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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Advanced practice physiotherapy-led triage in Irish orthopaedic and rheumatology services: national data audit
|
|---|---|
| Published in |
BMC Musculoskeletal Disorders, June 2018
|
| DOI | 10.1186/s12891-018-2106-7 |
| Pubmed ID | |
| Authors |
Orna Fennelly, Catherine Blake, Oliver FitzGerald, Roisin Breen, Jennifer Ashton, Aisling Brennan, Aoife Caffrey, François Desmeules, Caitriona Cunningham |
| Abstract |
Many people with musculoskeletal (MSK) disorders wait several months or years for Consultant Doctor appointments, despite often not requiring medical or surgical interventions. To allow earlier patient access to orthopaedic and rheumatology services in Ireland, Advanced Practice Physiotherapists (APPs) were introduced at 16 major acute hospitals. This study performed the first national evaluation of APP triage services. Throughout 2014, APPs (n = 22) entered clinical data on a national database. Analysis of these data using descriptive statistics determined patient wait times, Consultant Doctor involvement in clinical decisions, and patient clinical outcomes. Chi square tests were used to compare patient clinical outcomes across orthopaedic and rheumatology clinics. A pilot study at one site identified re-referral rates to orthopaedic/rheumatology services of patients managed by the APPs. In one year, 13,981 new patients accessed specialist orthopaedic and rheumatology consultations via the APP. Median wait time for an appointment was 5.6 months. Patients most commonly presented with knee (23%), lower back (22%) and shoulder (15%) disorders. APPs made autonomous clinical decisions regarding patient management at 77% of appointments, and managed patient care pathways without onward referral to Consultant Doctors in more than 80% of cases. Other onward clinical pathways recommended by APPs were: physiotherapy referrals (42%); clinical investigations (29%); injections administered (4%); and surgical listing (2%). Of those managed by the APP, the pilot study identified that only 6.5% of patients were re-referred within one year. This national evaluation of APP services demonstrated that the majority of patients assessed by an APP did not require onward referral for a Consultant Doctor appointment. Therefore, patients gained earlier access to orthopaedic and rheumatology consultations in secondary care, with most patients conservatively managed. |
X Demographics
The data shown below were collected from the profiles of 39 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Ireland | 21 | 54% |
| United Kingdom | 2 | 5% |
| Spain | 2 | 5% |
| Guyana | 1 | 3% |
| Chile | 1 | 3% |
| Australia | 1 | 3% |
| Greece | 1 | 3% |
| Unknown | 10 | 26% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 30 | 77% |
| Practitioners (doctors, other healthcare professionals) | 5 | 13% |
| Scientists | 4 | 10% |
Mendeley readers
The data shown below were compiled from readership statistics for 96 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 96 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 19 | 20% |
| Researcher | 12 | 13% |
| Student > Postgraduate | 5 | 5% |
| Student > Ph. D. Student | 5 | 5% |
| Student > Bachelor | 5 | 5% |
| Other | 17 | 18% |
| Unknown | 33 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 20 | 21% |
| Medicine and Dentistry | 16 | 17% |
| Social Sciences | 4 | 4% |
| Economics, Econometrics and Finance | 3 | 3% |
| Biochemistry, Genetics and Molecular Biology | 2 | 2% |
| Other | 8 | 8% |
| Unknown | 43 | 45% |
Attention Score in Context
This research output has an Altmetric Attention Score of 35. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 March 2023.
All research outputs
#1,147,407
of 25,380,089 outputs
Outputs from BMC Musculoskeletal Disorders
#171
of 4,405 outputs
Outputs of similar age
#24,163
of 312,515 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#4
of 54 outputs
Altmetric has tracked 25,380,089 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,405 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.4. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 312,515 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 54 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.