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. 2010 Jul 2:11:144.
doi: 10.1186/1471-2474-11-144.

Annual consultation prevalence of regional musculoskeletal problems in primary care: an observational study

Kelvin P Jordan  1 , Umesh T Kadam, Richard Hayward, Mark Porcheret, Catherine Young, Peter Croft
Affiliations

Annual consultation prevalence of regional musculoskeletal problems in primary care: an observational study

Kelvin P Jordan et al. BMC Musculoskelet Disord. .

Abstract

Background: Regional musculoskeletal pain such as back or shoulder pain are commonly reported symptoms in the community. The extent of consultation to primary care with such problems is unknown as a variety of labels may be used to record such consultations. The objective was to classify musculoskeletal morbidity codes used in routine primary care by body region, and to determine the annual consultation prevalence of regional musculoskeletal problems.

Methods: Musculoskeletal codes within the Read morbidity Code system were identified and grouped by relevant body region by four GPs. Consultations with these codes were then extracted from the recorded consultations at twelve general practices contributing to a general practice consultation database (CiPCA). Annual consultation prevalence per 10,000 registered persons for the year 2006 was determined, stratified by age and gender, for problems in individual regions and for problems affecting multiple regions.

Results: 5,908 musculoskeletal codes were grouped into regions. One in seven of all recorded consultations were for a musculoskeletal problem. The back was the most common individual region recorded (591 people consulting per 10,000 registered persons), followed by the knee (324/10,000). In children, the foot was the most common region. Different age and gender trends were apparent across body regions although women generally had higher consultation rates. The annual consultation-based prevalence for problems encompassing more than one region was 556 people consulting per 10,000 registered persons and increased in older people and in females.

Conclusions: There is an extensive and varied regional musculoskeletal workload in primary care. Musculoskeletal problems are a major constituent of general practice. The output from this study can be used as a resource for planning future studies.

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Figures

Figure 1
Figure 1
Regional consultations as percentage of all musculoskeletal consultations
See this image and copyright information in PMC

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References

    1. Jordan K, Clarke AM, Symmons DP, Fleming D, Porcheret M, Kadam UT, Croft P. Measuring disease prevalence: a comparison of musculoskeletal disease using four general practice consultation databases. Br J Gen Pract. 2007;57:7–14. - PMC - PubMed
    1. RCGP Birmingham Research Unit Weekly Returns Service Annual Prevalence Report 2007. Birmingham. 2007.
    1. National Institute for Health and Clinical Excellence. Early management of persistent non-specific low back pain, NICE Clinical guideline 88. London: National Institute for Health and Clinical Excellence; 2009.
    1. Hay EM, Thomas E, Paterson SM, Dziedzic K, Croft PR. A pragmatic randomised controlled trial of local corticosteroid injection and physiotherapy for the treatment of new episodes of unilateral shoulder pain in primary care. Ann Rheum Dis. 2003;62:394–9. doi: 10.1136/ard.62.5.394. - DOI - PMC - PubMed
    1. Hurley MV, Walsh NE, Mitchell HL, Pimm TJ, Patel A, Williamson E, Jones RH, Dieppe PA, Reeves BC. Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: a cluster randomized trial. Arthritis Rheum. 2007;57:1211–9. doi: 10.1002/art.22995. - DOI - PMC - PubMed

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