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Table 2 Patient outcomes by group for all patients referred into the Hip and Knee pathway: surgery or self-management

From: Evaluating a pre-surgical health optimisation programme: a feasibility study

 

Non-health optimisation pathwaya

Health optimisation pathwaya

Accepted

referral to Healthy Lifestyles Service

Did not accept referral to Healthy Lifestyles Service

All health optimisation patients (accepted referral & did not accept referral combined)

(n=318)

(n=51)

(n=133)

(n=184)

Referred for surgery

179

56.3%

25

49.0%

81

60.9%

106

57.6%

 Completed physiotherapy

155

86.6%

    

88

83.0%

Referred for self-management

103

32.4%

17

33.3%

31

23.3%

48

26.1%

 Completed physiotherapy

94

91.3%

    

37

77.1%

No onward referral:

36

11.3%

9

17.6%

21

15.8%

30

16.3%

 Never joined the pathway

22

6.9%

    

13

7.1%

 Dropped out of pathway

9

2.8%

    

14

7.6%

 Still in the pathway

4

1.3%

    

2

1.1%

 Died

1

0.3%

    

1

0.5%

Duration of physiotherapy (months)b, median (IQR)

1.8

(1.5, 2.3)

4.1

(3.8, 4.4)

3.7

(1.8, 4.1)

3.9

(2.1, 4.2)

Length of hospital stay (days)c, median (IQR)

3

(2, 3)

    

3

(2,4)

  1. a249/318 (78.3%) on the non-health optimisation and 125/184 (67.9%) on the health optimisation ‘completed’ the pathways (attended the core physiotherapy element and a final assessment appointment)
  2. bFrom initial assessment to follow-up appointment for patients who completed physiotherapy
  3. cFor patients who went on to be admitted for surgery during the follow-up period