionnaire (0-50; higher=worse) | 26 weeks (change from baseline) |
| Patient perceptions of team effectiveness (Patient-PTE) | Perceptions of team effectiveness questionnaire (24-144; higher=better) | 0 week (post initial consultation) |
| modified validated version of the 9-item visit-specific satisfaction questionnaire (VSQ-9) | Patient satisfaction questionnaire (0-100; higher=better) | 0 week (post initial consultation) |
| Modified MedRisk | Patient satisfaction questionnaire (0-100; higher=better) | 12 weeks |
| Modified MedRisk | Patient satisfaction questionnaire (0-100; higher=better) | 26 weeks |
| Provider perceptions of team effectiveness (Prodiver-PTE) | Perceptions of team effectiveness questionnaire (26-156; higher=better) | Through study completion (once) |
| Waiting time | Waiting time (time in days and minutes) | Pre-intervention |
| Adverse events | Rate of adverse events | 12 weeks |
| Adverse events | Rate of adverse events | 26 weeks |
| Treatment and compliance | Treatment received and % of treatment compliance | 6 weeks |
| Treatment and compliance | Treatment received and % of treatment compliance | 12 weeks |
| Treatment and compliance | Treatment received and % of treatment compliance | 26 weeks |
| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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