From: Using routine referral data for patients with knee and hip pain to improve access to specialist care
Type of clinic | |||||||||
---|---|---|---|---|---|---|---|---|---|
Specialist GP | Advanced physiotherapy practitioner | Orthopaedic | |||||||
n | % or mean (SD) | n | % or mean (SD) | n | % or mean (SD) | n | % or mean (SD) | ||
Participant characteristics from referral letters | |||||||||
Age at baseline mean (SD) | 194 | 59.2 (13.9) | 190 | 41.8 (13.6) | 259 | 57.8 (16.9) | 643 | 53.5 (16.9) | |
Gender | Male | 96 | 49.5 | 92 | 48.4 | 123 | 47.5 | 311 | 48.4 |
Female | 98 | 50.5 | 98 | 51.6 | 136 | 52.5 | 332 | 51.6 | |
Smoking data | Non-smoker | 66 | 47.8 | 91 | 64.1 | 91 | 58.3 | 248 | 56.9 |
Smoker | 26 | 18.8 | 28 | 19.7 | 18 | 11.5 | 72 | 16.5 | |
Former smoker | 46 | 33.3 | 23 | 16.2 | 47 | 30.1 | 116 | 26.6 | |
Welsh index of multiple deprivation median (IQR) | 194 | 825 (346, 1459) | 190 | 825 (346, 1576) | 259 | 825 (346, 1668) | 643 | 825 (346, 1545.5) | |
WIMD quintiles | 1 to 382 | 49 | 25.3 | 57 | 30.0 | 83 | 32.0 | 189 | 29.4 |
383 to 764 | 44 | 22.7 | 29 | 15.3 | 40 | 15.4 | 113 | 17.6 | |
765 to 1146 | 44 | 22.7 | 39 | 20.5 | 52 | 20.1 | 135 | 21.0 | |
1147 to 1528 | 16 | 8.2 | 16 | 8.4 | 13 | 5.0 | 45 | 7.0 | |
1529 to 1909 | 41 | 21.1 | 49 | 25.8 | 71 | 27.4 | 161 | 25.0 | |
BMI categories | BMI score Median (IQR) | 115 | 30.1 (26.5, 35.0) | 136 | 28.5 (24.6, 33.0) | 148 | 30.5 (25.8, 35.3) | 399 | 29.5 (25.5, 34.5) |
Underweight | 0 | 0.0 | 0 | 0.0 | 2 | 1.4 | 2 | 0.5 | |
Healthy weight | 14 | 12.2 | 41 | 30.1 | 29 | 19.6 | 84 | 21.1 | |
Overweight | 41 | 35.7 | 43 | 31.6 | 39 | 26.4 | 123 | 30.8 | |
Obese | 60 | 52.2 | 52 | 38.2 | 78 | 52.7 | 190 | 47.6 | |
Medication history | No medication | 17 | 8.8 | 21 | 11.1 | 8 | 3.1 | 46 | 7.2 |
With medicationa | 129 | 66.5 | 133 | 70.0 | 151 | 58.3 | 413 | 64.2 | |
Non-opioid | 16 | 11.0 | 9 | 5.8 | 22 | 13.8 | 47 | 10.2 | |
NSAIDS | 36 | 24.7 | 31 | 20.1 | 51 | 32.1 | 118 | 25.7 | |
Opioids | 44 | 30.1 | 29 | 18.8 | 58 | 36.5 | 131 | 28.5 | |
Neuropathic agents | 21 | 14.4 | 9 | 5.8 | 21 | 13.2 | 51 | 11.1 | |
Charleston co-morbidity index | Index† Median (IQR) | 0.0 (0.0, 1.0) | 0.0 (0.0, 0.0) | 0.0 (0.0, 2.0) | 0.0 (0.0, 1.0) | ||||
0 | 81 | 58.3 | 98 | 67.6 | 77 | 52.0 | 256 | 59.3 | |
1 | 37 | 26.6 | 32 | 22.1 | 31 | 20.9 | 100 | 23.1 | |
2 | 13 | 9.4 | 10 | 6.9 | 22 | 14.9 | 45 | 10.4 | |
3+ | 8 | 5.8 | 5 | 3.4 | 18 | 12.2 | 31 | 7.2 | |
Combined KOOS/HOOS scores | |||||||||
Combined KOOS/ HOOS sub-scale scores | Pain (mean (SD)) | 187 | 48.1 (20.1) | 179 | 58.0 (22.4) | 236 | 45.7 (22.4) | 602 | 50.1 (22.3) |
Other symptoms (mean (SD)) | 189 | 51.7 (19.9) | 184 | 56.7 (20.2) | 239 | 48.4 (21.8) | 612 | 51.9 (21.0) | |
Function in daily living (mean (SD)) | 187 | 53.0 (23.4) | 182 | 63.8 (24.3) | 237 | 49.3 (25.1) | 606 | 54.8 (25.1) | |
Sport and recreation function (median (IQR)) | 154 | 25.0 (10.0, 50.0) | 172 | 35.0 (20.0, 62.5) | 207 | 25.0 (5.0, 50.0) | 533 | 30.0 (10.0, 55.0) | |
Quality of life (median (IQR)) | 184 | 31.3 (12.5, 43.8) | 181 | 37.5 (18.8, 50.0) | 234 | 25.0 (12.5, 43.8) | 599 | 31.3 (12.5, 43.8) | |
Consultation outcome | |||||||||
Number of treatment outcome types received | 0 | 6 | 3.1 | 3 | 1.6 | 4 | 1.5 | 13 | 2.0 |
1 | 65 | 33.7 | 71 | 37.6 | 182 | 70.3 | 318 | 49.6 | |
2 | 98 | 50.8 | 85 | 45.0 | 58 | 22.4 | 241 | 37.6 | |
3 | 22 | 11.4 | 27 | 14.3 | 12 | 4.6 | 61 | 9.5 | |
4 | 2 | 1.0 | 3 | 1.6 | 3 | 1.2 | 8 | 1.2 | |
Number of treatments for each treatment outcome type | Consultant | 16 | 8.3 | 29 | 15.3 | 10 | 3.9 | 55 | 8.6 |
Physio | 38 | 19.7 | 102 | 54.0 | 16 | 6.2 | 156 | 24.3 | |
Dietician | 9 | 4.7 | 4 | 2.1 | 2 | 0.8 | 15 | 2.3 | |
Review appointment | 64 | 33.2 | 97 | 51.3 | 81 | 31.3 | 242 | 37.8 | |
Surgery | 0 | 0.0 | 1 | 0.5 | 116 | 44.8 | 117 | 18.3 | |
Imagining | 23 | 11.9 | 45 | 23.8 | 54 | 20.8 | 122 | 19.0 | |
Injection | 78 | 40.4 | 5 | 2.6 | 24 | 9.3 | 107 | 16.7 | |
Discharged | 104 | 53.9 | 42 | 22.2 | 38 | 14.7 | 184 | 28.7 | |
Podiatry or national exercise referral scheme | 3 | 1.6 | 9 | 4.8 | 5 | 1.9 | 17 | 2.7 | |
Unknown | 6 | 3.1 | 3 | 1.6 | 4 | 1.5 | 13 | 2.0 |