Evidence map›Paper›PMID 30519001›Full record

ArticlePatient preference and adherence2018

Has the quality of physiotherapy care in patients with Whiplash-associated disorders (WAD) improved over time? A retrospective study using routinely collected data and quality indicators.

Rob Ab Oostendorp, Hans Elvers, Emiel van Trijffel, Geert M Rutten, Gwendolyne Gm Scholten-Peeters, Marcel Heijmans, Erik Hendriks, Emilia Mikolajewska, Margot De Kooning, Marjan Laekeman and 3 more

Abstract read
In one paragraph

Article in Patient preference and adherence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

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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

7 citing papers in PubMed.

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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

13 authors.

Rob Ab OostendorpScientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands, oostendorp.rob@gmail.com.
Hans ElversDepartment of Public Health and Research, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Emiel van TrijffelSOMT University of Physiotherapy, Amersfoort, the Netherlands.
Geert M RuttenInstitute of Health Studies, Faculty of Health and Social Studies, HAN University of Applied Science, Nijmegen, the Netherlands.
Gwendolyne Gm Scholten-PeetersDepartment of Human Movement Sciences, Faculty of Behavioral and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Marcel HeijmansPractice Physiotherapy and Manual Therapy, Heeswijk-Dinther, the Netherlands, oostendorp.rob@gmail.com.
Erik HendriksDepartment of Epidemiology, Center of Evidence-Based Physiotherapy, Maastricht University, Maastricht, the Netherlands.
Emilia MikolajewskaDepartment of Physiotherapy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland.
Margot De KooningPain in Motion International Research Group, Free University Brussels, Brussels, Belgium, oostendorp.rob@gmail.com.
Marjan LaekemanDepartment of Nursing Sciences, Faculty of Health, University Witten/Herdecke, Witten, Germany.
Jo NijsPain in Motion International Research Group, Free University Brussels, Brussels, Belgium, oostendorp.rob@gmail.com.
Nathalie RousselDepartment of Rehabilitation Sciences and Physiotherapy (MOVANT), Faculty of Medicine and Health Sciences, University of Antwerp, Belgium.
Han SamwelDepartment of Medical Psychology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop valid quality indicators (QIs) for physiotherapy care based on best available evidence, and to use these QIs to explore trends in the quality of physiotherapy care of patients with Whiplash-associated disorders (WAD) using guideline-based routinely collected data (RCD) gathered between 1996 and 2011. MATERIALS AND

methodsThe study consisted of two phases: 1) development of QIs and 2) analysis of patient records. A set of QIs was developed based on recommendations in the scientific literature and the Dutch Clinical Practice Guideline (CPG) "Physiotherapy Management and WAD". QIs were expressed as percentages, allowing target performance levels to be defined (≥80% or ≤30% depending on whether desired performance required a high or low score on a QI). We then analyzed WAD patient data (N = 810) collected over a period of 16 years in two physiotherapy practices, separating patients into two groups defined as before (Group A 1996-2002; n = 353) and after (Group B 2003-2011; n = 457) implementation and transition to the Dutch CPG "Physiotherapy Management and WAD".

resultsUsing an iterative process and input from both experts and users, 28 QIs were developed and subsequently classified per step of the clinical reasoning process for physiotherapy care. Based on 16 years of RCD, we found that the clinical reasoning process differed significantly (

conclusionA preliminary set of novel QIs was developed. Using RCD and these QIs, we conclude that physiotherapy care in our study setting improved over the period 1996-2011. Furthermore, the QIs met the performance targets set for the clinical reasoning process after the transition to the Dutch CPG "Physiotherapy Management and WAD".

Indexed as

clinical guidelinesclinical reasoning processquality indicatorsquality of physiotherapy careroutinely collected dataWhiplash-associated disorders

Identifiers

PMID30519001
PMCPMC6233472

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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.