The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.
Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral
Open accessAbstract
OBJECTIVES: To estimate the national prevalence and incidence of adults consulting for a shoulder condition and to investigate patterns of diagnosis, treatment, consultation and referral 3 yr after initial presentation. METHODS: Prevalence and incidence rates were estimated for 658469 patients aged 18 and over in the year 2000 using a primary care database, the IMS Disease Analyzer-Mediplus UK. A cohort of 9215 incident cases was followed-up prospectively for 3 yr beyond the initial consultation. RESULTS: The annual prevalence and incidence of people consulting for a shoulder condition was 2.36% [95% confidence interval (CI) 2.32-2.40%] and 1.47% (95% CI 1.44-1.50%), respectively. Prevalence increased linearly with age whilst incidence peaked at around 50 yr then remained static at around 2%. Around half of the incident cases consulted once only, while 13.6% were still consulting with a shoulder problem during the third year of follow-up. During the 3 yr following initial presentation, 22.4% of patients were referred to secondary care, 30.8% were prescribed non-steroidal anti-inflammatory drugs and 10.6% were given an injection by their general practitioner (GP). GPs tended to use a limited number of generalized codes when recording a diagnosis; just five of 426 possible Read codes relating to shoulder conditions accounted for 74.6% of the diagnoses of new cases recorded by GPs. CONCLUSIONS: The prevalence of people consulting for shoulder problems in primary care is substantially lower than community-based estimates of shoulder pain. Most referrals occur within 3 months of initial presentation, but only a minority of patients are referred to orthopaedic specialists or rheumatologists. GPs may lack confidence in applying precise diagnoses to shoulder conditions.
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Cites
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van der Windt, D. A., Koes, B. W., de Jong, B. A., & Bouter, L. M. (1995) · Annals of the Rheumatic Diseases · doi:10.1136/ard.54.12.959 · Cited by 963
Prevalence and impact of musculoskeletal disorders of the upper limb in the general population
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Morbidity statistics from general practice
Frølund, F. (1986) · PubMed Central · Cited by 570
The Read clinical classification.
Chisholm, J. (1990) · BMJ · doi:10.1136/bmj.300.6732.1092 · Cited by 504
Shoulder disorders in general practice: prognostic indicators of outcome.
van der Windt, D., Koes, B. W., Boeke, A. J. P., Devillé, W. L. J. M., de Jong, B. A., & Bouter, L. M. (1996) · Europe PMC (PubMed Central) · Cited by 476
EPIDEMIOLOGY OF RHEUMATIC DISEASES
(2006) · APLAR Journal of Rheumatology · doi:10.1111/j.1479-8077.2006.00199_10.x · Cited by 449
Shoulder disorders in the elderly: A community survey
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Self-citationThe clinical course of shoulder pain: prospective cohort study in primary care: Table 1
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Cited by
Millar, N. L., Silbernagel, K. G., Thorborg, K., Kirwan, P. D., Galatz, L. M., Abrams, G. D., Murrell, G. A. C., McInnes, I. B., & Rodeo, S. A. (2021) · Nature Reviews Disease Primers · doi:10.1038/s41572-020-00234-1 · Cited by 801
Kelley, M. J., Shaffer, M. A., Kuhn, J. E., Michener, L. A., Seitz, A. L., Uhl, T. L., Godges, J. J., & McClure, P. (2013) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2013.0302 · Cited by 468
Beard, D. J., Rees, J. L., Cook, J. A., Rombach, I., Cooper, C., Merritt, N., Shirkey, B. A., Donovan, J. L., Gwilym, S., Savulescu, J., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(17)32457-1 · Cited by 466
Self-citationChester, R., Jerosch-Herold, C., Lewis, J., & Shepstone, L. (2018) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096084 · Cited by 288
The Role of Self-Efficacy on the Prognosis of Chronic Musculoskeletal Pain: A Systematic Review
Martinez-Calderon, J., Zamora-Campos, C., Navarro-Ledesma, S., & Luque-Suarez, A. (2018) · The Journal of Pain · doi:10.1016/j.jpain.2017.08.008 · Cited by 268
Metadata
- Authors
- Linsell, L., Dawson, J., Zondervan, K., Rose, P., Randall, T., Fitzpatrick, R., & Carr, A.
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-11-01
- Volume
- 45
- Issue
- 2
- Pages
- 215-221
- ISSN
- 1462-0324 (ISSN-L)
- 1462-0332
- OpenAlex
- W2135179579
- Cited by
- 358
- References
- 23
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- bronze
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