Study characteristics Table 1 Quantitative data summary Papers Country Study design ESP N = Intervention Outcome Key findings role/setting measures Aiken et al 2008 Canada Correlation Ortho 38 ESP and surgeon WOMAC Kappa 67% TKR/THR cases assessment then Waiting list All patients satisfied discussion of plan priority tool with care from both Patient clinicians satisfaction Ball et al 2007 UK Retrospective ED No as notes review EDPP recorded more 164 EDPP Chi square Fisher case note review advice and more 142 ENP Freeman Halton physiotherapy referrals. 127 SHO exact P<0.05 SHO more medication 135 M.gd 72 Cons Bath et al 2012 Canada Retrospective Spinal triage Up to No as notes review Management 16.7% cases sent for case note review patients 1162 recommended surgery review with and if surgery or high 70% conversion not rate (v normal 30%) Bath and Janzen Canada Prospective Spinal triage 108 pts Evaluate satisfaction satisfaction of 66% patients very 2012 observational 21 patients and satisfied cohort referrers referrers 90.5% referrers very satisfied Bath and Phawa Canada Prospective Spinal triage 108 Triage visit and 4 week Pain scale Signif.icant 2012 cohort review ODI improvement pain scale SF36v2 P=0.007 and physical component subscale P<0.001 of SF36v2 Desmeules et al Canada Prospective Ortho hip and 120 Assessment ESP and Diagnostic K=0.86 diagnosis 2013 cohort knee surgeon. Compare agreement K=0.77 surgery decisions and satisfaction VSQ-9 Higher satisfaction score for ESP
Study characteristics Table 1 Quantitative data summary Papers Country Study design ESP role/setting N = Intervention Outcome measures Key findings Aiken et al 2008 Canada Correlation Ortho TKR/THR cases 38 ESP and surgeon assessment then discussion of plan WOMAC Waiting list priority tool Patient satisfaction Kappa 67% All patients satisfied with care from both clinicians Ball et al 2007 UK Retrospective case note review ED 164 EDPP 142 ENP 127 SHO 135 M.gd 72 Cons No as notes review Chi square Fisher Freeman Halton exact P<0.05 EDPP recorded more advice and more physiotherapy referrals. SHO more medication Bath et al 2012 Canada Retrospective case note review Spinal triage patients Up to 1162 No as notes review Management recommended and if surgery or not 16.7% cases sent for surgery review with high 70% conversion rate (v normal 30%) Bath and Janzen 2012 Canada Prospective observational cohort Spinal triage 108 pts 21 referrers Evaluate satisfaction satisfaction of patients and referrers 66% patients very satisfied 90.5% referrers very satisfied Bath and Phawa 2012 Canada Prospective cohort Spinal triage 108 Triage visit and 4 week review Pain scale ODI SF36v2 Signif.icant improvement pain scale P=0.007 and physical component subscale P<0.001 of SF36v2 Desmeules et al 2013 Canada Prospective cohort Ortho hip and knee 120 Assessment ESP and surgeon. Compare decisions and satisfaction Diagnostic agreement VSQ-9 K=0.86 diagnosis K=0.77 surgery Higher satisfaction score for ESP