Physiotherapists can reduce overuse by Choosing Wisely.

Published on Jun 18, 2021in Journal of Physiotherapy7
· DOI :10.1016/J.JPHYS.2021.06.006
Priti Kharel1
Estimated H-index: 1
(USYD: University of Sydney),
Joshua R. Zadro10
Estimated H-index: 10
(USYD: University of Sydney),
Christopher G. Maher147
Estimated H-index: 147
(USYD: University of Sydney)
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Abstract
References18
Newest
Summary In this series on “Overcoming Overuse,” we explore the issue of health care overuse and how it may be identified in musculoskeletal physical therapy. In part 2, we frame health care overuse...
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#1Joshua R. Zadro (USYD: University of Sydney)H-Index: 10
#2Mary O'Keeffe (USYD: University of Sydney)H-Index: 21
Last. Christopher G. Maher (USYD: University of Sydney)H-Index: 147
view all 6 authors...
OBJECTIVE The objective of this study was to evaluate the effectiveness of implementation strategies aimed at improving the adherence of physical therapists' treatment choices to clinical practice guidelines for a range of musculoskeletal conditions. METHODS For this review, searches were performed in several databases combining terms synonymous with "practice patterns" and "physical therapy" until August 2019. The review included randomized controlled trials that investigated any intervention t...
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Summary This is the first article in a series on “Overcoming Overuse” in musculoskeletal health care. Overuse is the use of services that are unlikely to improve patient outcomes, result in more ha...
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#1Courtney BarryH-Index: 2
#2Steven Kaufman (Cooper University Hospital)H-Index: 2
Last. Charlene BierlH-Index: 7
view all 8 authors...
OBJECTIVES: Thyroid and rheumatologic autoimmune testing are areas where evidence-based guidance from specialty organizations and Choosing Wisely support utilizing screening tests for autoimmune and thyroid disorders prior to more specialized testing. Adjustment of the orderable options in the electronic health record (EHR) can influence ordering patterns without requiring manual review or additional effort by the clinician. METHODS: The menu was adjusted to reflect recommendations from Choosing...
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#1Jonah Himelfarb (U of T: University of Toronto)H-Index: 1
#2Anand Lakhani (U of T: University of Toronto)H-Index: 1
Last. Dominick Shelton (Sunnybrook Health Sciences Centre)H-Index: 2
view all 3 authors...
Introduction CT use for renal colic has increased costs, radiation exposure and frequently does not alter management. Consequently, choosing wisely (CW) recommends avoiding CT imaging of otherwise healthy patients younger than 50 years presenting with symptoms of recurrent, uncomplicated renal colic. We evaluated the utilisation of CT imaging for this subgroup of patients and subsequently implemented a quality improvement initiative with an aim to reduce unnecessary radiation exposure. Methods A...
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#1Joshua R. Zadro (USYD: University of Sydney)H-Index: 10
#2John E. Farey (RPA: Royal Prince Alfred Hospital)H-Index: 5
Last. Christopher G. Maher (USYD: University of Sydney)H-Index: 147
view all 4 authors...
Background It is unknown to what extent Choosing Wisely recommendations about income-generating treatments apply to members of the society generating the recommendations. The primary aim of this study is to determine the proportion of Choosing Wisely recommendations targeting income-generating treatments, and whether recommendations from professional societies on income-generating treatments are more likely to target members or non-members. The secondary aim is to determine the prevalence of qua...
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#1Jamie L. Greco (SBU: Stony Brook University)H-Index: 1
#2Eric M. Lamberg (SBU: Stony Brook University)H-Index: 10
Last. Lisa M. Muratori (SBU: Stony Brook University)H-Index: 11
view all 4 authors...
BackgroundBiophysical agents (BPA) are adjuncts to care plans prescribed by physical therapists to patients in clinic. Recent statements by the American Physical Therapy Association caution usage of certain BPAs. Currently, information is lacking as to which BPAs are available and utilized in physical therapy settings in the United States, rationale for inclusion of BPAs in patient care plans and perceptions of importance of inclusion in a DPT curriculum.ObjectivesA survey was sent out to 520 ph...
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#6Bart W. Koes (EUR: Erasmus University Rotterdam)H-Index: 9
Abstract Background Shoulder pain is one of the three main musculoskeletal complaints and more than 50% of the patients have symptoms longer than 6 months. Until now, limited data exist about the content of physiotherapy for patients with shoulder pain in primary care. Objective Describe current physiotherapeutic diagnostic- and therapeutic management, including the use of diagnostic ultrasound, in patients with shoulder pain in primary care. Design and setting A prospective cohort study in prim...
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Abstract Background We implemented a comprehensive Choosing Wisely initiative to reduce unnecessary transfusions in an Academic Department of Surgery. Methods We conducted a survey- and lecture-based educational intervention to increase awareness about published transfusion guidelines. Monthly transfusion reports were subsequently distributed to all faculty, fellows, residents, and mid-level practitioners. Blood utilization measures were compared pre- vs. post-intervention to assess effectivenes...
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#1Vikas SainiH-Index: 22
Last. Elliott S. Fisher (Dartmouth College)H-Index: 92
view all 8 authors...
Summary The global ubiquity of overuse and underuse of health-care resources and the gravity of resulting harms necessitate an investigation of drivers to inform potential solutions. We describe the network of influences that contribute to poor care and suggest that it is driven by factors that fall into three domains: money and finance; knowledge, bias, and uncertainty; and power and human relationships. In each domain the drivers operate at the global, national, regional, and individual level,...
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Cited By1
Newest
#1Charlotte van den Heuvel (HAN University of Applied Sciences)
#2Jorn van der Horst (HAN University of Applied Sciences)
Last. Nathan Hutting (HAN University of Applied Sciences)H-Index: 9
view all 5 authors...
Abstract null null Background null A person-centred, biopsychosocial approach focused on self-management and a healthy lifestyle is recommended for managing non-specific low back pain (LBP). null null null Objective null What are the experiences of physiotherapists with regard to providing self-management support to people with non-specific LBP? null null null Design null Exploratory qualitative. null null null Methods null Fourteen semi-structured interviews were conducted with physiotherapists...
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