دورية أكاديمية
Patient-Reported Outcome-Based Quality Indicators in Dutch Primary Care Physical Therapy for Patients With Nonspecific Low Back Pain: A Cohort Study.
| العنوان: | Patient-Reported Outcome-Based Quality Indicators in Dutch Primary Care Physical Therapy for Patients With Nonspecific Low Back Pain: A Cohort Study. |
|---|---|
| المؤلفون: | Verburg AC; Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, PO Box 9101, 6500 HB, Nijmegen, The Netherlands., van Dulmen SA; Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, PO Box 9101, 6500 HB, Nijmegen, The Netherlands., Kiers H; Institute of Human Movement Studies, Utrecht University of Applied Sciences, Utrecht, The Netherlands.; Association for Quality in Physical Therapy (SKF), Zwolle, The Netherlands., Nijhuis-van der Sanden MWG; Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, PO Box 9101, 6500 HB, Nijmegen, The Netherlands., van der Wees PJ; Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. |
| المصدر: | Physical therapy [Phys Ther] 2021 Aug 01; Vol. 101 (8). |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 0022623 Publication Model: Print Cited Medium: Internet ISSN: 1538-6724 (Electronic) Linking ISSN: 00319023 NLM ISO Abbreviation: Phys Ther Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2017- : New York : Oxford University Press Original Publication: Alexandria, VA : American Physical Therapy Association |
| مواضيع طبية MeSH: | Disability Evaluation* , Pain Measurement* , Patient Reported Outcome Measures* , Physical Therapy Modalities* , Quality Indicators, Health Care*, Low Back Pain/*therapy, Adult ; Aged ; Cohort Studies ; Denmark ; Female ; Humans ; Male ; Middle Aged ; Primary Health Care |
| مستخلص: | Objective: The purpose of this study was to define and select a core set of outcome-based quality indicators, accepted by stakeholders on usability and perceived added value as a quality improvement tool, and to formulate recommendations for the next implementation step. Methods: In phase 1, 15 potential quality indicators were defined for patient-reported outcome measures and associated domains, namely the Numeric Pain Rating Scale (NPRS) for pain intensity, the Patient Specific Functioning Scale (PSFS) for physical activity, the Quebec Back Pain Disability Scale for physical functioning, and the Global Perceived Effect-Dutch Version for perceived effect. Their comparability and discriminatory characteristics were described using cohort data. In phase 2, a core set of quality indicators was selected based on consensus among stakeholders in focus group meetings. Results: In total, 65,815 completed treatment episodes for patients with nonspecific low back pain were provided by 1009 physical therapists from 219 physical therapist practices. The discriminability between physical therapists of all potential 15 quality indicators was adequate, with intraclass correlation coefficients between 0.08 and 0.30. Stakeholders selected a final core set of 6 quality indicators: 2 process indicators (the routine measurement of NPRS and the PSFS) and 4 outcome indicators (pretreatment and posttreatment change scores for the NPRS, PSFS, Quebec Back Pain Disability Scale, and the minimal clinically important difference of the Global Perceived Effect-Dutch Version). Conclusion: This study described and selected a core set of outcome-based quality indicators for physical therapy in patients with nonspecific low back pain. The set was accepted by stakeholders for having added value for daily practice in physical therapy primary care and was found useful for quality improvement initiatives. Further studies need to focus on improvement of using the core set of outcome-based quality indicators as a quality monitoring and evaluation instrument. Impact: Patient-reported outcome-based quality indicators developed from routinely collected clinical data are promising for use in quality improvement in daily practice. (© The Author(s) 2021. Published by Oxford University Press on behalf of the American Physical Therapy Association.) |
| References: | Spine (Phila Pa 1976). 2008 Jan 1;33(1):90-4. (PMID: 18165753) Health Serv Insights. 2013 Aug 04;6:61-8. (PMID: 25114561) BMC Health Serv Res. 2012 Jun 21;12:171. (PMID: 22721422) Phys Ther. 2017 Aug 01;97(8):837-851. (PMID: 28789466) J Eval Clin Pract. 2013 Dec;19(6):1044-53. (PMID: 23510397) Patient Prefer Adherence. 2020 Mar 02;14:425-442. (PMID: 32184572) Eur Spine J. 2015 Jun;24(6):1127-42. (PMID: 25841358) PLoS One. 2011;6(6):e20476. (PMID: 21694759) Cochrane Database Syst Rev. 2012 Jun 13;(6):CD000259. (PMID: 22696318) Eur Spine J. 2019 Jul;28(7):1550-1564. (PMID: 31004195) BMJ Open. 2017 Feb 10;7(2):e013726. (PMID: 28188156) BMJ. 2003 Apr 12;326(7393):816-9. (PMID: 12689983) Cochrane Database Syst Rev. 2015 Apr 29;(4):CD005470. (PMID: 25923419) J Clin Epidemiol. 2010 Nov;63(11):1249-55. (PMID: 20400266) Physiother Can. 2018 Fall;70(4):393-401. (PMID: 30745725) Health Expect. 2015 Jun;18(3):366-78. (PMID: 23279156) Spine (Phila Pa 1976). 2000 Dec 15;25(24):3100-3. (PMID: 11124724) Physiother Theory Pract. 2021 Sep;37(9):993-1004. (PMID: 31635516) Osteoarthritis Cartilage. 2018 Mar;26(3):370-382. (PMID: 29292095) Musculoskeletal Care. 2016 Dec;14(4):219-232. (PMID: 26799718) BMJ Qual Saf. 2014 Apr;23(4):290-8. (PMID: 24025320) Arthritis Rheum. 2008 May 15;59(5):632-41. (PMID: 18438893) Ann Rheum Dis. 2014 May;73(5):906-8. (PMID: 23960093) Phys Ther. 2016 Jan;96(1):90-100. (PMID: 26089040) Acta Orthop. 2015;86(5):523-33. (PMID: 25828191) PLoS One. 2019 Nov 22;14(11):e0225427. (PMID: 31756205) Spine (Phila Pa 1976). 2005 Jun 1;30(11):1331-4. (PMID: 15928561) Spine (Phila Pa 1976). 1998 Sep 15;23(18):2003-13. (PMID: 9779535) Eur Spine J. 2010 Sep;19(9):1484-94. (PMID: 20397032) J Nurs Scholarsh. 2008;40(4):302-10. (PMID: 19094144) J Eval Clin Pract. 2007 Apr;13(2):161-8. (PMID: 17378860) Phys Ther. 1996 Mar;76(3):268-75. (PMID: 8602412) Best Pract Res Clin Rheumatol. 2005 Aug;19(4):593-607. (PMID: 15949778) Patient Educ Couns. 2012 Aug;88(2):298-304. (PMID: 22401793) Physiotherapy. 2017 Mar;103(1):66-72. (PMID: 27033783) Int J Qual Health Care. 2014 Jun;26(3):261-70. (PMID: 24699199) Pain. 2001 Nov;94(2):149-158. (PMID: 11690728) J Patient Rep Outcomes. 2019 Dec 30;3(1):75. (PMID: 31889232) Pain. 2018 Mar;159(3):481-495. (PMID: 29194127) |
| فهرسة مساهمة: | Keywords: Nonspecific Low Back Pain; PROMs; Physical Therapy; Quality Indicators |
| تواريخ الأحداث: | Date Created: 20210430 Date Completed: 20211111 Latest Revision: 20230412 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC8336590 |
| DOI: | 10.1093/ptj/pzab118 |
| PMID: | 33929546 |
| قاعدة البيانات: | MEDLINE |
كن أول من يترك تعليقا!