Frese Thomas, Peyton Linda, Mahlmeister Jarmila, Sandholzer Hagen
Department of Primary Care, Leipzig Medical School, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Germany.
ISRN Family Med. 2013 Dec 26;2013:930825. doi: 10.5402/2013/930825. eCollection 2013.
Objective. Currently, an overview of the management of knee pain in general practitioner's offices is not available. The main concern of this study was to evaluate the consultation prevalence of knee pain, accompanying symptoms, the frequency of diagnostic and therapeutic procedures, and results of encounters of patients suffering from knee pain. Methods. For the SESAM 2 study cross-sectional data was collected from randomly selected patients during one year and compared with publicly available data from the Dutch Transition Project. Results. Overall, 127 out of 8,877 (1.4%) patients of the SESAM 2 study and 6,754 out of 149,238 (4.5%) patients of the Dutch Transition Project consulted for knee pain. Drug prescription, follow-up consultation, giving doctor's advice, and referral to a specialist or physiotherapist were the most frequent procedures. Osteoarthritis of the knee and other musculoskeletal diseases were the most frequent results of encounter. Overweight, age, gender, and other musculoskeletal diseases were found to be significantly associated with knee pain. Conclusion. Knee pain in general practice settings is mainly associated with chronic problems. Dangerous outcomes (as suspected fracture or thrombosis) are rare. Further research is needed in order to reduce the influence knee pain has on daily living.
目的。目前，尚无关于全科医生诊所中膝关节疼痛管理的概述。本研究的主要关注点是评估膝关节疼痛的就诊患病率、伴随症状、诊断和治疗程序的频率，以及膝关节疼痛患者的就诊结果。方法。对于SESAM 2研究，在一年期间从随机选择的患者中收集横断面数据，并与荷兰转型项目的公开数据进行比较。结果。总体而言，SESAM 2研究的8877名患者中有127名（1.4%）因膝关节疼痛就诊，荷兰转型项目的149238名患者中有6754名（4.5%）因膝关节疼痛就诊。药物处方、随访会诊、给予医生建议以及转诊至专科医生或物理治疗师是最常见的程序。膝关节骨关节炎和其他肌肉骨骼疾病是最常见的就诊结果。发现超重、年龄、性别和其他肌肉骨骼疾病与膝关节疼痛显著相关。结论。全科医疗环境中的膝关节疼痛主要与慢性问题相关。危险结果（如疑似骨折或血栓形成）很少见。为了减少膝关节疼痛对日常生活的影响，需要进一步研究。
