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Détail de l'auteur
Auteur Joshua Zadro
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheDiagnostic Labels for Rotator Cuff Disease Can Increase People's Perceived Need for Shoulder Surgery: An Online Randomized Controlled Trial / Joshua Zadro in Journal of Orthopaedic & Sports Physical Therapy, vol. 51, 8 (Aout 2022)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 51, 8 (Aout 2022) . - p. 401-411
Titre : Diagnostic Labels for Rotator Cuff Disease Can Increase People's Perceived Need for Shoulder Surgery: An Online Randomized Controlled Trial Type de document : article de périodique Auteurs : Joshua Zadro ; [et al.] Année de publication : 2021 Article en page(s) : p. 401-411 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Bursite
[Thésaurus Mesh]Coiffe des rotateurs
[Thésaurus Mesh]Conflit sous-acromial
[Thésaurus Mesh]ÉpauleRésumé : To investigate whether different labels for rotator cuff disease influence people's perceived need for surgery.
Design
Randomized controlled experiment.
Methods
Participants with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomized to 1 of 6 terms describing rotator cuff disease: subacromial impingement syndrome, rotator cuff tear, bursitis, rotator cuff–related shoulder pain, shoulder sprain, and episode of shoulder pain. Perceived need for shoulder surgery was the primary outcome. Secondary outcomes included perceived need for imaging, an injection, a second opinion, and to see a specialist; perceived seriousness of the condition; recovery expectations; and perceived impact on work attendance. Using a Bonferroni correction (significance, P<.003), adjusted between-group mean differences and 99.67% confidence intervals (CIs) were obtained using a 1-way analysis of covariance.
Results
One thousand three hundred eight (80% of 1626) responses were analyzed. Participants' mean ± SD age was 40.3 ± 16.0 years, and 59% were women. Mean perceived need for surgery (0–10 scale) was low and slightly higher among those assigned to the rotator cuff tear label compared to the bursitis label (2.6 versus 2.1; adjusted mean difference, 0.7; 99.67% CI: 0.0, 1.4). Mean perceived need for imaging (0–10) was moderate and slightly higher among those assigned to the rotator cuff tear (4.7 versus 3.7; adjusted mean difference, 1.0; 99.67% CI: 0.2, 1.9) and subacromial impingement syndrome labels (4.7 versus 3.7; adjusted mean difference, 1.0; 99.7% CI: 0.1, 1.9) compared to the bursitis label.
Conclusion
There were small differences in the perceived need for surgery and imaging between some labels, which could be important at the population level.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Overcoming Overuse: Improving Musculoskeletal Health Care / Joshua Zadro in Journal of Orthopaedic & Sports Physical Therapy, Vol. 50,3 (Mars 2020)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 50,3 (Mars 2020) . - p. 113-115
Titre : Overcoming Overuse: Improving Musculoskeletal Health Care Type de document : article de périodique Auteurs : Joshua Zadro, Auteur ; [et al.], Auteur Année de publication : 2020 Article en page(s) : p. 113-115 Langues : Anglais (eng) Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Overcoming Overuse Part 5: Is Shared Decision Making Our Excalibur? / Joshua Zadro in Journal of Orthopaedic & Sports Physical Therapy, Vol. 51, 2 (Février 2021)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > Vol. 51, 2 (Février 2021) . - p. 53-56
Titre : Overcoming Overuse Part 5: Is Shared Decision Making Our Excalibur? Type de document : article de périodique Auteurs : Joshua Zadro ; [et al.], Auteur Année de publication : 2021 Article en page(s) : p. 53-56 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:patient partenaire
[Thésaurus HELB]:Paramédical:troubles musculo-squelettiquesRésumé : Shared decision making is recommended as a strategy to help patients identify what matters most to them and make informed decisions about musculoskeletal care. In part 5 of the Overcoming Overuse series, we look at the evidence supporting shared decision making as a strategy to help curb overuse. Using shared decision making in clinical consultations may help to reduce the overuse of options that are not beneficial and to increase use of care supported by evidence. Shared decision making could support clinicians in promoting uptake of active rehabilitation options with a favorable balance of benefits to harms. Shared decision making facilitates conversations about unnecessary tests or treatments and could be a key strategy for overcoming overuse. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible J Périodique Erasme - périodiques Périodiques Disponible