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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.)
A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy.
Show detailsTABLE 62
Patient characteristics at baseline | Randomised: n = 2249a (100%) | |||||
---|---|---|---|---|---|---|
Usual care: n = 743 (33.04%) | PhysioDirect: n = 1506 (66.96%) | |||||
Collected: n = 629 (84.66%) | Missing: n = 114 (15.34%) | Test | Collected: n = 1283 (85.19%) | Missing: n = 223 (14.81%) | Test | |
Sex: % | ||||||
Female | 59.46 | 56.14 | x12 = 0.44, p = 0.51 | 60.02 | 56.95 | x12 = 0.74, p = 0.39 |
Male | 40.54 | 43.86 | 39.98 | 43.05 | ||
Age: median (IQR) | ||||||
Years | 50.12 (38.32 to 62.69) | 39.72 (29.07 to 51.66) | Rank-sum, z = 5.4, p < 0.001 | 50.01 (38.25 to 62.28) | 40.11 (29.22 to 51.69) | Rank-sum, z = 7.40, p < 0.001 |
Ethnicity: % | ||||||
White | 95.83 | 95.54 | x52 = 6.83, p = 0.23 | 97.07 | 94.59 | x52 = 8.72, p = 0.12 |
Black | 1.12 | 0.89 | 0.79 | 1.35 | ||
Asian | 1.76 | 0.89 | 0.71 | 2.70 | ||
Dual/mixed | 0.96 | 0.89 | 0.71 | 0.90 | ||
Chinese | 0.00 | 0.89 | 0.16 | 0.00 | ||
Other | 0.32 | 0.89 | 0.55 | 0.45 | ||
Deprivation: % | ||||||
Quintile (5 = most deprived) | ||||||
1 | 9.85 | 10.28 | x42 = 14.97, p = 0.01 | 10.36 | 11.79 | x42 = 24.28, p < 0.001 |
2 | 22.50 | 12.15 | 20.31 | 15.57 | ||
3 | 29.89 | 26.17 | 28.96 | 22.17 | ||
4 | 21.84 | 21.50 | 23.41 | 19.81 | ||
5 | 15.93 | 29.91 | 16.97 | 30.66 | ||
Employment status: % | ||||||
Employed | 56.91 | 57.80 | x52 = 46.94, p < 0.001 | 61.15 | 67.42 | x52 = 40.39, p < 0.001 |
Unemployed | 4.02 | 18.35 | 3.78 | 9.95 | ||
Student | 2.73 | 1.83 | 2.36 | 3.62 | ||
Ill/disabled | 6.91 | 8.26 | 5.36 | 6.79 | ||
Retired | 24.76 | 6.42 | 22.70 | 7.24 | ||
Not working/other | 4.66 | 7.34 | 4.65 | 4.98 | ||
Profession: % | ||||||
Administrative | 17.05 | 16.09 | x82 = 19.11, p = 0.01 | 14.70 | 6.91 | x82 = 31.06, p < 0.001 |
Technical | 11.74 | 4.60 | 11.91 | 10.64 | ||
Elementary | 8.71 | 9.20 | 9.40 | 14.89 | ||
Manager | 9.47 | 17.24 | 8.74 | 12.77 | ||
Personal services | 7.39 | 6.90 | 8.74 | 12.77 | ||
Operatives | 4.55 | 11.49 | 5.77 | 4.79 | ||
Professional | 18.75 | 10.34 | 19.44 | 9.57 | ||
Customer services | 10.61 | 14.94 | 10.42 | 15.96 | ||
Skilled trade | 11.74 | 9.20 | 10.88 | 11.70 |
- a
Excluding seven post-randomisation exclusions.
TABLE 63
Patient characteristics at baseline | Randomised: n = 2249 (100%) | |||||
---|---|---|---|---|---|---|
Usual care: n = 743 (33.04%) | PhysioDirect: n = 1506 (66.96%) | |||||
Collected: n = 629 (84.66%) | Missing: n = 114 (15.34%) | Test | Collected: n = 1283 (85.19%) | Missing: n = 223 (14.81%) | Test | |
Referral problem (%) | ||||||
Cervical | 11.62 | 14.04 | x72 = 8.83, p = 0.27 | 12.00 | 13.90 | x72 = 7.20, p = 0.41 |
Thoracic | 1.43 | 3.51 | 2.26 | 2.69 | ||
Lumbar | 26.43 | 32.46 | 26.89 | 30.04 | ||
Upper limb | 23.89 | 21.05 | 23.46 | 22.42 | ||
Lower limb | 31.69 | 22.81 | 30.71 | 25.11 | ||
Widespread pain | 0.80 | 1.75 | 0.62 | 0.00 | ||
Multiple MSK | 3.50 | 4.39 | 3.51 | 4.48 | ||
Other MSK | 0.64 | 0.00 | 0.55 | 1.35 | ||
PCT (%) | ||||||
Bristol | 34.34 | 30.70 | x32 = 14.13, p < 0.01 | 34.29 | 26.46 | x32 = 35.17, p < 0.001 |
Somerset | 24.17 | 11.40 | 24.94 | 12.56 | ||
Cheshire | 21.62 | 33.33 | 21.43 | 34.98 | ||
Stoke | 19.87 | 24.56 | 19.33 | 26.01 | ||
Physiotherapy preference (%) | ||||||
Usual care | 32.15 | 37.50 | x22 = 1.31, p = 0.52 | 29.66 | 36.70 | x22 = 35.17, p = 0.06 |
PhysioDirect | 35.54 | 33.93 | 36.66 | 29.36 | ||
No preference | 32.31 | 28.57 | 33.68 | 33.94 | ||
Time off work: mean (SD), median (IRQ) | ||||||
Days | 4.31 (9.10), 0 (0–4) | 5.08 (8.11), 0 (0–10) | Rank-sum, z = –1.17, p = 0.24 | 3.94 (8.42), 0 (0-4) | 5.14 (9.19), 0 (0-7) | Rank-sum, z = –1.34, p = 0.18 |
English native speaker: % | ||||||
No | 2.60 | 4.42 | x12 = 1.14, p = 0.29 | 3.49 | 4.50 | x12 = 0.55, p = 0.46 |
Yes | 97.40 | 95.58 | 96.51 | 95.50 | ||
Telephone: % | ||||||
No | 0.16 | 2.65 | x12 = 11.11, p < 0.01 | 0.63 | 2.69 | x12 = 8.73, p < 0.01 |
Yes | 99.84 | 97.35 | 99.37 | 97.31 | ||
Car: % | ||||||
No | 15.50 | 26.36 | x12 = 7.79, p < 0.01 | 15.96 | 21.08 | x12 = 3.57, p = 0.06 |
Yes | 84.50 | 73.64 | 84.04 | 78.92 |
TABLE 64
Patient outcome measures at baseline | Randomised 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%) | Test | Collected: 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 = 0.03 | 36.98 (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 < 0.001 | 46.76 (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 < 0.01 | 3.79 (0.99) | 4.13 (0.95) | Rank-sum, z = –4.30, p < 0.001 |
Median (IQR) | ||||||
Lower better | 3.75 (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 < 0.001 | 0.54 (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) |
- Comparison of baseline characteristics between patients with or without missing ...Comparison of baseline characteristics between patients with or without missing primary outcome data - A pragmatic randomised controlled trial of the effectiveness and cost-effectiveness of ‘PhysioDirect’ telephone assessment and advice services for physiotherapy
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