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  1. Article ; Online: Clinimetrics: The Cumulated Ambulation Score.

    Vella, Simon P / Machado, Gustavo C

    Journal of physiotherapy

    2024  Volume 70, Issue 2, Page(s) 154

    MeSH term(s) Humans ; Walking ; Activities of Daily Living
    Language English
    Publishing date 2024-03-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2543915-7
    ISSN 1836-9561 ; 1836-9553 ; 0004-9514
    ISSN (online) 1836-9561
    ISSN 1836-9553 ; 0004-9514
    DOI 10.1016/j.jphys.2024.02.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2001: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Back pain: a target for reducing hospital admissions?

    Machado, Gustavo C / Metcalfe, David / Underwood, Martin / Maher, Chris G

    The Lancet. Rheumatology

    2023  Volume 5, Issue 11, Page(s) e643–e645

    MeSH term(s) Humans ; Back Pain/therapy ; Hospitals
    Language English
    Publishing date 2023-03-06
    Publishing country England
    Document type Journal Article
    ISSN 2665-9913
    ISSN (online) 2665-9913
    DOI 10.1016/S2665-9913(23)00266-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Very limited data in the Global Burden of Disease Study 2019 to estimate the prevalence of osteoarthritis in 204 countries over 30 years: comment on the article by Long et al.

    Chen, Qiuzhe / Maher, Christopher G / Machado, Gustavo C

    Arthritis & rheumatology (Hoboken, N.J.)

    2022  Volume 74, Issue 8, Page(s) 1455–1456

    MeSH term(s) Global Burden of Disease ; Humans ; Osteoarthritis/epidemiology ; Prevalence ; Quality-Adjusted Life Years
    Language English
    Publishing date 2022-06-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2756371-6
    ISSN 2326-5205 ; 2326-5191
    ISSN (online) 2326-5205
    ISSN 2326-5191
    DOI 10.1002/art.42136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 24: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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  4. Article ; Online: Clinimetrics: Grading of Recommendations, Assessment, Development and Evaluation (GRADE).

    Xie, Charis X / Machado, Gustavo C

    Journal of physiotherapy

    2020  Volume 67, Issue 1, Page(s) 66

    MeSH term(s) Evidence-Based Medicine ; Humans
    Language English
    Publishing date 2020-08-25
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2543915-7
    ISSN 1836-9561 ; 1836-9553 ; 0004-9514
    ISSN (online) 1836-9561
    ISSN 1836-9553 ; 0004-9514
    DOI 10.1016/j.jphys.2020.07.003
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    Zs.A 2001: Show issues Location:
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  5. Article ; Online: Virtual hospitals: why we need them, how they work and what might come next.

    Melman, Alla / Maher, Chris G / Machado, Gustavo C

    Journal of physiotherapy

    2021  Volume 67, Issue 3, Page(s) 156–157

    MeSH term(s) Hospitals ; Humans
    Language English
    Publishing date 2021-06-17
    Publishing country Netherlands
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2543915-7
    ISSN 1836-9561 ; 1836-9553 ; 0004-9514
    ISSN (online) 1836-9561
    ISSN 1836-9553 ; 0004-9514
    DOI 10.1016/j.jphys.2021.06.018
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    Zs.A 2001: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  6. Article ; Online: The effectiveness of allied health and nurse practitioner models-of-care in managing musculoskeletal conditions in the emergency department: a systematic review and meta-analysis.

    Vella, Simon P / Melman, Alla / Coombs, Danielle / Maher, Christopher G / Swain, Michael S / Monk, Elizabeth / Machado, Gustavo C

    BMC emergency medicine

    2024  Volume 24, Issue 1, Page(s) 13

    Abstract: Background: Musculoskeletal conditions are the most common health condition seen in emergency departments. Hence, the most effective approaches to managing these conditions is of interest. This systematic review aimed to evaluate the effectiveness of ... ...

    Abstract Background: Musculoskeletal conditions are the most common health condition seen in emergency departments. Hence, the most effective approaches to managing these conditions is of interest. This systematic review aimed to evaluate the effectiveness of allied health and nursing models of care for the management of musculoskeletal pain in ED.
    Methods: MEDLINE, EMBASE, CINAHL and LILACS databases were searched from inception to March 2023 for published randomised trials that compared the effectiveness of allied health and nursing models of care for musculoskeletal conditions in ED to usual ED care. Trials were eligible if they enrolled participants presenting to ED with a musculoskeletal condition including low back pain, neck pain, upper or lower limb pain and any soft tissue injury. Trials that included patients with serious pathology (e.g. malignancy, infection or cauda equina syndrome) were excluded. The primary outcome was patient-flow; other outcomes included pain intensity, disability, hospital admission and re-presentation rates, patient satisfaction, medication prescription and adverse events. Two reviewers performed search screening, data extraction, quality and certainty of evidence assessments.
    Results: We identified 1746 records and included 5 randomised trials (n = 1512 patients). Only one trial (n = 260) reported on patient-flow. The study provides very-low certainty evidence that a greater proportion of patients were seen within 20 min when seen by a physician (98%) than when seen by a nurse (86%) or physiotherapist (77%). There was no difference in pain intensity and disability between patients managed by ED physicians and those managed by physiotherapists. Evidence was limited regarding patient satisfaction, inpatient admission and ED re-presentation rates, medication prescription and adverse events. The certainty of evidence for secondary outcomes ranged from very-low to low, but generally did not suggest a benefit of one model over another.
    Conclusion: There is limited research to judge the effectiveness of allied health and nursing models of care for the management of musculoskeletal conditions in ED. Currently, it is unclear as to whether allied health and nurse practitioners are more effective than ED physicians at managing musculoskeletal conditions in ED. Further high-quality trials investigating the impact of models of care on service and health outcomes are needed.
    MeSH term(s) Humans ; Hospitalization ; Musculoskeletal Diseases/therapy ; Physicians ; Emergency Service, Hospital ; Nurse Practitioners
    Language English
    Publishing date 2024-01-17
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 2050431-7
    ISSN 1471-227X ; 1471-227X
    ISSN (online) 1471-227X
    ISSN 1471-227X
    DOI 10.1186/s12873-023-00925-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Clinical care standards for the management of low back pain: a scoping review.

    Alves, Gabriel S / Vera, Gustavo E Z / Maher, Chris G / Ferreira, Giovanni E / Machado, Gustavo C / Buchbinder, Rachelle / Pinto, Rafael Z / Oliveira, Crystian B

    Rheumatology international

    2024  

    Abstract: The objective of this study is to compare and contrast the quality statements and quality indicators across clinical care standards for low back pain. Searches were performed in Medline, guideline databases, and Google searches to identify clinical care ... ...

    Abstract The objective of this study is to compare and contrast the quality statements and quality indicators across clinical care standards for low back pain. Searches were performed in Medline, guideline databases, and Google searches to identify clinical care standards for the management of low back pain targeting a multidisciplinary audience. Two independent reviewers reviewed the search results and extracted relevant information from the clinical care standards. We compared the quality statements and indicators of the clinical care standards to identify the consistent messages and the discrepancies between them. Three national clinical care standards from Australia, Canada, and the United Kingdom were included. They provided from 6 to 8 quality statements and from 12 to 18 quality indicators. The three standards provide consistent recommendations in the quality statements related to imaging, and patient education/advice and self-management. In addition, the Canadian and Australian standards also provide consistent recommendations regarding comprehensive assessment, psychological support, and review and patient referral. However, the three clinical care standards differ in the statements related to psychological assessment, opioid analgesics, non-opioid analgesics, and non-pharmacological therapies. The three national clinical care standards provide consistent recommendations on imaging and patient education/advice, self-management of the condition, and two standards (Canadian and Australian) agree on recommendations regarding comprehensive assessment, psychological support, and review and patient referral. The standards differ in the quality statements related to psychological assessment, opioid prescription, non-opioid analgesics, and non-pharmacological therapies.
    Language English
    Publishing date 2024-02-29
    Publishing country Germany
    Document type Journal Article ; Review
    ZDB-ID 8286-7
    ISSN 1437-160X ; 0172-8172
    ISSN (online) 1437-160X
    ISSN 0172-8172
    DOI 10.1007/s00296-024-05543-2
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    Zs.A 1639: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Many people admitted to hospital with a provisional diagnosis of nonserious back pain are subsequently found to have serious pathology as the underlying cause.

    Melman, Alla / Maher, Chris G / Needs, Chris / Machado, Gustavo C

    Clinical rheumatology

    2022  Volume 41, Issue 6, Page(s) 1867–1871

    Abstract: To determine the proportion of patients admitted to the hospital for back pain who have nonserious back pain, serious spinal, or serious other pathology as their final diagnosis. The proportion of nonserious back pain admissions will be used to plan for ... ...

    Abstract To determine the proportion of patients admitted to the hospital for back pain who have nonserious back pain, serious spinal, or serious other pathology as their final diagnosis. The proportion of nonserious back pain admissions will be used to plan for future 'virtual hospital' admissions. Electronic medical record data between January 2016 and September 2020 from three emergency departments (ED) in Sydney, Australia were used to identify inpatient admissions. SNOMED-CT-AU diagnostic codes were used to select ED patients aged 18 and older with an admitting diagnosis related to nonserious back pain. The inpatient discharge diagnosis was determined from the primary ICD-10-AM codes by two independent clinician-researchers. Inpatient admissions were then analysed by sociodemographic and hospital admission variables. A total of 38.1% of patients admitted with a provisional diagnosis of nonserious back pain were subsequently diagnosed with a specific pathology likely unsuitable for virtual care; 14.2% with a serious spinal pathology (e.g., fracture and infection) and 23.9% a serious pathology beyond the lumbar spine (e.g., pathological fracture and neoplasm). A total of 57% of admissions were identified as nonserious back pain, likely suitable for virtual care. A challenge for implementing virtual care in this setting is screening for patients with serious pathology. Protocols need to be developed to reduce the risk of patients being admitted to virtual hospitals with serious pathology as the cause of their back pain. Key Points • Among admitted patients provisionally diagnosed in ED with non-serious back pain, 38.1% were found to have 'serious spinal pathologies' or 'serious pathologies beyond the lumbar spine' at discharge. • Spinal fractures were the most common serious spinal pathology, accounting for 9% of all provisional 'non-serious back pain' admissions from ED. • 57% of back pain admissions were confirmed to be non-serious back pain and may be suitable to virtual hospital care; the challenge is discriminating these patients from those with serious pathology.
    MeSH term(s) Back Pain/complications ; Back Pain/diagnosis ; Back Pain/epidemiology ; Emergency Service, Hospital ; Hospitals ; Humans ; Low Back Pain/diagnosis ; Low Back Pain/epidemiology ; Low Back Pain/etiology ; Lumbar Vertebrae ; Spinal Fractures
    Language English
    Publishing date 2022-01-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 604755-5
    ISSN 1434-9949 ; 0770-3198
    ISSN (online) 1434-9949
    ISSN 0770-3198
    DOI 10.1007/s10067-022-06054-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1740: Show issues Location:
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  9. Article ; Online: Perceptions and experiences of paramedics managing people with non-traumatic low back pain: a qualitative study of Australian paramedics.

    Vella, Simon P / Simpson, Paul / Bendall, Jason C / Pickles, Kristen / Copp, Tessa / Swain, Michael S / Maher, Christopher G / Machado, Gustavo C

    BMJ open

    2024  Volume 14, Issue 3, Page(s) e084060

    Abstract: Background: Paramedics are often first providers of care to patients experiencing non-traumatic low back pain (LBP), though their perspectives and experiences with managing these cases remain unclear.: Objectives: This study explored paramedic views ... ...

    Abstract Background: Paramedics are often first providers of care to patients experiencing non-traumatic low back pain (LBP), though their perspectives and experiences with managing these cases remain unclear.
    Objectives: This study explored paramedic views of the management of non-traumatic LBP including their role and experience with LBP management, barriers to referral and awareness of ambulance service guidelines.
    Design: Qualitative study using semistructured interviews conducted between January and April 2023.
    Setting: New South Wales Ambulance service.
    Participants: A purposive sample of 30 paramedics of different specialities employed by New South Wales Ambulance were recruited.
    Results: Paramedic accounts demonstrated the complexity, challenge, frustration and reward associated with managing non-traumatic LBP. Paramedics perceived that their primary role focused on the assessment of LBP, and that calls to ambulance services were often driven by misconceptions surrounding the management of LBP, and a person's pain severity. Access to health services, patient factors, defensive medicine, paramedic training and education and knowledge of guidelines influenced paramedic management of LBP.
    Conclusion: Paramedics often provide care to non-traumatic LBP cases yet depending on the type of paramedic speciality find these cases to be frustrating, challenging or rewarding to manage due to barriers to referral including access to health services, location, patient factors and uncertainty relating to litigation. Future research should explore patient perspectives towards ambulance service use for the management of their LBP.
    MeSH term(s) Humans ; Paramedics ; Emergency Medical Services ; Low Back Pain/therapy ; Australia ; Emergency Medical Technicians/education ; Qualitative Research ; Allied Health Personnel
    Language English
    Publishing date 2024-03-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2024-084060
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Correction: Australian emergency department care for older adults diagnosed with low back pain of lumbar spine origin: a retrospective analysis of electronic medical record system data (2016-2019).

    Luca, Katie de / McLachlan, Andrew J / Maher, Chris G / Machado, Gustavo C

    BMC emergency medicine

    2023  Volume 23, Issue 1, Page(s) 67

    Language English
    Publishing date 2023-06-14
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2050431-7
    ISSN 1471-227X ; 1471-227X
    ISSN (online) 1471-227X
    ISSN 1471-227X
    DOI 10.1186/s12873-023-00834-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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