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针对肩骨关节炎患者的国民保健服务公开可用信息手册分析

An Analysis of Publicly Available National Health Service Information Leaflets for Patients With Shoulder Osteoarthritis.

作者信息

Lalande Stacey, Moffatt Maria, Smith Toby, Aggarwal Vrinda, Littlewood Chris

机构信息

Airedale NHS Foundation Trust, Keighley, UK.

University of Liverpool, Liverpool, UK.

出版信息

Musculoskeletal Care. 2024 Dec;22(4):e70028. doi: 10.1002/msc.70028.

Abstract

BACKGROUND

Shoulder osteoarthritis is a common cause of pain, disability and difficulty sleeping. Patient information leaflets are produced by NHS Trusts with the aim of informing patients about their diagnosis and available treatment options.

OBJECTIVES

The aim of this study was to identify and describe the non-surgical management of people with shoulder osteoarthritis according to publicly available information leaflets produced by NHS Trusts.

METHODS

One reviewer undertook an electronic search using Google to identify publicly available patient-facing information leaflets (PIL) produced by NHS Trusts which detailed non-surgical management strategies for people with shoulder osteoarthritis. Relevant data were extracted by one reviewer and verified by two reviewers.

RESULTS

Seventeen PILs from 17 different UK NHS Trusts were identified ranging from December 2016 to February 2024. Information provided in the PIL varied, with topics including general osteoarthritis management, exercise, analgesia, injections, and surgical indications. No PIL covered all areas recommended in the NICE Osteoarthritis Management guidelines.

CONCLUSION

PILs developed and published by NHS Trusts are variable in content and do not fully reflect current clinical guidelines. High-quality research to inform consistent, clinically, and cost-effective treatment pathways, including information provision, for patients with shoulder osteoarthritis is needed.

摘要

背景

肩部骨关节炎是疼痛、残疾和睡眠困难的常见原因。英国国民医疗服务体系(NHS)信托机构制作患者信息手册,目的是让患者了解自己的诊断情况和可用的治疗选择。

目的

本研究的目的是根据NHS信托机构制作的公开可用信息手册,确定并描述肩部骨关节炎患者的非手术治疗方法。

方法

一名评审员使用谷歌进行电子搜索,以确定NHS信托机构制作的面向患者的公开可用信息手册(PIL),这些手册详细介绍了肩部骨关节炎患者的非手术治疗策略。一名评审员提取相关数据,并由两名评审员进行核实。

结果

在2016年12月至2024年2月期间,共识别出来自英国17个不同NHS信托机构的17份信息手册。信息手册中提供的信息各不相同,主题包括骨关节炎的一般管理、运动、镇痛、注射和手术指征。没有一份信息手册涵盖了英国国家卫生与临床优化研究所(NICE)骨关节炎管理指南中推荐的所有领域。

结论

NHS信托机构制定和发布的信息手册内容各异,不能完全反映当前的临床指南。需要开展高质量的研究,为肩部骨关节炎患者提供一致、临床有效且具有成本效益的治疗途径,包括信息提供。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a4/11655428/11d27b14e79e/MSC-22-e70028-g003.jpg

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