The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .
A randomised controlled trial. Shifting boundaries of doctors and physiotherapists in orthopaedic outpatient departments.
OBJECTIVE : To evaluate the effectiveness and cost effectiveness of specially trained physiotherapists in the assessment and management of defined referrals to hospital orthopaedic departments . DESIGN : R and omised controlled trial . SETTING : Orthopaedic outpatient departments in two hospitals . SUBJECTS : 481 patients with musculoskeletal problems referred for specialist orthopaedic opinion . INTERVENTIONS : Initial assessment and management undertaken by post-Fellowship junior orthopaedic surgeons , or by specially trained physiotherapists working in an extended role ( orthopaedic physiotherapy specialists ) . MAIN OUTCOME MEASURES : Patient centred measures of pain , functional disability and perceived h and icap . RESULTS : A total of 654 patients were eligible to join the trial , 481 ( 73.6 % ) gave their consent to be r and omised . The two arms ( doctor n = 244 , physiotherapist n = 237 ) were similar at baseline . Baseline and follow up question naires were completed by 383 patients ( 79.6 % ) . The mean time to follow up was 5.6 months after r and omisation , with similar distributions of intervals to follow up in both arms . The only outcome for which there was a statistically or clinical ly important difference between arms was in a measure of patient satisfaction , which favoured the physiotherapist arm . A cost minimisation analysis showed no significant differences in direct costs to the patient or NHS primary care costs . Direct hospital costs were lower ( p < 0.00001 ) in the physiotherapist arm ( mean cost per patient = 256 Pounds , n = 232 ) , as they were less likely to order radiographs and to refer patients for orthopaedic surgery than were the junior doctors ( mean cost per patient in arm = 498 Pounds , n = 238 ) . CONCLUSIONS : On the basis of the patient centred outcomes measured in this r and omised trial , orthopaedic physiotherapy specialists are as effective as post-Fellowship junior staff and clinical assistant orthopaedic surgeons in the initial assessment and management of new referrals to outpatient orthopaedic departments , and generate lower initial direct hospital costs
The quality of the PROMs varied greatly , with Satisfaction most commonly measured utilizing non-st and ardized locally-devised tools ; the EuroQol five-dimensions question naire ( EuroQoL-5D ) and 36-Item Short-Form ( SF-36 ) cited most frequently to capture QoL ; and the Visual Analogue Scale ( VAS ) to capture Pain .
APPs utilized a multiplicity of PROMs across a range of MSK disorders .
OBJECTIVE Advanced practice physiotherapists ( APPs ) , also known as extended scope physiotherapists , provide a new model of service delivery for musculoskeletal ( MSK ) disorders .
Research to date has largely focused on health service efficiencies , with less emphasis on patient outcomes .
The present systematic review aim ed to identify the  patient-reported outcome measures ( PROMs ) being utilized by APPs .