MSK Pathways Study

  • Research type

    Research Study

  • Full title

    A Randomised Control Trial comparing Usual Care Vs CrossCover OrthoPathway Clincial Decision Support System in Primary Care



  • Contact name

    Jonathan Hill

  • Contact email

  • Sponsor organisation

    Keele University

  • Duration of Study in the UK

    0 years, 10 months, 19 days

  • Research summary

    Musculoskeletal pain is very common, accounting for a large number of GP appointments. NHS staff often have to make assessment and treatment decisions for these conditions in short consultations. Whilst national guidelines for MSK conditions are available, they are complex and cover many different conditions separately. Therefore, there is often variability in the care patients receive. Orthopathway is a system that is installed onto GP practice computers for use in appointments help clinicians make these decisions. Pathways are built for each pain site, that contain best practice national guidelines adapted by local experts. This means that all clinicians in the local area follow the same high quality guidance.

    The MSK Pathways study plans to establish whether using Orthopathway in primary care has an effect on patient outcomes, clinical decision making, is cost-effective, and reduces carbon. We will recruit 40 GP practices; 20 will continue providing usual care for MSK consultations, and 20 will use Orthopathway. We will recruit patients who consult for neck, shoulder, elbow, wrist/hand, back, hip, knee, or foot pain. After the consultation, patients will be asked to complete questionnaires at baseline, 3 months, and 6 months to monitor their outcomes. Consent will be sought to review the medical records of participants to see what health care usage there was after the consultation. Some clinicians and patients from the intervention arm will be asked to take part in interviews to talk more in depth about their experiences.

  • REC name

    Yorkshire & The Humber - Sheffield Research Ethics Committee

  • REC reference


  • Date of REC Opinion

    1 Jun 2023

  • REC opinion

    Further Information Favourable Opinion

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