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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