Reduction in health service use for whiplash injury after motor vehicle accidents in 2000–2009: Results from a defined population

Berecki‐Gisolf, Janneke; Collie, Alex; McClure, Roderick John

doi:10.2340/16501977-1206

Cited by 15 publications

(19 citation statements)

References 17 publications

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“…However, RTC-related injuries can be complex and challenging to diagnose and manage in general practice due to the lack of clinical markers to predict those at risk of poor recovery and to guide intervention [ 6 ]. Whiplash associated disorders (WAD), the most prevalent RTC-related injury [ 7 ], are commonly associated with a variety of diverse physical and psychological symptoms that can delay recovery (up to 7 years post injury in some cases) [ 8 ]. An estimated one third of individuals with WAD may also have symptoms of Post-Traumatic Stress Disorder (PTSD) [ 9 ], and together, pain and PTSD are thought to sustain each other through a complex array of cognitive and behavioural mechanisms that can be difficult to manage in general practice [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

General practitioners knowledge and management of whiplash associated disorders and post-traumatic stress disorder: implications for patient care

et al. 2016

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BackgroundIn Australia, general practitioners (GPs) see around two-thirds of people injured in road traffic crashes. Road traffic crash injuries are commonly associated with diverse physical and psychological symptoms that may be difficult to diagnose and manage. Clinical guidelines have been developed to assist in delivering quality, consistent care, however the extent to which GPs knowledge and practice in diagnosing and managing road traffic crash injuries concords with the guidelines is unknown. This study aimed to explore Australian GPs knowledge, attitudes and practices regarding the diagnosis and management of road traffic crash injuries, specifically whiplash associated disorders (WAD) and post-traumatic stress disorder (PTSD).MethodA cross-sectional survey of 423 GPs across Australia conducted between July and December 2014. We developed a questionnaire to assess their knowledge of WAD and PTSD, confidence in diagnosing and managing WAD and PTSD, frequency of referral to health providers, barriers to referral, and attitudes towards further education and training. Factor analysis, Spearman’s correlation, and multiple ordered logistic regressions were performed.ResultsOverall, GPs have good level knowledge of WAD and PTSD; only 9.6 % (95 % CI: 7.1 %, 12.8 %) and 23.9 % (95 % CI: 20.8 %, 28.2 %) of them were deemed to have lower level knowledge of WAD and PTSD respectively. Key knowledge gaps included imaging indicators for WAD and indicators for psychological referral for PTSD. GPs who were male, with more years of experience, working in the urban area and with higher knowledge level of WAD were more confident in diagnosing and managing WAD. Only GPs PTSD knowledge level predicted confidence in diagnosing and managing PTSD. GPs most commonly referred to physiotherapists and least commonly to vocational rehabilitation providers. Barriers to referral included out-of-pocket costs incurred by patients and long waiting times. Most GPs felt positive towards further education on road traffic crash injury management.ConclusionThis study has enhanced understanding of the knowledge skills and attitudes of GPs towards road traffic crash injury care in Australia, and has identified areas for further education and training. If delivered, this training has the potential to reduce unnecessary imaging for WAD and optimise the early referral of patients at risk of delayed recovery following a road traffic crash.

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Section: Introductionmentioning

confidence: 99%

General practitioners knowledge and management of whiplash associated disorders and post-traumatic stress disorder: implications for patient care

et al. 2016

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“…This enables the CRD to produce a profile of all services received by each individual and their associated costs over any defined time period. The CRD has been previously used to explore healthcare service utilisation following work-related musculoskeletal disorders [ 45 ], transport-related injuries [ 46 , 47 ] including whiplash injury [ 48 ] and traumatic brain injury [ 49 , 50 ]. The CRD allows detailed examination of the use and costs of healthcare services which are important for the planning of resources and developing public policies.…”

Section: Resultsmentioning

confidence: 99%

Compensation Research Database: population-based injury data for surveillance, linkage and mining

2016

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BackgroundCompensation health research aims to study the influence of compensation systems, processes and practices on health and health-related outcomes. In many jurisdictions, injury compensation authorities collect substantial volumes of case and service level data for the purpose of administering the compensation system. An important secondary use of such data is research and analysis to explore interactions between individuals and organisations in compensation systems, and between compensation and other systems including healthcare and legal systems, in order to understand the role of compensation processes in injury recovery.ResultsThe Compensation Research Database (CRD) established at the Institute for Safety Compensation and Recovery Research at Monash University, holds over 20 years of population-based data for transport and workplace injury in the state of Victoria, Australia. The CRD is unique in that it is held independently, at arm’s length from the compensation authorities that collect the data, and its primary purpose is to support research and analyses to develop new insights into system and individual level outcomes. This paper describes the core elements of the database including the design, process and type of information collected. We review some of the research findings that have been published using the CRD, and describe the ongoing program of research utilising the database.ConclusionsThe CRD is a unique administrative database that supports research into compensation health, with the objective of improving understanding of the interaction between injury compensation systems and injury recovery. The availability of the CRD for independent research is leading to substantial advancements in the compensation health research field and in related areas.

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“…The complexity and heterogeneity of the profile, of those suffering minor traffic-related injuries are reasons to explain why many people do not recover as expected. 12 It has been estimated that approximately half of the patients with minor injuries may never completely recover 13 and large proportion of people with WAD would suffer psychological distress for at least 3 years postaccident. 14 …”

Section: Introductionmentioning

confidence: 99%

Biopsychosocial factors associated with non-recovery after a minor transport-related injury: protocol for a systematic review

et al. 2017

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IntroductionGlobally, road transport accidents contribute substantially to the number of deaths and also to the burden of disability. Up to 50 million people suffer a transport-related non-fatal injury each year, which often leads to long-term disability. It has been shown that substantial number of people with minor injuries struggle to recover and the reasons are still not well explored.Despite the high prevalence, little is known about the factors hindering recovery following minor traffic-related injuries. The aim of this paper is to present a protocol for the systematic review aiming to understand biopsychosocial factors related to non-recovery and identify current gaps in the literature.Methods and analysisThe review will be conducted in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol guidelines. A search of the electronic databases, MEDLINE, EMBASE, Cochrane Central Register of Controlled trials, will be undertaken, in addition to Google Scholar and grey literature to identify studies in period from 2006 to 2016. Quantitative and qualitative research articles describing and identifying biopsychosocial factors associated with non-recovery and health outcomes such as pain, disability, functional recovery, health-related quality of life, post-traumatic stress disorder, depression, anxiety and return to work will be included. A conceptual framework developed to identify biopsychosocial factors will be applied to assure defined criterion.At present, there is little anticipation for meta-analyses due to the heterogeneity of factors and outcomes assessed. Therefore, a narrative synthesis based on study findings will be conducted.Ethics and disseminationEthical approval is not required as primary data will not be collected. Review results will be published as a part of thesis, peer-reviewed journal and conferences.Trialregistration numberPROSPEROregistration number: CRD42016052276.

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Reduction in health service use for whiplash injury after motor vehicle accidents in 2000–2009: Results from a defined population

Cited by 15 publications

References 17 publications

General practitioners knowledge and management of whiplash associated disorders and post-traumatic stress disorder: implications for patient care

General practitioners knowledge and management of whiplash associated disorders and post-traumatic stress disorder: implications for patient care

Compensation Research Database: population-based injury data for surveillance, linkage and mining

Biopsychosocial factors associated with non-recovery after a minor transport-related injury: protocol for a systematic review

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