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Barriers, Facilitators, Preferences And Expectations Of Joint Protection Programmes For Patients With Hand Arthritis: A Cross-Sectional Survey, Pavlos Bobos, Joy Macdermid, Christina Ziebart, Eleni Boutsikari, Emily Lalone, Louis Ferreira, Ruby Grewal Jan 2021

Barriers, Facilitators, Preferences And Expectations Of Joint Protection Programmes For Patients With Hand Arthritis: A Cross-Sectional Survey, Pavlos Bobos, Joy Macdermid, Christina Ziebart, Eleni Boutsikari, Emily Lalone, Louis Ferreira, Ruby Grewal

Bone and Joint Institute

© Author(s) (or their employer(s)) 2021. Objectives The objective of this survey was to investigate the barriers, facilitators, expectations and patient preferences regarding joint protection (JP) programmes in people with hand arthritis. Design Cross-sectional survey. Setting Tertiary clinic. Participants Patients with hand arthritis: Osteoarthritis, rheumatoid arthritis, psoriatic arthritis and other forms of arthritis. Primary and secondary outcome measures This study used a survey among people with hand arthritis. Descriptive statistics and percentages were reported for all the data about the barriers, facilitators and preferences around JP. Results A total of 192 patients consented to participate. Most of the patients (82%) …


Appraisal Of Clinical Practice Guideline: 2018 Update Of The Eular Recommendations For The Management Of Hand Osteoarthritis, Armaghan Dabbagh, Joy C. Macdermid Jan 2021

Appraisal Of Clinical Practice Guideline: 2018 Update Of The Eular Recommendations For The Management Of Hand Osteoarthritis, Armaghan Dabbagh, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


A Protocol For A Randomized Controlled Trial Investigating The Safety And Cost-Effectiveness Of Outpatient Total Hip Arthroplasty, Bryn O. Zomar, Jacquelyn D. Marsh, Brent A. Lanting, Dianne M. Bryant Oct 2020

A Protocol For A Randomized Controlled Trial Investigating The Safety And Cost-Effectiveness Of Outpatient Total Hip Arthroplasty, Bryn O. Zomar, Jacquelyn D. Marsh, Brent A. Lanting, Dianne M. Bryant

Bone and Joint Institute

© 2020 The Author(s). Background: A significant proportion of the overall cost of total hip arthroplasty (THA) results from the inpatient hospital stay following the procedure. Considering the substantial and increasing number of these procedures performed annually, shifting to an outpatient model of care where the patient is discharged home the same day as their surgery represents a potential for significant cost savings. The potential significant impact of an outpatient care model on constrained healthcare budgets and lack of high-quality evidence regarding its effectiveness warrants a rigorous comparative trial. The purpose of this prospective, randomized controlled trial is to evaluate …


Appraisal Of Clinical Practice Guideline: Shoulder Pain And Mobility Deficits: Adhesive Capsulitis, Sanaa A. Alsubheen, Joy C. Macdermid Oct 2020

Appraisal Of Clinical Practice Guideline: Shoulder Pain And Mobility Deficits: Adhesive Capsulitis, Sanaa A. Alsubheen, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Correspondence: Reply To Hadidi Et Al, Vanitha Arumugam, Joy C. Macdermid Oct 2020

Correspondence: Reply To Hadidi Et Al, Vanitha Arumugam, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Defining Pain And Interference Recovery Trajectories After Acute Non-Catastrophic Musculoskeletal Trauma Through Growth Mixture Modeling, Joshua Y. Lee, David M. Walton, Paul Tremblay, Curtis May, Wanda Millard, James M. Elliott, Joy C. Macdermid Sep 2020

Defining Pain And Interference Recovery Trajectories After Acute Non-Catastrophic Musculoskeletal Trauma Through Growth Mixture Modeling, Joshua Y. Lee, David M. Walton, Paul Tremblay, Curtis May, Wanda Millard, James M. Elliott, Joy C. Macdermid

Bone and Joint Institute

© 2020 The Author(s). Background: Recovery trajectories support early identification of delayed recovery and can inform personalized management or phenotyping of risk profiles in patients. The objective of this study was to investigate the trajectories in pain severity and functional interference following non-catastrophic musculoskeletal (MSK) trauma in an international, mixed injury sample. Methods: A prospective longitudinal cohort (n = 241) was formed from patients identified within four weeks of trauma, from attendance at emergency or urgent care centres located in London, ON, Canada, or Chicago, IL, USA. Pain interference was measured via the Brief Pain Inventory (London cohort) or the …


Appraisal Of Clinical Practice Guideline: Subacromial Decompression Surgery For Adults With Shoulder Pain, Stephanie Reischl, Joy C. Macdermid Jul 2020

Appraisal Of Clinical Practice Guideline: Subacromial Decompression Surgery For Adults With Shoulder Pain, Stephanie Reischl, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Appraisal Of Clinical Practice Guideline: Optima Revised Recommendations For Non-Pharmacological Management Of Persistent Headaches Associated With Neck Pain, Stephanie Reischl, Armaghan Dabbagh, Joy C. Macdermid Jul 2020

Appraisal Of Clinical Practice Guideline: Optima Revised Recommendations For Non-Pharmacological Management Of Persistent Headaches Associated With Neck Pain, Stephanie Reischl, Armaghan Dabbagh, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Development And Usability Testing Of A Web-Based And Therapist-Assisted Coping Skills Program For Managing Psychosocial Problems In Individuals With Hand And Upper Limb Injuries: Mixed Methods Study, Folarin Omoniyi Babatunde, Joy Macdermid, Ruby Grewal, Luciana Macedo, Mike Szekeres May 2020

Development And Usability Testing Of A Web-Based And Therapist-Assisted Coping Skills Program For Managing Psychosocial Problems In Individuals With Hand And Upper Limb Injuries: Mixed Methods Study, Folarin Omoniyi Babatunde, Joy Macdermid, Ruby Grewal, Luciana Macedo, Mike Szekeres

Bone and Joint Institute

© 2020 Folarin Omoniyi Babatunde, Joy MacDermid, Ruby Grewal, Luciana Macedo, Mike Szekeres. Background: Ineffective coping has been linked to prolonged pain, distress, anxiety, and depression after a hand and upper limb injury. Evidence shows that interventions based on cognitive behavioral therapy (CBT) may be effective in improving treatment outcomes, but traditional psychological interventions are resource intensive and unrealistic in busy hand therapy practices. Developing web-based, evidence-based psychological interventions specifically for hand therapy may be feasible in clinical practice and at home with reduced training and travel costs. Hand Therapy Online Coping Skills (HOCOS) is a program developed to supplement …


Appraisal Of Clinical Practice Guideline: Clinical Practice Guidelines For Pain Management In Acute Musculoskeletal Injury, Armaghan Dabbagh, Joy C. Macdermid Apr 2020

Appraisal Of Clinical Practice Guideline: Clinical Practice Guidelines For Pain Management In Acute Musculoskeletal Injury, Armaghan Dabbagh, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


The Economic Impact Of Periprosthetic Infection In Total Hip Arthroplasty, Jason Akindolire, Mina W. Morcos, Jacquelyn D. Marsh, James L. Howard, Brent A. Lanting, Edward M. Vasarhelyi Jan 2020

The Economic Impact Of Periprosthetic Infection In Total Hip Arthroplasty, Jason Akindolire, Mina W. Morcos, Jacquelyn D. Marsh, James L. Howard, Brent A. Lanting, Edward M. Vasarhelyi

Bone and Joint Institute

© 2020 Canadian Medical Association. All rights reserved. Background: Periprosthetic joint infection (PJI) is the third leading cause of total hip arthroplasty (THA) failure. Although controversial, 2-stage revision remains the gold standard treatment for PJI in most situations. To date, there have been few studies describing the economic impact of PJI in today's health care environment. The purpose of the current study was to obtain an accurate estimate of the institutional cost associated with the management of PJI in THA and to assess the economic burden of PJI compared with primary uncomplicated THA. Methods: We conducted a review of primary …


Appraisal Of Clinical Practice Guideline: Arthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears: A Clinical Practice Guideline, Goris Nazari, Joy C. Macdermid Jan 2020

Appraisal Of Clinical Practice Guideline: Arthroscopic Surgery For Degenerative Knee Arthritis And Meniscal Tears: A Clinical Practice Guideline, Goris Nazari, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Implementation Of Outpatient Total Joint Arthroplasty In Canada: Where We Are And Where We Need To Go, Bryn O. Zomar, Shannon L. Sibbald, Doug Bickford, James L. Howard, Dianne M. Bryant, Jacquelyn D. Marsh, Brent A. Lanting Jan 2020

Implementation Of Outpatient Total Joint Arthroplasty In Canada: Where We Are And Where We Need To Go, Bryn O. Zomar, Shannon L. Sibbald, Doug Bickford, James L. Howard, Dianne M. Bryant, Jacquelyn D. Marsh, Brent A. Lanting

Bone and Joint Institute

© 2020 Zomar et al. Total joint arthroplasties (TJA) are successful procedures for the treatment of end-stage hip and knee arthritis. Length of stay in hospitals after these procedures has been steadily decreasing over time, with outpatient procedures (discharge on the same day as surgery) introduced in the US within the last 20 years. Reducing length of stay after TJA can provide cost savings. Centres in Canada have started to utilize outpatient TJA procedures, but we have identified some barriers that may have limited their implementation. We have summarized the current literature for outpatient TJA and discussed potential solutions for …


Are We Missing The Target? Are We Aiming Too Low? What Are The Aerobic Exercise Prescriptions And Their Effects On Markers Of Cardiovascular Health And Systemic Inflammation In Patients With Knee Osteoarthritis? A Systematic Review And Meta-Analysis, Jm Schulz, Tb Birmingham, Hf Atkinson, E Woehrle Jan 2020

Are We Missing The Target? Are We Aiming Too Low? What Are The Aerobic Exercise Prescriptions And Their Effects On Markers Of Cardiovascular Health And Systemic Inflammation In Patients With Knee Osteoarthritis? A Systematic Review And Meta-Analysis, Jm Schulz, Tb Birmingham, Hf Atkinson, E Woehrle

Bone and Joint Institute

Objectives We systemically reviewed published studies that evaluated aerobic exercise interventions in patients with knee osteoarthritis (OA) to: (1) report the frequency, intensity, type and time (FITT) of exercise prescriptions and (2) quantify the changes in markers of cardiovascular health and systemic inflammation. Data sources PubMed, CINAHL, Scopus; inception to January 2019. Eligibility criteria Randomised clinical trials (RCT), cohort studies, case series. Design We summarised exercise prescriptions for all studies and calculated effect sizes with 95% CIs for between-group (RCTs that compared exercise and control groups) and within-group (pre-post exercise) differences in aerobic capacity (VO2), heart rate (HR), systolic blood …


Systematic Review Of The Measurement Properties Of Performance-Based Functional Tests In Patients With Neck Disorders, Steven Mcgee, Taylor Sipos, Thomas Allin, Celia Chen, Alexandra Greco, Pavlos Bobos, Joy Macdermid Nov 2019

Systematic Review Of The Measurement Properties Of Performance-Based Functional Tests In Patients With Neck Disorders, Steven Mcgee, Taylor Sipos, Thomas Allin, Celia Chen, Alexandra Greco, Pavlos Bobos, Joy Macdermid

Bone and Joint Institute

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objectives The purpose of this systematic review is to identify and synthesise studies evaluating performance-based functional outcome measures designed to evaluate the functional abilities of patients with neck pain. Design Systematic review. Data sources A literature search using PubMed, Scopus, CINAHL, EMBASE, COCHRANE, Google Scholar and a citation mapping strategy was conducted until July 2019. Eligibility criteria More than half of the study's patient population had neck pain or a musculoskeletal neck disorder and completed a functional-based test. Clinimetric …


Mri T2 And T1Ρ Relaxation In Patients At Risk For Knee Osteoarthritis: A Systematic Review And Meta-Analysis, Hayden F. Atkinson, Trevor B. Birmingham, Rebecca F. Moyer, Daniel Yacoub, Lauren E. Kanko, Dianne M. Bryant, Jonathan D. Thiessen, R. Terry Thompson May 2019

Mri T2 And T1Ρ Relaxation In Patients At Risk For Knee Osteoarthritis: A Systematic Review And Meta-Analysis, Hayden F. Atkinson, Trevor B. Birmingham, Rebecca F. Moyer, Daniel Yacoub, Lauren E. Kanko, Dianne M. Bryant, Jonathan D. Thiessen, R. Terry Thompson

Bone and Joint Institute

© 2019 The Author(s). Background: Magnetic resonance imaging (MRI) T2 and T1ρ relaxation are increasingly being proposed as imaging biomarkers potentially capable of detecting biochemical changes in articular cartilage before structural changes are evident. We aimed to: 1) summarize MRI methods of published studies investigating T2 and T1ρ relaxation time in participants at risk for but without radiographic knee OA; and 2) compare T2 and T1ρ relaxation between participants at-risk for knee OA and healthy controls. Methods: We conducted a systematic review of studies reporting T2 and T1ρ relaxation data that included both participants at risk for knee OA and …


Appraisal Of Clinical Practice Guideline: Eular Revised Recommendations For The Management Of Fibromyalgia, Vanitha Arumugam, Joy C. Macdermid Apr 2019

Appraisal Of Clinical Practice Guideline: Eular Revised Recommendations For The Management Of Fibromyalgia, Vanitha Arumugam, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Clinimetrics: Single Assessment Numeric Evaluation, Rochelle Furtado, Joy Macdermid Apr 2019

Clinimetrics: Single Assessment Numeric Evaluation, Rochelle Furtado, Joy Macdermid

Bone and Joint Institute

No abstract provided.


Comparison Of Cpg's For The Diagnosis, Prognosis And Management Of Non-Specific Neck Pain: A Systematic Review, Pulak Parikh, Pasqualina Santaguida, Joy Macdermid, Anita Gross, Arshia Eshtiaghi Feb 2019

Comparison Of Cpg's For The Diagnosis, Prognosis And Management Of Non-Specific Neck Pain: A Systematic Review, Pulak Parikh, Pasqualina Santaguida, Joy Macdermid, Anita Gross, Arshia Eshtiaghi

Bone and Joint Institute

© 2019 The Author(s). Background: Neck pain (NP) is a very common musculoskeletal condition with potential for a high burden in disability and length of disorder. Clinical practice guidelines (CPG) give recommendations to clinicians for providing optimal care for patients however best practice recommendations are often contradictory. The purpose for this review was to conduct a SR of CPGs to assess the management recommendations for NP (diagnosis, treatment, prognosis, imaging). Methods: Standard SR methodology was employed including a grey literature search (including the National Guideline Clearing House). Medline, Cinahl, Embase, ILC, Cochrane, Central, and Lilacs were searched from 1995-to March …


Significant Cost Savings And Similar Patient Outcomes Associated With Early Discharge Following Total Knee Arthroplasty, Jacquelyn Marsh, Lyndsay Somerville, James L. Howard, Brent A. Lanting Feb 2019

Significant Cost Savings And Similar Patient Outcomes Associated With Early Discharge Following Total Knee Arthroplasty, Jacquelyn Marsh, Lyndsay Somerville, James L. Howard, Brent A. Lanting

Bone and Joint Institute

© 2019 Joule Inc. or its licensors. Background: A substantial portion of the cost of total knee arthroplasty (TKA) results from the postoperative inpatient length of stay (LOS). Considering the annual increase in TKAs, reducing LOS represents a potential for cost savings. We sought to compare in-hospital costs and patient-reported outcomes for an early discharge protocol compared with the standard LOS following TKA. Methods: We conducted a retrospective matched cohort study, matching patients on age, sex, body mass index and preoperative Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) score. We compared costs associated with time in the operating room, …


Clinimetrics: Short Western Ontario Rotator Cuff Index, Rochelle Furtado, Joy C. Macdermid Jan 2019

Clinimetrics: Short Western Ontario Rotator Cuff Index, Rochelle Furtado, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


The Association Between Occupational Loading And Spine Degeneration On Imaging – A Systematic Review And Meta-Analysis, Luciana G. Macedo, Michele C. Battié Jan 2019

The Association Between Occupational Loading And Spine Degeneration On Imaging – A Systematic Review And Meta-Analysis, Luciana G. Macedo, Michele C. Battié

Bone and Joint Institute

No abstract provided.


The Effectiveness Of Surgical Vs Conservative Interventions On Pain And Function In Patients With Shoulder Impingement Syndrome. A Systematic Review And Meta-Analysis, G Nazari, Jc Macdermid, D Bryant, Gs Athwal Jan 2019

The Effectiveness Of Surgical Vs Conservative Interventions On Pain And Function In Patients With Shoulder Impingement Syndrome. A Systematic Review And Meta-Analysis, G Nazari, Jc Macdermid, D Bryant, Gs Athwal

Bone and Joint Institute

Objective To assess the effectiveness of surgical vs conservative interventions on pain and function in patients with subacromial impingement syndrome. Design Systematic review and meta-analysis of randomized controlled trials. Setting Clinical setting. Participants Patients 18 years and older with subacromial impingement syndrome. Intervention/Comparison Surgical intervention plus postoperative physiotherapy / placebo surgery plus physiotherapy or physiotherapy only. Main outcome measures Pain and function. Results 11 RCTs (n = 919) were included. The pooled results displayed no statistically or clinically different between surgery plus physiotherapy vs physiotherapy alone on pain levels at 3-, 6-months, 5- and 10 years follow up (moderate quality, …


Appraisal Of Clinical Practice Guideline: American Academy Of Orthopaedic Surgeons Clinical Practice Guideline On The Management Of Osteoarthritis Of The Hip, Ze Lu, Joy C. Macdermid Jul 2018

Appraisal Of Clinical Practice Guideline: American Academy Of Orthopaedic Surgeons Clinical Practice Guideline On The Management Of Osteoarthritis Of The Hip, Ze Lu, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Clinimetrics: Upper Extremity Functional Index, Vanitha Arumugam, Joy C. Macdermid Apr 2018

Clinimetrics: Upper Extremity Functional Index, Vanitha Arumugam, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Appraisal Of Clinical Practice Guideline: Management Of Neck Pain, Pavlos Bobos, Joy C. Macdermid Apr 2018

Appraisal Of Clinical Practice Guideline: Management Of Neck Pain, Pavlos Bobos, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


An Evaluation Of The Structural Validity Of The Shoulder Pain And Disability Index (Spadi) Using The Rasch Model, Christina Jerosch-Herold, Rachel Chester, Lee Shepstone, Joshua I. Vincent, Joy C. Macdermid Feb 2018

An Evaluation Of The Structural Validity Of The Shoulder Pain And Disability Index (Spadi) Using The Rasch Model, Christina Jerosch-Herold, Rachel Chester, Lee Shepstone, Joshua I. Vincent, Joy C. Macdermid

Bone and Joint Institute

© 2017, Springer International Publishing AG, part of Springer Nature. Purpose: The shoulder pain and disability index (SPADI) has been extensively evaluated for its psychometric properties using classical test theory (CTT). The purpose of this study was to evaluate its structural validity using Rasch model analysis. Methods: Responses to the SPADI from 1030 patients referred for physiotherapy with shoulder pain and enrolled in a prospective cohort study were available for Rasch model analysis. Overall fit, individual person and item fit, response format, dependence, unidimensionality, targeting, reliability and differential item functioning (DIF) were examined. Results: The SPADI pain subscale initially demonstrated …


The Contribution Of Health And Psychological Factors In Patients With Chronic Neck Pain And Disability: A Cross-Sectional Study, Pavlos Bobos, Goris Nazari, Stephania Palimeris, Evdokia Billis, Joy C. Macdermid Feb 2018

The Contribution Of Health And Psychological Factors In Patients With Chronic Neck Pain And Disability: A Cross-Sectional Study, Pavlos Bobos, Goris Nazari, Stephania Palimeris, Evdokia Billis, Joy C. Macdermid

Bone and Joint Institute

© 2018, Journal of Clinical and Diagnostic Research. All rights reserved. Introduction: One approach to reduce the burden of neck pain is the management of the prognostic factors that are associated with greater disability. Studies which quantify these predictors can support interventions that attempt to modify these trajectories. Aim: The aim of the present study to determine the contribution of psychological and health factors that are commonly associated with neck pain and disability levels. Materials and Methods: Patients between 18-65 years old were recruited to participate in the present study if they had neck pain for more than three months, …


Comparing The Anterior, Posterior And Lateral Approach: Gait Analysis In Total Hip Arthroplasty, Stephen Petis, James Howard, Brent Lanting Jan 2018

Comparing The Anterior, Posterior And Lateral Approach: Gait Analysis In Total Hip Arthroplasty, Stephen Petis, James Howard, Brent Lanting

Bone and Joint Institute

No abstract provided.


Appraisal Of: Management Of Neck Pain And Associated Disorders: A Clinical Practice Guideline From The Ontario Protocol For Traffic Injury Management (Optima) Collaboration, Saravanan Esakki, Joy C. Macdermid Jan 2018

Appraisal Of: Management Of Neck Pain And Associated Disorders: A Clinical Practice Guideline From The Ontario Protocol For Traffic Injury Management (Optima) Collaboration, Saravanan Esakki, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.