{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:55:16Z","timestamp":1789606516823,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004888","name":"Centre Hospitalier Universitaire de Qu\u00e9bec","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004888","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004889","name":"Fondation CHU de Qu\u00e9bec","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004889","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["491913"],"award-info":[{"award-number":["491913"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec - Sant\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007867","name":"Universit\u00e9 Laval","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Many patients present to the emergency department (ED) with a musculoskeletal disorder. In consequence, some hospitals have integrated autonomous management of musculoskeletal disorders by physiotherapists after triage. Although potential benefits were demonstrated, few studies have examined the agreement between physiotherapists' and emergency physicians' diagnosis. A better understanding of diagnostic concordance between physiotherapists and emergency physicians could inform the implementation of this care model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Findings<\/jats:title>\n                    <jats:p>Secondary analysis of data obtained through a pilot pragmatic randomised clinical trial. Data from patients presenting a minor musculoskeletal disorder managed by a physiotherapist and an emergency physician were used. Diagnostic concordance was examined using raw agreement and Gwet's first\u2010order agreement coefficient. Thirty\u2010six participants were assessed by both professionals (36.8\u00a0\u00b1\u00a018.2\u00a0years; W: 55.6%). Overall raw agreement was 86.1% and the diagnostic concordance was almost perfect (Gwet's AC1: 0.84, 95% CI: 0.69\u20130.98). The most common disagreement was when physiotherapists suspected a bone fracture or contusion, whereas emergency physicians diagnosed a ligament or meniscus disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results show excellent diagnostic concordance between physiotherapists and emergency physicians, thus supporting the safety of physiotherapy care in the ED. More studies are needed to confirm these results with a larger variety of diagnoses and age strata.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70014","type":"journal-article","created":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T01:43:26Z","timestamp":1732326206000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Diagnostic Concordance Between Physiotherapist and Emergency Physicians for Patients With a Musculoskeletal Disorder in the Emergency Department"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2004-4006","authenticated-orcid":false,"given":"Rose","family":"Gagnon","sequence":"first","affiliation":[{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris) Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de services sociaux (CIUSSS) de la Capitale\u2010Nationale  Quebec City Canada"},{"name":"School of Rehabilitation Sciences Universit\u00e9 Laval Pavillon Ferdinand\u2010Vandry  Quebec City Canada"},{"name":"Population Health and Optimal Health Practices Axis CHU de Qu\u00e9bec \u2013 Universit\u00e9 Laval Research Centre  Quebec City Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadija","family":"Perreault","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris) Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de services sociaux (CIUSSS) de la Capitale\u2010Nationale  Quebec City Canada"},{"name":"School of Rehabilitation Sciences Universit\u00e9 Laval Pavillon Ferdinand\u2010Vandry  Quebec City Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eveline","family":"Matifat","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Universit\u00e9 de Montr\u00e9al  Montreal Canada"},{"name":"Orthopaedic Clinical Research Unit Maisonneuve\u2010Rosemont Hospital Research Centre Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de services sociaux (CIUSSS) de l\u2019Est\u2010de\u2010l\u2019\u00cele\u2010de\u2010Montr\u00e9al  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Desmeules","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Universit\u00e9 de Montr\u00e9al  Montreal Canada"},{"name":"Orthopaedic Clinical Research Unit Maisonneuve\u2010Rosemont Hospital Research Centre Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de services sociaux (CIUSSS) de l\u2019Est\u2010de\u2010l\u2019\u00cele\u2010de\u2010Montr\u00e9al  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Berthelot","sequence":"additional","affiliation":[{"name":"Population Health and Optimal Health Practices Axis CHU de Qu\u00e9bec \u2013 Universit\u00e9 Laval Research Centre  Quebec City Canada"},{"name":"Department of Family and Emergency Medicine Universit\u00e9 Laval Pavillon Ferdinand\u2010Vandry  Quebec City Canada"},{"name":"CHU de Qu\u00e9bec \u2013 Universit\u00e9 Laval  Quebec City Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc J.","family":"H\u00e9bert","sequence":"additional","affiliation":[{"name":"Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris) Centre int\u00e9gr\u00e9 universitaire de sant\u00e9 et de services sociaux (CIUSSS) de la Capitale\u2010Nationale  Quebec City Canada"},{"name":"School of Rehabilitation Sciences Universit\u00e9 Laval Pavillon Ferdinand\u2010Vandry  Quebec City Canada"},{"name":"Department of Radiology and Nuclear Medicine Universit\u00e9 Laval Pavillon Ferdinand\u2010Vandry  Quebec City 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