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普通全科医生会检查受伤的跑步者吗?

DO GENERAL MEDICAL PRACTITIONERS EXAMINE INJURED RUNNERS?

作者信息

Videbaek S, Jensen A V, Rasmussen S, Nielsen R O

机构信息

Orthopaedic Surgery Research Unit, Science and Innovation Center, Aalborg University Hospital, Aalborg University, Denmark.

Department of Political Science, Aarhus University, Denmark.

出版信息

Int J Sports Phys Ther. 2017 Jun;12(3):450-457.

Abstract

BACKGROUND

General Medical Practitioners (GMP) in Denmark perform clinical examinations of patients with musculoskeletal pain. However, the prevalence proportion of examinations caused by running-related injuries remains unknown.

PURPOSE

The primary purpose of the present study was to estimate the prevalence proportion of consultations in general medical practice caused by running-related injuries. The secondary purpose was to estimate the prevalence proportion of injured runners, who consult their GMP, that are referred to additional examinations or treatments.

STUDY DESIGN

A survey-based study.

METHODS

An online survey was distributed in October and November 2015 to more than 370 GMPs in Denmark and completed by 27.

RESULTS

The median prevalence proportion of consultations caused by running-related injuries in the prior two weeks was 0.80% [25th percentile = 0.00%; 75th percentile = 1.43%]. Ten (37%) GMPs reported to refer between 0-24% of the injured runners to additional examination or treatment, whereas thirteen (48%) of GMPs referred between 25-49% and four (15%) referred 50-74% of injured runners.

CONCLUSION

Although a very small part (<1%) of the GMPs consultations were related to running injuries, this result suggests that injured runners seek advice in the primary health-care system in Denmark. As a consequence, physiotherapists willing to treat runners with running-related injuries may inform the GMPs in their local community about the treatment possibilities they offer. The low response-proportion highlights the challenges recruiting GMPs willing to respond to questionnaires on running-related injuries. It is plausible to assume that the estimates reported in the present study are overestimated owing to selection bias.

LEVEL OF EVIDENCE

摘要

背景

丹麦的全科医生(GMP)会对患有肌肉骨骼疼痛的患者进行临床检查。然而,与跑步相关损伤导致的检查患病率仍不清楚。

目的

本研究的主要目的是估计全科医疗中因跑步相关损伤导致的会诊患病率。次要目的是估计咨询全科医生的受伤跑步者中被转诊至进一步检查或治疗的患病率。

研究设计

一项基于调查的研究。

方法

2015年10月和11月向丹麦370多名全科医生发放了在线调查问卷,27人完成了调查。

结果

前两周因跑步相关损伤导致的会诊患病率中位数为0.80%[第25百分位数=0.00%;第75百分位数=1.43%]。10名(37%)全科医生报告称,将0 - 24%的受伤跑步者转诊至进一步检查或治疗,而13名(48%)全科医生转诊了25 - 49%的受伤跑步者,4名(15%)转诊了50 - 74%的受伤跑步者。

结论

尽管全科医生会诊中与跑步损伤相关的比例非常小(<1%),但这一结果表明受伤的跑步者会在丹麦的初级医疗保健系统中寻求建议。因此,愿意治疗跑步相关损伤患者的物理治疗师可以告知当地社区的全科医生他们提供的治疗可能性。低回复率凸显了招募愿意回应关于跑步相关损伤问卷的全科医生的挑战。由于选择偏倚,本研究报告的估计值可能被高估,这是合理的。

证据水平

3级。

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