Table 2 GP fidelity to the recommended matched treatment options
Matched GP treatment options | Low risk (n = 161, 38%) | Med risk (n = 224, 52%) | High risk (n = 45, 10%) | Grand Total | |||
|---|---|---|---|---|---|---|---|
Advice - verbal | 102 | 63% | 108 | 48% | 23 | 51% | 233 |
Advice - written | 91 | 57% | 140 | 63% | 17 | 38% | 248 |
Advice – over-the-counter medication | 84 | 52% | 10 | 4% | 94 | ||
Advise GP follow-up if symptoms persist | 66 | 41% | 12 | 5% | 78 | ||
Refer to Physiotherapy | 2 | 2% | 85 | 84% | 14 | 14% | 101 |
Refer to MSK interface clinic | 38 | 17% | 10 | 22% | 48 | ||
Refer to pain clinic (multi-disciplinary) | 1 | 0% | 3 | 7% | 4 | ||
Personalised exercise programme | 5 | 2% | 1 | 2% | 6 | ||
Refer to Occupational Health support | 15 | 7% | 3 | 7% | 18 | ||
GP address comorbidity, distress or frailty | 1 | 1% | 7 | 3% | 7 | 16% | 15 |
Prescribe atypical analgesia | 2 | 1% | 59 | 26% | 9 | 20% | 70 |
Prescribe opioids | 1 | 0% | 10 | 22% | 11 | ||
Signpost to peer support group | 2 | 4% | 2 | ||||
Signpost/refer to lifestyle interventions | 2 | 4% | 2 | ||||
Refer for surgical opinion | 3 | 2% | 4 | 2% | 7 | 16% | 14 |
Corticosteroid injection | 1 | 1% | 4 | 9% | 5 | ||
Refer to rheumatology | 2 | 1% | 1 | 2% | 3 | ||
Fidelity to stratified care in decision-making | Pt count | % | |||||
Low risk - per protocol | 130 | 81% | |||||
Medium risk - per protocol | 200 | 89% | |||||
High risk - per protocol | 39 | 87% | |||||
Low risk - given Medium treatments | 3 | 2% | |||||
Low risk - given High treatments | 3 | 2% | |||||
Medium risk – given Low treatments | 0 | 0% | |||||
Medium risk - given High treatment | 5 | 2% | |||||
High risk – given Low treatments only | 3 | 7% | |||||
High risk – given Medium treatments | 0 | 0% | |||||
Low risk – only tool used (no treatments selected) | 25 | 16% | |||||
Med risk – only tool used (no treatments selected) | 19 | 8% | |||||
High risk – only tool used (no treatments selected) | 3 | 7% | |||||
Grand Total | 430 | ||||||