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Table 3 Study characteristics: Musculoskeletal

From: Reducing wait time from referral to first visit for community outpatient services may contribute to better health outcomes: a systematic review

Author

Study quality

Setting

Participant/client group N

Study design

Waiting times compared

Outcome Measures

Key Findings

Amato et al. (1997) [45]

Samplec Measurec Analysisa

Orthopaedic rehab, USA

Musculo-skeletal disorders N = 24,196

Retrospective cohort study

Short wait:

0–7 days

Long wait:

≥ 121 days

1. QOL

2. Patient Satisfaction

Authors conclude an association between shorter wait time and improved QOL but no difference in patient satisfaction.

Harding et al. (2013) [56]

Credibilityb Transferabilityc Dependabilityc Confirmabilityb

Outpatient musculo-skeletal rehab, Australia

Musculo-skeletal disorders N = 22

Qualitative component of a mixed methods study (semi-structured interviews)

Short wait:

10 days

Long wait:

29 days

1. Patient experience

Patients who wait longer for first appointment report anxiety regarding physical deterioration.

Linton et al. (1993) [49]

Samplec Measureb Analysisc

Primary health care unit (GP with referral to Physical Therapist +/− case manager), Sweden

Musculo-skeletal pain N = 198

Controlled trial (non-randomised)

Short wait:

3 days

Long wait: 9 days

1 Patient satisfaction

2. Pain

3. Workplace participation

Shorter wait time associated with improvement in workplace participation and patient satisfaction with short wait to first appointment.

Wait time not associated with pain.

Nordemanet al (2006) [51]

Samplec Measurec Analysisc

Primary health care Sweden

Low back pain. N = 60

Randomised clinical trial

Short wait: within 2 days Long wait: 4 week delay

1. Pain

2. Function

3. Workplace participation

Wait time not associated with pain, function or workplace participation.

Pedersen et al. (2017) [55]

Sampleb Measureb Analysisb

Municipal rehab, Denmark

Elderly patients post hip fracture. N = 116

Prospective cohort study

Median wait: 8 days

Range:

0–64 days

1. Function

Wait time not associated with function.

Self et al. (2000) [52]

Sampleb Measurec Analysisb

Ortho-paedic physical therapy, USA

Low back pain N = 161

Retrospective cohort study

Short wait:

0–7 days

Long wait:

15–42 days

1. Function

Wait time not associated with function.

Wand, et al. (2004) [53]

Samplec Measureb Analysisc

Physio-therapy outpatient service, UK.

Acute low back pain. N = 102

Single blind randomised controlled trial

Short wait:

0–1 days

Long wait:

42 days

1. Function

2. Pain

3. Anxiety symptoms

4. Depression symptoms

5. QOL

Shorter wait time associated with improved QOL and less anxiety and depressive symptoms.

Wait time not associated with function or pain.

Zigenfus et al. (2000) [54]

Samplec Measureb Analysisc

Occupational health care/Physical therapy, USA

Workers with acute low back injuries. N = 3867

Retrospective cohort study

Short wait:

0–1 days

Intermediate Wait: 2–7 days

Long wait:

8–197 days

1. Workplace participation

Shorter wait time associated with improved workplace participation.

  1. QOL Quality of life
  2. acriteria not met
  3. bcriteria partially met
  4. ccriteria met in full