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  • Do patients discharged from the physiotherapy-led pelvic health clinic re-present to the urogynaecology service?

    Author(s)
    Nucifora, Jennifer
    Howard, Zara
    Weir, Kelly A
    Griffith University Author(s)
    Weir, Kelly A.
    Year published
    2021
    Metadata
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    Abstract
    Introduction and hypothesis: The physiotherapy-led pelvic health clinic (PLPHC) is an advanced practice clinic that manages women from the urogynaecology waitlist with pelvic organ prolapse (POP) and/or urinary incontinence (UI) at Gold Coast Health, Australia. This study was aimed at determining re-referral rates and reasons for re-presentation of women previously managed and discharged from the PLPHC. We hypothesised that there would be low representation rates for the same condition within 12 months of discharge. Methods: A retrospective audit was undertaken of all (n = 209) patients discharged between 1 January and 31 ...
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    Introduction and hypothesis: The physiotherapy-led pelvic health clinic (PLPHC) is an advanced practice clinic that manages women from the urogynaecology waitlist with pelvic organ prolapse (POP) and/or urinary incontinence (UI) at Gold Coast Health, Australia. This study was aimed at determining re-referral rates and reasons for re-presentation of women previously managed and discharged from the PLPHC. We hypothesised that there would be low representation rates for the same condition within 12 months of discharge. Methods: A retrospective audit was undertaken of all (n = 209) patients discharged between 1 January and 31 December 2017. Re-presentation rates and reasons for re-referral for women seen in the PLPHC and discharged without requiring urogynaecology medical specialist review were analysed and descriptive analysis performed. Result: Of the 209 patients, 67 were referred to, or had, urogynaecology medical specialist review after their initial physiotherapy care and were removed from further analysis. Of the remaining 142 patients, who were initially managed by physiotherapy only, 10 (7.1%) women were re-referred to specialist medical outpatient gynaecology and urology out-patient departments, for management of a different diagnosis, and 10 (7.1%) for their original diagnoses, within 12 months of discharge. Of the latter, 1 patient required further physiotherapy and urogynaecologist management; 7 patients required ongoing pessary management; 1 patient continued with urologist medical management; and 1 failed to attend. Conclusion: This study presents novel data on low re-presentation rates in the 12 months following discharge for patients with POP or UI managed in a PLPHC; and provides further support for advanced scope of practice physiotherapy gynaecological service models.
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    Journal Title
    International Urogynecology Journal
    DOI
    https://doi.org/10.1007/s00192-021-04912-w
    Note
    This publication has been entered in Griffith Research Online as an advanced online version.
    Subject
    Obstetrics and gynaecology
    Allied health and rehabilitation science
    Physiotherapy
    Science & Technology
    Life Sciences & Biomedicine
    Urology & Nephrology
    Female urinary incontinence
    Publication URI
    http://hdl.handle.net/10072/408178
    Collection
    • Journal articles

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