Factors associated with return musculoskeletal specialty visits

Area of Science:

• Musculoskeletal Health
• Clinical Research
• Patient Outcomes

Background:

• Previous research indicated a link between increased return visits and heightened depression symptoms and intensity.
• Musculoskeletal care often involves complex patient journeys and potential for recurring symptoms.

Purpose of the Study:

• To investigate the association between return visits and patient-reported outcomes in musculoskeletal specialty care.
• To identify factors influencing patient well-being within specialty musculoskeletal settings.

Main Methods:

• A cohort of new adult patients seeking musculoskeletal care was analyzed (October 2017-October 2018).
• Patients completed validated questionnaires: PROMIS Global Health, Patient Health Questionnaire-2 (PHQ-2), and Generalized Anxiety Disorder-7 (GAD-7).
• Statistical analysis accounted for potential confounding variables.

Main Results:

• Return visits were significantly associated with lower PROMIS Global Health scores.
• Patients with return visits reported increased symptoms of depression (PHQ-2).
• Anxiety symptoms, measured by GAD-7, were also greater in patients with return visits.

Conclusions:

• Findings underscore the association between return visits and poorer patient-reported health, including depression and anxiety.
• Improved coordination between referring clinicians and musculoskeletal specialists is recommended.
• Emphasis on interdisciplinary care teams is crucial for managing complex musculoskeletal conditions effectively.