What influences patient decision making after anterior cruciate ligament injury in Australia; an internet survey

Nasser, AM; McCambridge, AB; Verhagen, AP

What influences patient decision making after anterior cruciate ligament injury in Australia; an internet survey

Nasser, AM McCambridge, AB Verhagen, AP

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Publisher:: TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: Physical Therapy Reviews, 2024, 29, (1-3), pp. 5-11
Issue Date:: 2024-01-01

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Field	Value	Language
dc.contributor.author	Nasser, AM
dc.contributor.author	McCambridge, AB
dc.contributor.author	Verhagen, AP
dc.date.accessioned	2024-09-20T05:35:32Z
dc.date.available	2024-09-20T05:35:32Z
dc.date.issued	2024-01-01
dc.identifier.citation	Physical Therapy Reviews, 2024, 29, (1-3), pp. 5-11
dc.identifier.issn	1083-3196
dc.identifier.issn	1743-288X
dc.identifier.uri	http://hdl.handle.net/10453/180898
dc.description.abstract	Objectives: We aimed to understand what influences patient decision-making after ACL rupture. Methods: A survey was carried out online, targeting individuals who had experienced an ACL rupture injury. Outcomes included person(s) who influenced patient decision-making, sources of information used to assist the decision-making process and the main reasons that informed their decision to undergo ACL reconstruction surgery or rehabilitation only. Results: 174 participants (mean age 29.8 years, 53% male) met inclusion criteria, of which 144 (80%) underwent ACL reconstructive surgery and 20 (11%) completed rehabilitation alone. The most common people who influenced decisions were the orthopaedic surgeon for those who had surgery (n = 103, 84%) and the physiotherapist for those who underwent rehabilitation alone (n = 12, 75%). The most common reason for choosing ACL reconstructive surgery was to be able to return to sport (n = 100, 82%), and for rehabilitation alone, it was because they believed it would give the same result as surgical management (n = 12, 75%). Of those who had surgery, 56% (n = 67) received limited to no information on non-surgical management options. Conclusions: Many people in Australia undergo surgical reconstruction for their ACL, with limited awareness of trialling rehabilitation alone. The most influential people in a patient’s treatment decision after ACL rupture in Australia are the orthopaedic surgeon and physiotherapist.
dc.language	English
dc.publisher	TAYLOR & FRANCIS LTD
dc.relation.ispartof	Physical Therapy Reviews
dc.relation.isbasedon	10.1080/10833196.2024.2362042
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1106 Human Movement and Sports Sciences
dc.subject.classification	4201 Allied health and rehabilitation science
dc.subject.classification	4207 Sports science and exercise
dc.title	What influences patient decision making after anterior cruciate ligament injury in Australia; an internet survey
dc.type	Journal Article
utslib.citation.volume	29
utslib.for	1103 Clinical Sciences
utslib.for	1106 Human Movement and Sports Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2024-09-20T05:35:31Z
pubs.issue	1-3
pubs.publication-status	Published
pubs.volume	29
utslib.citation.issue	1-3

Abstract:

Objectives: We aimed to understand what influences patient decision-making after ACL rupture. Methods: A survey was carried out online, targeting individuals who had experienced an ACL rupture injury. Outcomes included person(s) who influenced patient decision-making, sources of information used to assist the decision-making process and the main reasons that informed their decision to undergo ACL reconstruction surgery or rehabilitation only. Results: 174 participants (mean age 29.8 years, 53% male) met inclusion criteria, of which 144 (80%) underwent ACL reconstructive surgery and 20 (11%) completed rehabilitation alone. The most common people who influenced decisions were the orthopaedic surgeon for those who had surgery (n = 103, 84%) and the physiotherapist for those who underwent rehabilitation alone (n = 12, 75%). The most common reason for choosing ACL reconstructive surgery was to be able to return to sport (n = 100, 82%), and for rehabilitation alone, it was because they believed it would give the same result as surgical management (n = 12, 75%). Of those who had surgery, 56% (n = 67) received limited to no information on non-surgical management options. Conclusions: Many people in Australia undergo surgical reconstruction for their ACL, with limited awareness of trialling rehabilitation alone. The most influential people in a patient’s treatment decision after ACL rupture in Australia are the orthopaedic surgeon and physiotherapist.

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http://hdl.handle.net/10453/180898