Evidence map›Paper›PMID 36692940›Full record

ArticleJMIR research protocols2023

The Ability of Austrian Qualified Physiotherapists to Make Accurate Keep-Refer Decisions and to Detect Serious Pathologies Based on Clinical Vignettes: Protocol for a Cross-sectional Web-Based Survey.

Wolfgang Lackenbauer, Simon Gasselich, Martina Edda Lickel, Reinhard Beikircher, Christian Keip, Florian Rausch, Manfred Wieser, James Selfe, Jessie Janssen

Abstract read
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Article in JMIR research protocols, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

4 citing papers in PubMed.

  1. 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

9 authors.

Wolfgang Lackenbauer *Institute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems, Austria.ORCID https://orcid.org/0000-0002-7469-7950
Simon Gasselich *Institute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems, Austria.ORCID https://orcid.org/0000-0002-2442-7442
Martina Edda LickelKarl Landsteiner University, Krems, Austria.ORCID https://orcid.org/0000-0003-1687-475X
Reinhard Beikircher *Institute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems, Austria.ORCID https://orcid.org/0000-0002-5341-689X
Christian Keip *Institute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems, Austria.ORCID https://orcid.org/0000-0002-5758-0136
Florian Rausch *University Hospital Krems, Krems, Austria.ORCID https://orcid.org/0000-0002-0340-6685
Manfred Wieser *Karl Landsteiner University, Krems, Austria.ORCID https://orcid.org/0000-0001-6216-2396
James Selfe *Department of Health Professions, Manchester Metropolitan University, Manchester, United Kingdom.ORCID https://orcid.org/0000-0001-9931-4998
Jessie Janssen *Institute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems, Austria.ORCID https://orcid.org/0000-0002-5961-2736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe recognition of serious pathologies affecting the musculoskeletal (MSK) system, especially in the early stage of a disease, is an important but challenging task. The prevalence of such serious pathologies is currently low. However, in our progressing aging population, it is anticipated that serious pathologies affecting the MSK system will be on the rise. Physiotherapists, as part of a wider health care team, can play a valuable role in the recognition of serious pathologies. It is at present unknown how accurately Austrian qualified physiotherapists can detect the presence of serious pathologies affecting the MSK system and therefore determine whether physiotherapy management is indicated (keep patients) or not (refer patients to a medical doctor).

objectiveWe will explore the current ability of Austrian qualified physiotherapists to recognize serious pathologies by using validated clinical vignettes.

methodsAs part of an electronic web-based survey, these vignettes will be distributed among a convenience sample of qualified Austrian physiotherapists working in a hospital or private setting. The survey will consist of four sections: (1) demographics and general information, (2) the clinical vignettes, (3) questions concerning the clinical vignettes, and (4) self-perceived knowledge gaps and learning preferences from the perspective of study participants. Results will further be used for (1) international comparison with similar studies from the existing literature and (2) gaining insight into the participants' self-perceived knowledge gaps and learning preferences for increasing their knowledge level about keep-refer decision-making and detecting serious pathologies.

resultsData collection took place between May 2022 and June 2022. As of June 2022, a total of 479 Austrian physiotherapists completed the survey. Data analysis has started, and we aim to publish the results in 2023.

conclusionsThe results of this survey will provide insights into the ability of Austrian physiotherapists to make accurate keep-refer decisions and to recognize the presence of serious pathologies using clinical vignettes. The results of this survey are expected to serve as a basis for future training in this area. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/43028.

Indexed as

clinical reasoningmusculoskeletalphysiotherapyred flagsreferralscreening

Identifiers

PMID36692940
PMCPMC9906318

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Registered trials

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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.