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基于人群的肩关节疼痛患者就诊模式。

Population-based consultation patterns in patients with shoulder pain diagnoses.

机构信息

Occupational and Environmental Medicine, Laboratory Medicine Lund, Lund University, Lund SE-221 85, Sweden.

出版信息

BMC Musculoskelet Disord. 2012 Nov 29;13:238. doi: 10.1186/1471-2474-13-238.

DOI:10.1186/1471-2474-13-238
PMID:23190941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3552995/
Abstract

BACKGROUND

To assess the annual consultation prevalence and new onset consultation rate for doctor-diagnosed shoulder pain conditions.

METHODS

We identified all residents in the southernmost county in Sweden who received a shoulder pain diagnosis during 2006 (ICD-10 code M75). In subjects who did not consult due to such disorders during 2004 and 2005, we estimated the new onset consultation rate. The distribution of specific shoulder conditions and the length of the period of repeated consultation were calculated.

RESULTS

Annual consultation prevalence was 103/10,000 women and 98/10,000 men. New onset consultation rate was 80/10,000 women (peak in age 50-59 at 129/10,000) and 74/10,000 men (peak in age 60-69 at 116/10,000). About one fifth of both genders continued to consult more than three months after initial presentation, but only a few percent beyond two years. Rotator cuff--and impingement syndromes were the most frequent diagnoses.

CONCLUSION

The annual consultation prevalence for shoulder pain conditions (1%) was similar in women and men, and about two thirds of patients consulted a doctor only once. Impingement and rotator cuff syndromes were the most frequent diagnoses.

摘要

背景

评估医生诊断的肩痛病症的年度就诊率和新发病例就诊率。

方法

我们确定了瑞典最南部县在 2006 年(ICD-10 编码 M75)接受肩部疼痛诊断的所有居民。对于在 2004 年和 2005 年期间由于此类疾病而未就诊的患者,我们估计了新发病例的就诊率。计算了特定肩部疾病的分布和重复就诊的持续时间。

结果

女性的年就诊率为 103/10,000,男性为 98/10,000。新发病例就诊率为 80/10,000 名女性(50-59 岁年龄段的就诊率最高,为 129/10,000)和 74/10,000 名男性(60-69 岁年龄段的就诊率最高,为 116/10,000)。大约有五分之一的男女患者在首次就诊后继续就诊超过三个月,但只有少数患者就诊超过两年。肩袖-和撞击综合征是最常见的诊断。

结论

肩痛病症的年就诊率(1%)在女性和男性中相似,约三分之二的患者仅就诊一次。撞击和肩袖综合征是最常见的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/3552995/76e67ec51987/1471-2474-13-238-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/3552995/66350edd9238/1471-2474-13-238-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/3552995/1b3446f66e3f/1471-2474-13-238-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/3552995/76e67ec51987/1471-2474-13-238-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/3552995/66350edd9238/1471-2474-13-238-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/3552995/1b3446f66e3f/1471-2474-13-238-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/3552995/76e67ec51987/1471-2474-13-238-3.jpg

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