Evaluating the use of clinical decision aids in an Australian emergency department: A cross-sectional survey.

Objective: To identify healthcare professionals' knowledge, self-reported use, and documentation of clinical decision aids (CDAs) in a large ED in Australia, to identify behavioural determinants influencing the use of CDAs, and healthcare professionals preferences for integrating CDAs into the electronic medical record (EMR) system.

Methods: Healthcare professionals (doctors, nurses and physiotherapists) working in the ED at the Gold Coast Hospital, Queensland were invited to complete an online survey. Quantitative data were analysed using descriptive statistics, and where appropriate, mapped to the theoretical domains framework to identify potential barriers to the use of CDAs.

Emergency presentations for older persons with low back pain: An increasing clinical and economic challenge.

Objective: To determine whether differences exist for older persons presenting to Emergency Departments (EDs) with lower back pain (LBP) in terms of management, health service resource use and cost when compared to younger patients with LBP.

Methods: Retrospective analysis of routinely collected electronic medical record data from January 2015 to July 2021. Data from 11,098 adults presenting with LBP to two large regional Australian EDs were analysed over a 5-year period.

Physical activity and education about physical activity for chronic musculoskeletal pain in children and adolescents.

Background: Chronic pain is a major health and socioeconomic burden, which is prevalent in children and adolescents. Among the most widely used interventions in children and adolescents are physical activity (including exercises) and education about physical activity.

Objectives: To evaluate the effectiveness of physical activity, education about physical activity, or both, compared with usual care (including waiting-list, and minimal interventions, such as advice, relaxation classes, or social group meetings) or active medical care in children and adolescents with chronic musculoskeletal pain.

Evaluating the use of the ABCD2 score as a clinical decision aid in the emergency department: Retrospective observational study.

Objective: Clinical decision aids (CDAs) can help clinicians with patient risk assessment. However, there is little data on CDA calculation, interpretation and documentation in real-world ED settings. The ABCD2 score (range 0-7) is a CDA used for patients with transient ischaemic attack (TIA) and assesses risk of stroke, with a score of 0-3 being low risk.

Patient preferences and decision-making when considering surgery for musculoskeletal disorders: A mixed methods systematic review.

Introduction: The burden of Musculoskeletal disorders (MSD) is large. Surgery is an important management option but the factors that shape patients' surgical decisions are not well understood. As prior reviews have explored only single data types or conditions, a mixed methods appraisal across the musculoskeletal spectrum was undertaken.

How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment.

Objectives: To explore how people perceive different advice for rotator cuff disease in terms of words/feelings evoked by the advice and treatment needs.

Setting: We performed a content analysis of qualitative data collected in a randomised experiment.

Participants: 2028 people with shoulder pain read a vignette describing someone with rotator cuff disease and were randomised to: plus plus plus and plus included encouragement to stay active and positive prognostic information.

Quantifying the psychological and behavioural consequences of a diagnostic label for non-cancer conditions: systematic review.

Background: Screening for asymptomatic health conditions is perceived as mostly beneficial, with possible harms receiving little attention.

Aims: To quantify proximal and longer-term consequences for individuals receiving a diagnostic label following screening for an asymptomatic, non-cancer health condition.

Method: Five electronic databases were searched (inception to November 2022) for studies that recruited asymptomatic screened individuals who received or did not receive a diagnostic label.

Alignment of Doctors' Understanding of Treatment Burden Priorities and Chronic Heart Failure Patients' Experiences: A Nominal Group Technique Consultation.

Purpose: To identify and rank areas of treatment burden in chronic heart failure (CHF), including solutions, that should be discussed during the clinical encounter from a patient, and doctors' perspective.

Patients And Methods: Patients with CHF and clinicians managing heart failure were invited. Nominal group technique sessions held either face to face or online in 2021-2022, with individual identification of priorities and voting on ranking.

Patient and physician perspectives on treatment burden in end-stage kidney disease: a nominal group technique study.

Objectives: The treatment workload associated with end-stage kidney disease (ESKD) is high. The treatment burdens experienced by patients with ESKD are not well understood. In this study, we aimed to elucidate the most important areas of treatment burden for discussion in a clinical encounter from the perspectives of patients with ESKD and nephrologists.

Economic evaluations of fall prevention exercise programs: a systematic review.

Objective: To investigate cost-effectiveness and costs of fall prevention exercise programmes for older adults.

Design: Systematic review.

Data Sources: Medline, Embase, Web of Science, Scopus, National Institute for Health Research Economic Evaluation Database, Health Technology Assessment database, Tufts Cost-Effectiveness Analysis Registry, Research Papers in Economics and EconLit (inception to May 2022).

Public and patient perceptions of diagnostic labels for non-specific low back pain: a content analysis.

Purpose: An online randomised experiment found that the labels lumbar sprain, non-specific low back pain (LBP), and episode of back pain reduced perceived need for imaging, surgery and second opinions compared to disc bulge, degeneration, and arthritis among 1447 participants with and without LBP. They also reduced perceived seriousness of LBP and increased recovery expectations.

Methods: In this study we report the results of a content analysis of free-text data collected in our experiment.

Treatment Burden Discussion in Clinical Encounters: Priorities of COPD Patients, Carers and Physicians.

Purpose: Many people with chronic obstructive pulmonary disease (COPD) feel overburdened with the treatment and management of their illness. Although research has begun to shed light on how COPD patients experience treatment burden, most of what we know is limited to personal experiences of patients. The aim of this study is to identify and prioritise areas of treatment burden that should be discussed during the clinical encounter from the perspectives of COPD patients, carers, and respiratory physicians.

Rehabilitation for Women Undergoing Breast Cancer Surgery: A Systematic Review and Meta-Analysis of the Effectiveness of Early, Unrestricted Exercise Programs on Upper Limb Function.

Upper limb impairments are common in women following surgery for breast cancer. Range of movement (ROM) exercises are commonly prescribed, but the optimal timing to begin these exercises is not clear. The aim of this systematic review and meta-analysis was to evaluate the effectiveness of early ROM exercises (Early ROM) compared to delayed ROM exercises (Delayed ROM) or usual care (UC) in reducing common complications in women following breast cancer surgery.

Evolution of the thematic structure and main producers of physical therapy interventions research: A bibliometric analysis (1986 to 2017).

Background: Bibliometric studies are used to analyse and map scientific areas, and study the scientific output and impact of institutes and countries.

Objectives: Describe the thematic structure and evolution of the field of physical therapy interventions using articles indexed in Physiotherapy Evidence Database (PEDro). Also, identify and compare the main producers (countries, institutions) over time (research output, citation impact).

Ordering of computed tomography scans for head and cervical spine: a qualitative study exploring influences on doctors' decision-making.

Background: Ordering of computed tomography (CT) scans needs to consideration of diagnostic utility as well as resource utilisation and radiation exposure. Several factors influence ordering decisions, including evidence-based clinical decision support tools to rule out serious disease. The aim of this qualitative study was to explore factors influencing Emergency Department (ED) doctors' decisions to order CT of the head or cervical spine.

An 11-year longitudinal analysis of refracture rates and public hospital service utilisation in Australia's most populous state.

Unlabelled: This detailed 11-year longitudinal analysis calculated the public health cost of managing refractures in people aged ≥ 50 years in Australia's most populous state. It provides current and projected statewide health system costs associated with managing osteoporosis and provides a foundation to evaluate a novel statewide model of fracture prevention.

Purpose: The purpose of this longitudinal analysis was to calculate current and projected refracture rates and associated public hospital utilisation and costs in New South Wales (NSW), Australia.

Shared decision making and physical therapy: What, when, how, and why?

Background: Shared decision making is a means of translating evidence into practice and facilitating patient-centred care by helping patients to become more active in the decision-making process. Shared decision making is a collaborative process that involves patients and clinicians making health-related decisions after discussing the available options; the benefits and harms of each option; and considering the patient's values, preferences, and personal circumstances.

Methods: This paper describes what shared decision making is, why it is important, when it is appropriate, and key elements.

Consequences of a Diagnostic Label: A Systematic Scoping Review and Thematic Framework.

To develop a thematic framework for the range of consequences arising from a diagnostic label from an individual, family/caregiver, healthcare professional, and community perspective. Systematic scoping review of qualitative studies. We searched PubMed, Embase, PsycINFO, Cochrane, and CINAHL for primary studies and syntheses of primary studies that explore the consequences of labelling non-cancer diagnoses.

How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment.

Objectives: Explore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.

Setting: We performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.

Participants: 1308 people with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomised to one of six labels: and .

Concerns and potential improvements in end-of-life care from the perspectives of older patients and informal caregivers: a scoping review.

Background: Overtreatment in advanced age i.e. aggressive interventions that do not improve survival and are potentially harmful, can impair quality of care near the end of life (EOL).

Discordance and concordance on perception of quality care at end of life between older patients, caregivers and clinicians: a scoping review.

Background: This scoping review aimed to investigate the presence of discordance or concordance in the perceptions of end-of-life (EOL) care quality between consumers (i.e. patients aged over 60 in their last years of life and/or their informal caregivers) and clinicians, to inform further improvements in end-of-life care service delivery.

Experiences of responsiveness to exercise in people with chronic whiplash: A qualitative study.

Exercise is recommended in clinical guidelines for the treatment of chronic whiplash associated disorders (WAD). However, randomised controlled trials have shown similar effects for comprehensive exercise programs and advice. To date, there is no clear understanding of why some individuals with WAD appear to respond to exercise whilst others do not.

Impact of COVID-19 pandemic on utilisation of healthcare services: a systematic review.

Objectives: To determine the extent and nature of changes in utilisation of healthcare services during COVID-19 pandemic.

Design: Systematic review.

Eligibility: Eligible studies compared utilisation of services during COVID-19 pandemic to at least one comparable period in prior years.

Examining Australian's beliefs, misconceptions and sources of information for COVID-19: a national online survey.

Objective: Public cooperation to practise preventive health behaviours is essential to manage the transmission of infectious diseases such as COVID-19. We aimed to investigate beliefs about COVID-19 diagnosis, transmission and prevention that have the potential to impact the uptake of recommended public health strategies.

Design: An online cross-sectional survey.