{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T09:32:16Z","timestamp":1793611936187,"version":"4.5.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T00:00:00Z","timestamp":1765584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The ability of advanced practice allied health-led clinics to comprehensively manage acute upper limb trauma has limited evaluation. This study aimed to evaluate the safety, requirement for specialist escalation, patient satisfaction, and patient outcomes of an allied health-led upper limb fracture clinic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eligible outpatients referred to Orthopaedics with acute upper limb fractures were diverted to and managed by the allied health led Advanced Practice Hand Clinic (APHC) between August 2020 and August 2022. Patients were excluded if they did not complete treatment, were referred with chronic conditions, or simple fractures not requiring specialist care. Demographic, diagnostic, service delivery, patient satisfaction and clinical outcome data were collected as part of usual care. Descriptive statistics were used to analyse the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three hundred and twelve patients were eligible, aged median (IQR) 23 (13\u201347)\u00a0years, 38% female, and 28% were clinical scaphoid fractures. Wait time for care was 7 (4\u201311)\u00a0days. No adverse events were noted. Most (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 289, 93%) patients completed APHC treatment, with most (88%, 254\/289) not requiring orthopaedic consultation. Few (7%, 23\/312) patients were returned for orthopaedic management. QuickDASH scores were significantly improved at discharge (4.6 (0\u20139.1)) compared to initial appointment (48.9 (31.8\u201357.3),\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 72). Most patients (98%\u2013100%) were satisfied with wait times, seeing a hand therapist, and with their treatment received.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The APHC safely managed patients with acute upper limb trauma in lieu of Fracture Clinic, reduced reliance on Orthopaedic services, provided good functional outcomes and achieved high levels of patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17589983251398878","type":"journal-article","created":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T15:03:14Z","timestamp":1765638194000},"page":"260-269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective evaluation of allied health-led management of acute upper limb trauma"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2537-8002","authenticated-orcid":false,"given":"Christopher","family":"Burton","sequence":"first","affiliation":[{"name":"Logan Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinne","family":"Allsopp","sequence":"additional","affiliation":[{"name":"Logan Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle A","family":"Palmer","sequence":"additional","affiliation":[{"name":"Logan Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina J","family":"Lewis","sequence":"additional","affiliation":[{"name":"Logan Hospital"},{"name":"Royal Brisbane and Women\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iulian","family":"Nusem","sequence":"additional","affiliation":[{"name":"Logan Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,13]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"The State of Queensland (Queensland Health) 1996\u20132025. Wait times strategy statewide consultation handbook. In: DoH U (ed) Healthcare improvement. The State of Queensland (Queensland Health) 2015."},{"key":"e_1_3_4_3_2","unstructured":"The State of Queensland (Queensland Health) 1996\u20132025. In: Government Q (ed) Ministerial Taskforce on health practitioner expanded scope of practice: final report. The State of Queensland (Queensland Health) 2014."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2021.06.007"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2019.01.004"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2019.08.003"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2020.03.007"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/17589983241268104"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msksp.2022.102560"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000002665"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0010.8044"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-107"},{"issue":"3","key":"e_1_3_4_13_2","first-page":"4211","article-title":"A physiotherapist-led paediatric fracture clinic was a safe and efficient alternative to traditional outpatient orthopaedic care","volume":"10","author":"Napper M","year":"2023","unstructured":"Napper M, Gill S, Schoch P, et al. A physiotherapist-led paediatric fracture clinic was a safe and efficient alternative to traditional outpatient orthopaedic care. A Preliminary Evaluation. 2023; 10(3): 4211\u20134217.","journal-title":"A Preliminary Evaluation"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758998313500482"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1071\/PY18104"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-005282"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2016.0276"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420930610"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.24083\/apjhm.v16i4.1011"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2024.2397084"},{"key":"e_1_3_4_21_2","unstructured":"The State of Queensland (Queensland Health) 1996\u20132025. RiskMan. In: PSa Q (ed) PO Box 2368 Fortitude Valley BC QLD 4006. The State of Queensland (Queensland Health) 2024."},{"key":"e_1_3_4_22_2","volume-title":"Clinical Excellence Queensland","author":"The State of Queensland (Queensland Health) 1996\u20132025","year":"2024","unstructured":"The State of Queensland (Queensland Health) 1996\u20132025. Riskman clinical incident classification definitions. Clinical Excellence Queensland. The State of Queensland (Queensland Health), 2024."},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2018.1458930"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1179\/jmt.2009.17.3.163"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-013-9559-9"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0362-4"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2014.4893"},{"key":"e_1_3_4_28_2","unstructured":"The State of Queensland (Queensland Health) 1996\u20132025. Clinical prioritisation criteria > orthopaedics > hand-trauma (2024 accessed 07\/02\/2025 2025)."},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2016.07.004"}],"container-title":["Hand Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17589983251398878","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17589983251398878","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17589983251398878","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T09:19:23Z","timestamp":1793611163000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17589983251398878"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,13]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["10.1177\/17589983251398878"],"URL":"https:\/\/doi.org\/10.1177\/17589983251398878","relation":{},"ISSN":["1758-9983","1758-9991"],"issn-type":[{"value":"1758-9983","type":"print"},{"value":"1758-9991","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,13]]}}}