Evidence map›Paper›PMID 27039314›Full record

ArticleJournal of children's orthopaedics2016

The efficacy of an extended scope physiotherapy clinic in paediatric orthopaedics.

Marie O Mir, Ciara Cooney, Cliona O'Sullivan, Catherine Blake, Paula Kelly, Pat Kiely, Jacques Noel, David Moore

Abstract read
In one paragraph

Article in Journal of children's orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marie O MirPhysiotherapy Department, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland. marieomir@gmail.com.ORCID http://orcid.org/0000-0001-6458-4912
Ciara CooneyPhysiotherapy Department, Our Lady's Children's Hospital, Crumlin, Dublin 12, Ireland.
Cliona O'SullivanUCD School of Public Health, Physiotherapy and Sport Science, University College Dublin (UCD), Dublin, Ireland.
Catherine BlakeUCD School of Public Health, Physiotherapy and Sport Science, University College Dublin (UCD), Dublin, Ireland.
Paula KellyDepartment of Orthopaedic Surgery, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
Pat KielyDepartment of Orthopaedic Surgery, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
Jacques NoelDepartment of Orthopaedic Surgery, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
David MooreDepartment of Orthopaedic Surgery, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe demand for paediatric orthopaedic care is growing, and providing the service required is an increasingly challenging task. Physiotherapist-led triage clinics are utilised in adult orthopaedics to enable the provision of care to patients who may not require a surgical consult. The Physiotherapy Orthopaedic Triage Clinic (POTC) was established in Our Lady's Children's Hospital Crumlin in response to increasing demands on the paediatric orthopaedic service. The clinic is run by physiotherapists working in an advanced practice role (APP), and is the first paediatric clinic of its type and scale in the Republic of Ireland. PURPOSE: To evaluate the efficacy of the service over the 3-year period from January 2011 to December 2013.

methodsA review of the prospectively gathered database was performed in order to establish the demographic profile of patients, investigate clinic outcomes, and evaluate the reduction in patient waiting times.

results2650 patients were managed by the clinic over the 3-year period. A total of 77 % of patients were managed without consultant intervention. Fifty-three percent of patients were diagnosed as having a normal presentation. The mean waiting time reduced from 101.9 weeks pre-2010 to 15.4 weeks in 2013 for those patients managed by the POTC.

conclusionSince its inception, the clinic has significantly reduced waiting times for routine elective paediatric orthopaedic patients while managing the majority of patients independent of surgical opinion. This study shows that the APP can deliver high-quality care in the paediatric orthopaedic setting, benefitting both patients and service.

Indexed as

Advanced practiceExtended scope physiotherapyNormal variantsPaediatric orthopaedicsTriage

Identifiers

PMID27039314
PMCPMC4837171

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.