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dc.contributor.authorBurton, C
dc.contributor.authorPalmer, MA
dc.contributor.authorFanton, L
dc.contributor.authorCox, R
dc.contributor.authorWishart, LR
dc.date.accessioned2021-08-23T00:36:21Z
dc.date.available2021-08-23T00:36:21Z
dc.date.issued2021
dc.identifier.issn0894-1130
dc.identifier.doi10.1016/j.jht.2021.06.007
dc.identifier.urihttp://hdl.handle.net/10072/407144
dc.description.abstractStudy Design: Prospective cohort design. Background: Patient time on Australian public hospital surgical outpatient department (SOPD) waitlists often exceeds clinical recommendations for chronic hand conditions. Diversion to allied health is an alternative option, however evidence regarding patient and organizational outcomes in hand therapy is lacking. Purpose of the Study: To evaluate clinical and organizational efficacy, patient outcomes and satisfaction of diversion of referrals for patients with trigger digit (TD) from SOPD waitlists to Advanced Practice Hand Therapy (APHT) at 3 Australian hospitals. Methods: Data was collected from eligible patients with TD through chart reviews and telephone satisfaction surveys. Data included number of patients requiring SOPD review, repeat referral to SOPD in the 12 months following APHT discharge, patient-rated outcomes, satisfaction scores, wait times to SOPD review and conversion to surgery-rates. Mann Whitney-U, t-test, Pearson's chi-squared test and a Binary Logistic Regression analysis were performed. Results: 104 patients completed APHT treatment. Seventy patients (67%) did not require return to the SOPD waitlist. Repeat referral to SOPD within 12 months of APHT discharge occurred for only 1 patient. Patients requiring SOPD review after APHT treatment were seen within target time frames and demonstrated 88% conversion to surgery-rates. Michigan Hand Outcome Questionnaire scores showed greater improvement in those not requiring SOPD review (P< .001~25.9 vs 4.2). Regression analysis identified a negative association between initial total Michigan Hand Outcome Questionnaire scores and unfavorable discharge outcomes (OR 0.96, P= .007). Most (81%-93%) patients indicated satisfaction with the APHT service. Conclusion: Diversion of referrals for TD from SOPD to APHT is an effective waitlist management strategy, with the propensity to reduce waiting times, improve patient flow, whilst resulting in favorable clinical and patient-rated outcomes and satisfaction.
dc.description.peerreviewedYes
dc.languageen
dc.publisherElsevier BV
dc.relation.ispartofjournalJournal of Hand Therapy
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchAllied health and rehabilitation science
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4201
dc.titleMulti-site evaluation of advanced practice hand therapy clinics for the management of patients with trigger digit
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBurton, C; Palmer, MA; Fanton, L; Cox, R; Wishart, LR, Multi-site evaluation of advanced practice hand therapy clinics for the management of patients with trigger digit, Journal of Hand Therapy, 2021
dc.date.updated2021-08-22T23:59:55Z
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.
gro.hasfulltextNo Full Text
gro.griffith.authorWishart, Laurelie


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