{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T02:01:04Z","timestamp":1791597664625,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100024253","name":"Western Australian Future Health and Innovation Fund, Government of Western Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024253","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the rate, mode, and reasons for re\u2010presentations for emergency department (ED) patients with musculoskeletal diagnoses and examine factors associated with increased odds of re\u2010presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cross\u2010sectional audit of re\u2010presentation patterns for patients with musculoskeletal diagnoses presenting to the study ED in 2023.<\/jats:p>\n                    <jats:p>The study ED was in a secondary hospital in Perth, Western Australia, which operates a diversion pathway (daily, 10\u2009am\u20136\u2009pm) for patients with musculoskeletal diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 2023, 3677 patients with musculoskeletal diagnoses were diverted from the ED, 972 provided research consent and of those, 143 (14.7%) re\u2010presented. Importantly, 10 (1.0%) patients re\u2010presented to the ED itself, and 133 (13.7%) re\u2010presented to the physiotherapy outpatient diversion clinic.<\/jats:p>\n                    <jats:p>\n                      There were 65 scheduled and 78 unscheduled re\u2010presentations, with telehealth the preferred mode of contact (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200986, 60.1%). Clinician diagnostic uncertainty, identified patient psychosocial issues, and concern that the patient would re\u2010present to the ED most commonly resulted in scheduled re\u2010presentation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931, 47.7%). Unscheduled re\u2010presentations focused on administrative inquiries (e.g., hospital referrals, medical certificates) (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200931, 39.7%) and concern for symptoms (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925, 32.1%).\n                    <\/jats:p>\n                    <jats:p>Older age, high pain severity, and lower limb affected body region were associated with increased odds of re\u2010presentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ED clinicians may reduce re\u2010presentation by employing targeted strategies such as shared decision\u2010making about pain management, ensuring a shared understanding of the diagnosis, or stage of the diagnostic process and likely course of symptoms. Further, a follow\u2010up plan that is clinically indicated and patient acceptable may be critical for those with increased odds of re\u2010representation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70128","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T07:49:21Z","timestamp":1756453761000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Rate, Mode, Reasons and Factors Associated With Re\u2010Presentation in People Diagnosed With Musculoskeletal Conditions at a Single Emergency Department: A Cross\u2010Sectional Exploratory Study"],"prefix":"10.1111","volume":"37","author":[{"given":"Patricia","family":"Slapp","sequence":"first","affiliation":[{"name":"Curtin School of Allied Health Curtin University  Bentley Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Spencer","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Rockingham General Hospital  Rockingham Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rob","family":"Waller","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health Curtin University  Bentley Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Richards","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health Curtin University  Bentley Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Smith","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health Curtin University  Bentley Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nic","family":"Saraceni","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health Curtin University  Bentley Australia"},{"name":"Physiotherapy Department Rockingham General Hospital  Rockingham Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2322-7692","authenticated-orcid":false,"given":"Piers","family":"Truter","sequence":"additional","affiliation":[{"name":"Physiotherapy Department Rockingham General Hospital  Rockingham Australia"},{"name":"Kaartdijin Innovation Centre South Metropolitan Health Service  Murdoch Australia"},{"name":"School of Health Sciences University of Notre Dame Australia  Fremantle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"AIHW Emergency Department Care Canberra Australia; 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