Evidence map›Paper›PMID 40074281›Full record

ArticleBMJ open2025

Effectiveness of primary-contact physiotherapy in managing musculoskeletal conditions in emergency departments: protocol for the RESHAP-ED randomised controlled trial.

Tarcisio F de Campos, Danielle Coombs, Chathurani Sigera, Christopher Williams, Eileen Rogan, James Edwards, Kirsten McCaffery, Kirsten Howard, Laurent Billot, Chris Maher and 2 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Tarcisio F de Campos *School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia tarcisio.decampos@sydney.edu.au.ORCID http://orcid.org/0000-0001-7640-1650
Danielle Coombs *School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-0005-7851
Chathurani SigeraSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Christopher WilliamsUniversity Centre for Rural Health, School of Health Sciences, The University of Sydney, Lismore, New South Wales, Australia.
Eileen RoganEmergency Department, Canterbury Hospital, Sydney Local Health District, Sydney, New South Wales, Australia.
James EdwardsEmergency Department, Royal Prince Alfred Hospital, Sydney Local Health District, Camperdown, New South Wales, Australia.
Kirsten McCafferyWiser Healthcare, School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-2696-5006
Kirsten HowardSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-0918-7540
Laurent BillotThe George Institute for Global Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-4975-9793
Chris MaherSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-1628-7857
Gustavo C MachadoSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-8544-0448
RESHAP-ED Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with musculoskeletal conditions often seek care in an emergency department (ED). The problem is that the time required to manage these patients places an additional pressure on ED physician and nursing staff, who are primarily trained and resourced to manage high-acuity patients. Primary-contact physiotherapists could play a greater role in supporting ED physician and nursing staff in the management of patients presenting to the ED with musculoskeletal conditions. METHODS AND ANALYSIS: The RESHAP-ED trial is a multicentre, pragmatic, open-label, two-arm, parallel randomised controlled trial with nested process and economic evaluations. The trial will investigate whether a primary-contact physiotherapy pathway compared with usual care (primary-contact by physician and/or nursing staff pathway) reduces time spent in ED. Patients with simple musculoskeletal conditions will be recruited from EDs in New South Wales, Australia. The primary outcome is ED length of stay (LOS). Secondary outcomes will include acceptability, feasibility and cost-effectiveness of primary-contact physiotherapy, and explore patients' and clinicians' experience. To detect a 30 min between-group difference in ED LOS, 1370 patients will be required. Analyses of the primary and secondary outcomes will be conducted following the intention-to-treat principle. The adjusted mean difference in ED LOS and 95% CI will be calculated using linear regression adjusted for hospital using a random effect model. ETHICS AND DISSEMINATION: The study received ethical approval from the Sydney Local Health District (RPAH zone) Human Research Ethics Committee (X23-0143). Findings from this study will be disseminated through publication in peer-reviewed journals and conference presentations. TRIAL REGISTRATION NUMBER: Australia New Zealand Clinical Trials Registry: ACTRN 12623000782639; Universal Trial Number (UTN): U1111-1292-2883.

Indexed as

Emergency Service, HospitalMusculoskeletal DiseasesPhysical Therapy ModalitiesCost-Benefit AnalysisHumansLength of StayMulticenter Studies as TopicNew South WalesPragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicEmergency DepartmentsHealth ServicesMusculoskeletal disordersRandomised Controlled Trial

Identifiers

PMID40074281
PMCPMC11904353

What OpenQuestion holds

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Registered trials

None linked

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.