Orthopedic-physiotherapy communication gaps in post-rotator cuff repair: a multi-center study in Iraq
DOI:
https://doi.org/10.47197/retos.v71.117411Keywords:
Rotator cuff repair, communication, physiotherapy, orthopedic surgery, rehabilitation, healthcare collaborationAbstract
Introduction. Communication between orthopedic surgeons and physiotherapists is essential for successful rehabilitation after rotator cuff repair. This study examines communication patterns, timing, methods, and frequency in Iraq, highlighting factors that improve information transfer.
Methods: A multi-center cross-sectional survey (June 2023–June 2024) included 45 orthopedic surgeons and 89 physiotherapists across public, private, and academic healthcare settings. Two validated online questionnaires assessed referral patterns, communication frequency, information completeness, patient education strategies, and perceived causes of RCR failure. Data were analyzed using descriptive statistics, chi-square and McNemar's tests, correlation analyses, and multivariate logistic regression.
Results: Thirty-one percent of surgeons and 47% of physiotherapists reported infrequent communication (p = 0.040). Only 16% of surgeons referred patients within the optimal ≤2-week post-operative window; 49% delayed referrals beyond 4 weeks. Despite 84% of surgeons claiming to provide surgical notes, only 35% of physiotherapists received comprehensive post-operative information (p < 0.001). Multivariate analysis showed previous interprofessional training (OR = 3.22, 95% CI: 1.64–6.31) and private sector work setting (OR = 2.14, 95% CI: 1.08–4.23) were significant predictors of effective communication. Both groups identified poor rehabilitation and patient non-compliance as major contributors to RCR failure.
Conclusions: Significant interprofessional communication deficits exist in post-RCR care in Iraq, marked by delayed referrals, incomplete information transfer, and reliance on verbal patient education. Standardized referral protocols, structured communication tools, and secure digital platforms are needed to enhance collaborative care and improve patient outcomes.
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