Musculoskeletal

Is it time to reconsider the indications for surgery in patients with tennis elbow? – Teemu Karjalainen & Rachelle Buchbinder

2023-03-01T13:40:13+11:00Elbow, Musculoskeletal, Pain, Publications, Shared decision making, Surgery, Treatment|

Tennis elbow (lateral epicondylitis or lateral elbow tendinopathy) is a self-limiting condition in most patients. Surgery is often offered to patients who fail to improve with conservative treatment. However, there is no evidence to support the superiority of surgery over continued nonoperative care or no [...]

Health service research definition builder: An R Shiny application for exploring diagnosis codes associated with services reported in routinely collected health data – Kelsey Chalmers et. al

2023-01-25T15:29:37+11:00Definition complexity, Diagnostic system, Knee, Low-value care, Musculoskeletal, Overuse, Publications|

Many administrative health data-based studies define patient cohorts using procedure and diagnosis codes. The impact these criteria have on a study’s final cohort is not always transparent to co-investigators or other audiences if access to the research data is restricted. We developed a SAS and [...]

Effect of an Individualized Audit and Feedback Intervention on Rates of Musculoskeletal Diagnostic Imaging Requests – Denise A. O’Connor, Paul Glasziou & Rachelle Buchbinder

2023-01-25T15:24:50+11:00Audit and feedback, Imaging, Musculoskeletal, Overuse, Publications|

The evidence base for audit and feedback is incomplete and slow moving: agencies that routinely use feedback to improve care have limited evidence on the best designs and delivery of their feedback programs. Hence, the Department collaborated with researchers to conduct a randomized trial of their [...]

Surgical plating versus closed reduction for fractures in the distal radius in older patients: a cost-effectiveness analysis from the hospital perspective – Martin Howell et. al

2023-01-18T14:09:58+11:00Ageing, Musculoskeletal, Publications, Surgery, Treatment|

Given the cost differential between surgical and non-surgical management of distal radius fractures, we aimed to evaluate the cost-effectiveness of surgical compared with non-surgical treatment of distal radius fractures in a cohort of older patients.

Minimum 5-Year Follow-up Results: CROSSBAT (Combined Randomised and Observational Study of Surgery vs No Surgery for Type B Ankle Fracture Treatment) – Ryan O’Keefe et. al

2023-01-11T13:31:52+11:00Musculoskeletal, Publications, Surgery|

Isolated Weber B, AO (Association for the Study of Internal Fixation) type 44B ankle fractures with no fracture to the medial side are the most common type of ankle fracture and may be treated with internal fixation or without surgery. This study aimed to determine [...]

Global Burden of Disease Study 2019: an opportunity to understand the growing prevalence and impact of hip, knee, hand and other osteoarthritis in Australia – Ilana N. Ackerman et. al

2023-01-18T14:13:27+11:00Ageing, Hip, Knee, Musculoskeletal, Osteoarthritis, Publications|

Osteoarthritis (OA) is the most common form of arthritis and has been estimated to affect over 2.2 million Australians. While mild to moderate forms of the condition can be managed via non-surgical means (e.g. with guideline-recommended education, exercise, weight management and pharmacological treatments), more severe [...]

Public and patient perceptions of diagnostic labels for non-specific low back pain: a content analysis – Mary O’Keeffe et. al

2023-01-11T16:18:16+11:00Back pain, Disease labels, Low back pain, Musculoskeletal, Publications|

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.

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