The National Musculoskeletal Audit and Research Database

Sponsor

Keele University (Other)

Overall Status

Not yet recruiting

CT.gov ID

NCT05842915

Collaborator

(none)

22,000

Enrollment

Location

Anticipated Duration (Months)

916

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Developing and testing a musculoskeletal national audit in community/primary care

Condition or Disease	Intervention/Treatment	Phase
Musculoskeletal Diseases	Behavioral: Questionnaire

Detailed Description

This project aims to develop, setup and test an MSK national audit which will use patient and clinician inputted data to measure the quality of care for patients presenting in community MSK services and general practice with common MSK conditions. Secondly this project aims to use the national MSK audit information to understand and improve the quality and consistency of care for MSK patients.

Study Design

Study Type:

Observational [Patient Registry]

Anticipated Enrollment :

22000 participants

Observational Model:

Cohort

Time Perspective:

Other

Official Title:

Developing and Testing a Musculoskeletal National Audit in Community/Primary Care

Anticipated Study Start Date :

Jun 1, 2023

Anticipated Primary Completion Date :

Jun 1, 2024

Anticipated Study Completion Date :

Jun 1, 2025

Arms and Interventions

Arm	Intervention/Treatment
First Contact Practitioner (FCP) A continuous routine-data cohort study involving FCP primary care services aiming to recruit a minimum of 25patients per service from 10 FCP services, with complete data from at least 25 patients at baseline and 3-month follow up per service for each 12-month period. Data collection will involve: Patient survey (to collect outcomes and experiences) Organisational characteristics (collected via a survey to service leads and via publicly available national sources) Electronic health record (EHR) data (collected via a standardised FCP template and search within EHR systems)	Behavioral: Questionnaire Baseline and 3 month questionnaire
MSK Community Services A continuous routine-data cohort study involving MSK Community Services, aiming to recruit a minimum of 250 patients per service from a minimum of 10 MSK services, with complete data from at least 250 patients at baseline and 3-month follow up per service for each 12-month period. Data collection will involve: Patient survey (to collect outcomes and experiences) Organisational characteristics (collected via a survey to service leads and via publicly available national sources)	Behavioral: Questionnaire Baseline and 3 month questionnaire

Arm

Intervention/Treatment

First Contact Practitioner (FCP)

A continuous routine-data cohort study involving FCP primary care services aiming to recruit a minimum of 25patients per service from 10 FCP services, with complete data from at least 25 patients at baseline and 3-month follow up per service for each 12-month period. Data collection will involve: Patient survey (to collect outcomes and experiences) Organisational characteristics (collected via a survey to service leads and via publicly available national sources) Electronic health record (EHR) data (collected via a standardised FCP template and search within EHR systems)

Behavioral: Questionnaire

Baseline and 3 month questionnaire

MSK Community Services

A continuous routine-data cohort study involving MSK Community Services, aiming to recruit a minimum of 250 patients per service from a minimum of 10 MSK services, with complete data from at least 250 patients at baseline and 3-month follow up per service for each 12-month period. Data collection will involve: Patient survey (to collect outcomes and experiences) Organisational characteristics (collected via a survey to service leads and via publicly available national sources)

Behavioral: Questionnaire

Baseline and 3 month questionnaire

Outcome Measures

Primary Outcome Measures

To provide a secure national MSK research database for participating MSK providers to upload their routinely collected data. [12 months]

Secondary Outcome Measures

To develop a standard dashboard and reporting system that supports an ongoing automated process to analyse and present the data for quality improvement purposes. [12 months]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Inclusion Criteria:

(MSK Services)

MSK service seeing adult (+18 years) set in community care MSK service with at least 10 WTE HCPs System in place for digital collection of PROM/PREM data

(FCP Services) FCP service seeing adult (+18 years) in primary care FCP service with at least 1 WTE FCP seeing MSK patients Use of EMIS or SYSTMONE Able to implement Midlands FCP template System in place for digital collection of PROM/PREM data

(For patients)

+18 years Active phone number or verified email address to participate in the patient questionnaire Able to provide informed consent

Exclusion Criteria:

(MSK Services) Secondary care MSK services

(For patients) Has declined for data to be part of research as part of consent process Unable to complete surveys due to health issues including severe or terminal illness, severe learning difficulties or psychological disorders