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Salisbury C, Foster NE, Hopper C, et al. A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy. Southampton (UK): NIHR Journals Library; 2013 Jan. (Health Technology Assessment, No. 17.2.)

Cover of A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy

A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy.

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Appendix 1Comparison of baseline characteristics between patients with or without missing primary outcome data

TABLE 62

Comparison for both trial arms of baseline demographic characteristics between patients whose primary outcome (SF-36v2 at 6 months) was collected and those for whom that outcome information was missing

Patient characteristics at baselineRandomised: n = 2249a (100%)
Usual care: n = 743 (33.04%)PhysioDirect: n = 1506 (66.96%)
Collected: n = 629 (84.66%)Missing: n = 114 (15.34%)TestCollected: n = 1283 (85.19%)Missing: n = 223 (14.81%)Test
Sex: %
Female59.4656.14x12 = 0.44, p = 0.5160.0256.95x12 = 0.74, p = 0.39
Male40.5443.8639.9843.05
Age: median (IQR)
Years50.12 (38.32 to 62.69)39.72 (29.07 to 51.66)Rank-sum, z = 5.4, p < 0.00150.01 (38.25 to 62.28)40.11 (29.22 to 51.69)Rank-sum, z = 7.40, p < 0.001
Ethnicity: %
White95.8395.54x52 = 6.83, p = 0.2397.0794.59x52 = 8.72, p = 0.12
Black1.120.890.791.35
Asian1.760.890.712.70
Dual/mixed0.960.890.710.90
Chinese0.000.890.160.00
Other0.320.890.550.45
Deprivation: %
Quintile (5 = most deprived)
19.8510.28x42 = 14.97, p = 0.0110.3611.79x42 = 24.28, p < 0.001
222.5012.1520.3115.57
329.8926.1728.9622.17
421.8421.5023.4119.81
515.9329.9116.9730.66
Employment status: %
Employed56.9157.80x52 = 46.94, p < 0.00161.1567.42x52 = 40.39, p < 0.001
Unemployed4.0218.353.789.95
Student2.731.832.363.62
Ill/disabled6.918.265.366.79
Retired24.766.4222.707.24
Not working/other4.667.344.654.98
Profession: %
Administrative17.0516.09x82 = 19.11, p = 0.0114.706.91x82 = 31.06, p < 0.001
Technical11.744.6011.9110.64
Elementary8.719.209.4014.89
Manager9.4717.248.7412.77
Personal services7.396.908.7412.77
Operatives4.5511.495.774.79
Professional18.7510.3419.449.57
Customer services10.6114.9410.4215.96
Skilled trade11.749.2010.8811.70
a

Excluding seven post-randomisation exclusions.

TABLE 63

Comparison for both trial arms of baseline characteristics related to physiotherapy service between patients whose primary outcome (SF-36v2 at 6 months) was collected and those for whom that outcome information was missing

Patient characteristics at baselineRandomised: n = 2249 (100%)
Usual care: n = 743 (33.04%)PhysioDirect: n = 1506 (66.96%)
Collected: n = 629 (84.66%)Missing: n = 114 (15.34%)TestCollected: n = 1283 (85.19%)Missing: n = 223 (14.81%)Test
Referral problem (%)
Cervical11.6214.04x72 = 8.83, p = 0.2712.0013.90x72 = 7.20, p = 0.41
Thoracic1.433.512.262.69
Lumbar26.4332.4626.8930.04
Upper limb23.8921.0523.4622.42
Lower limb31.6922.8130.7125.11
Widespread pain0.801.750.620.00
Multiple MSK3.504.393.514.48
Other MSK0.640.000.551.35
PCT (%)
Bristol34.3430.70x32 = 14.13, p < 0.0134.2926.46x32 = 35.17, p < 0.001
Somerset24.1711.4024.9412.56
Cheshire21.6233.3321.4334.98
Stoke19.8724.5619.3326.01
Physiotherapy preference (%)
Usual care32.1537.50x22 = 1.31, p = 0.5229.6636.70x22 = 35.17, p = 0.06
PhysioDirect35.5433.9336.6629.36
No preference32.3128.5733.6833.94
Time off work: mean (SD), median (IRQ)
Days4.31 (9.10), 0 (0–4)5.08 (8.11), 0 (0–10)Rank-sum, z = –1.17, p = 0.243.94 (8.42), 0 (0-4)5.14 (9.19), 0 (0-7)Rank-sum, z = –1.34, p = 0.18
English native speaker: %
No2.604.42x12 = 1.14, p = 0.293.494.50x12 = 0.55, p = 0.46
Yes97.4095.5896.5195.50
Telephone: %
No0.162.65x12 = 11.11, p < 0.010.632.69x12 = 8.73, p < 0.01
Yes99.8497.3599.3797.31
Car: %
No15.5026.36x12 = 7.79, p < 0.0115.9621.08x12 = 3.57, p = 0.06
Yes84.5073.6484.0478.92

TABLE 64

Comparison for both trial arms of outcome baseline measures between patients whose primary outcome (SF-36v2 at 6 months) was collected and those for whom that outcome information was missing

Patient outcome measures at baselineRandomised patients: n = 2249 (100%)
Usual care: n = 743 (33.04%)PhysioDirect: n = 1506 (66.96%)
Collected: n = 629 (84.66%)Missing: n = 114 (15.34%)TestCollected: n = 1283 (85.19%)Missing: n = 223 (14.81%)Test
SF-36v2 PCS
Mean (SD)37.97 (8.66)36.31 (8.32)Rank-sum, z = 2.11, p = 0.0336.98 (8.92)35.81 (8.59)Rank-sum, z = 1.93, p = 0.05
Median (IQR)38.06 (31.85 to 44.38)36.09 (29.45 to 42.34)37.15 (30.55 to 43.38)35.47 (30.12 to 41.40)
SF-36v2 MCS
Mean (SD)46.42 (13.08)41.47 (13.69)Rank-sum, z = 3.64, p < 0.00146.76 (12.34)42.10 (13.68)Rank-sum, z = 4.73, p < 0.001
Median (IQR)49.38 (36.89 to 56.85)40.71 (33.01 to 53.83)49.39 (37.48 to 56.86)43.32 (31.75 to 53.63)
MYMOP
Mean (SD)3.76 (0.99)4.06 (0.94)Rank-sum, z = –3.17, p < 0.013.79 (0.99)4.13 (0.95)Rank-sum, z = –4.30, p < 0.001
Median (IQR)
Lower better3.75 (3.25 to 4.33)4.00 (3.50 to 4.67)3.75 (3.25 to 4.50)4.00 (3.50 to 4.75)
EQ-5D
Mean (SD)0.57 (0.28)0.46 (0.32)Rank-sum, z = 3.47, p < 0.0010.54 (0.29)0.45 (0.32)Rank-sum, z = 4.28, p < 0.001
Median (IQR)0.69 (0.52 to 0.76)0.62 (0.16 to 0.69)0.69 (0.26 to 0.76)0.62 (0.12 to 0.69)
Copyright © Queen's Printer and Controller of HMSO 2013. This work was produced by Salisbury et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK260283

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