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The Staffordshire arthritis, musculoskeletal, and back assessment (SAMBA) study: a prospective observational study of patient outcome following referral to a primary-secondary care musculoskeletal interface service.

Roddy E, Zwierska I, Dawes P, Hider SL, Jordan KP, Packham J, Stevenson K, Hay E, SAMBA te - BMC Musculoskelet Disord (2010)

Bottom Line: However, little is known about the outcome of patients with musculoskeletal conditions referred from primary care to Clinical Assessment and Treatment Services or how best to identify those patients at high risk of poor outcome in this setting.At the consultation in the interface clinic, the clinical diagnosis, investigations requested, and clinical interventions will be recorded.Follow-up data for the twelve-month period subsequent to recruitment will be collected via mailed follow-up questionnaires at 6 and 12 months, and review of medical records.

View Article: PubMed Central - HTML - PubMed

Affiliation: Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University, Staffordshire, ST5 5BG, UK. e.roddy@cphc.keele.ac.uk

ABSTRACT

Background: Recent healthcare policy has shifted the management of musculoskeletal conditions in the UK away from secondary care towards Clinical Assessment and Treatment Services at the primary-secondary care interface. However, little is known about the outcome of patients with musculoskeletal conditions referred from primary care to Clinical Assessment and Treatment Services or how best to identify those patients at high risk of poor outcome in this setting. We describe the protocol for a twelve-month prospective observational study which aims to describe the outcome of patients referred to musculoskeletal and back pain services at the primary-secondary care interface and to develop simple prognostic measures to guide clinical prioritisation and triage.

Methods/design: All patients referred over a twelve-month period from primary care to musculoskeletal and back pain clinics in the primary-secondary care interface Clinical Assessment and Treatment Service in North Staffordshire will be mailed a postal questionnaire prior to their consultation. This will collect information on quality of life, general health, anxiety and depression, pain, healthcare utilisation including medication use, occupational characteristics, and socio-demographics. At the consultation in the interface clinic, the clinical diagnosis, investigations requested, and clinical interventions will be recorded. Follow-up data for the twelve-month period subsequent to recruitment will be collected via mailed follow-up questionnaires at 6 and 12 months, and review of medical records.

Discussion: This twelve-month prospective observational study of patients referred to a musculoskeletal Clinical Assessment and Treatment Service will assess the management and outcome of musculoskeletal care at the primary-secondary care interface as proposed in the Musculoskeletal Services Framework.

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Related in: MedlinePlus

Flow diagram outlining participant's study pathway.
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Figure 1: Flow diagram outlining participant's study pathway.

Mentions: We describe here the protocol for a twelve-month prospective, observational cohort study which aims, firstly, to describe the characteristics, management, and clinical and health-economic outcomes, of patients with a wide range of musculoskeletal conditions referred from primary care to an established musculoskeletal interface CATS, and, secondly, to develop simple prognostic measures for use as clinical triage tools to identify patients at high risk of poor outcome from musculoskeletal conditions and back pain at the primary-secondary interface (Figure 1).


The Staffordshire arthritis, musculoskeletal, and back assessment (SAMBA) study: a prospective observational study of patient outcome following referral to a primary-secondary care musculoskeletal interface service.

Roddy E, Zwierska I, Dawes P, Hider SL, Jordan KP, Packham J, Stevenson K, Hay E, SAMBA te - BMC Musculoskelet Disord (2010)

Flow diagram outlining participant's study pathway.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2864203&req=5

Figure 1: Flow diagram outlining participant's study pathway.
Mentions: We describe here the protocol for a twelve-month prospective, observational cohort study which aims, firstly, to describe the characteristics, management, and clinical and health-economic outcomes, of patients with a wide range of musculoskeletal conditions referred from primary care to an established musculoskeletal interface CATS, and, secondly, to develop simple prognostic measures for use as clinical triage tools to identify patients at high risk of poor outcome from musculoskeletal conditions and back pain at the primary-secondary interface (Figure 1).

Bottom Line: However, little is known about the outcome of patients with musculoskeletal conditions referred from primary care to Clinical Assessment and Treatment Services or how best to identify those patients at high risk of poor outcome in this setting.At the consultation in the interface clinic, the clinical diagnosis, investigations requested, and clinical interventions will be recorded.Follow-up data for the twelve-month period subsequent to recruitment will be collected via mailed follow-up questionnaires at 6 and 12 months, and review of medical records.

View Article: PubMed Central - HTML - PubMed

Affiliation: Arthritis Research Campaign National Primary Care Centre, Primary Care Sciences, Keele University, Staffordshire, ST5 5BG, UK. e.roddy@cphc.keele.ac.uk

ABSTRACT

Background: Recent healthcare policy has shifted the management of musculoskeletal conditions in the UK away from secondary care towards Clinical Assessment and Treatment Services at the primary-secondary care interface. However, little is known about the outcome of patients with musculoskeletal conditions referred from primary care to Clinical Assessment and Treatment Services or how best to identify those patients at high risk of poor outcome in this setting. We describe the protocol for a twelve-month prospective observational study which aims to describe the outcome of patients referred to musculoskeletal and back pain services at the primary-secondary care interface and to develop simple prognostic measures to guide clinical prioritisation and triage.

Methods/design: All patients referred over a twelve-month period from primary care to musculoskeletal and back pain clinics in the primary-secondary care interface Clinical Assessment and Treatment Service in North Staffordshire will be mailed a postal questionnaire prior to their consultation. This will collect information on quality of life, general health, anxiety and depression, pain, healthcare utilisation including medication use, occupational characteristics, and socio-demographics. At the consultation in the interface clinic, the clinical diagnosis, investigations requested, and clinical interventions will be recorded. Follow-up data for the twelve-month period subsequent to recruitment will be collected via mailed follow-up questionnaires at 6 and 12 months, and review of medical records.

Discussion: This twelve-month prospective observational study of patients referred to a musculoskeletal Clinical Assessment and Treatment Service will assess the management and outcome of musculoskeletal care at the primary-secondary care interface as proposed in the Musculoskeletal Services Framework.

Show MeSH
Related in: MedlinePlus