This case study follows the 5-step process for accessing and using evidence in response to a request from commissioners to support the work of the Musculoskeletal (MSK) programme.
Using PICO, the scope of the evidence search was defined as:
Population: Adults with back pain, lower limb osteoarthritis, TKR, THR or ACL reconstruction
Intervention: Group interventions
Comparison: 1:1 interventions
Outcomes: Pain, function, system impact, cost, safety.
A Clinical Effectiveness Programme Officer was asked to conduct the search and report findings.
The following search questions were addressed:
The search strategy involved searching the following databases and websites:
The following search strategies were used:
A range of study types were reviewed including systematic reviews (SRs), randomised controlled trials (RCTs) and mixed-methods studies. Appraisal was conducted according to the strengths and limitations of each piece of evidence, including issues concerning sample sizes and potential for bias.
Findings were reported in an evidence review. Key points of this review included:
The findings of the review were consolidated into two documents, a full evidence review and a briefing version with the headline findings. This was done to enable greater accessibility of the evidence to stakeholders and commissioners who may be limited on time. To promote sharing of learning, this review was uploaded to AHSN’s Evidence Repository on the Futures NHS platform.