دورية أكاديمية
Influences on the decision to use an osteoarthritis diagnosis in primary care: a cohort study with linked survey and electronic health record data.
| العنوان: | Influences on the decision to use an osteoarthritis diagnosis in primary care: a cohort study with linked survey and electronic health record data. |
|---|---|
| المؤلفون: | Jordan KP; Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. Electronic address: k.p.jordan@keele.ac.uk., Tan V; Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. Electronic address: v.a.tan@keele.ac.uk., Edwards JJ; Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. Electronic address: j.j.edwards@keele.ac.uk., Chen Y; Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. Electronic address: y.chen1@keele.ac.uk., Englund M; Clinical Epidemiology Unit, Orthopaedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Clinical Epidemiology Research & Training Unit, Boston University School of Medicine, Boston, MA, USA. Electronic address: martin.englund@med.lu.se., Hubertsson J; Clinical Epidemiology Unit, Orthopaedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden. Electronic address: jenny.hubertsson@med.lu.se., Jöud A; Department of Laboratory Medicine, Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden. Electronic address: anna.joud@med.lu.se., Porcheret M; Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. Electronic address: m.porcheret@keele.ac.uk., Turkiewicz A; Clinical Epidemiology Unit, Orthopaedics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden. Electronic address: aleksandra.turkiewicz@med.lu.se., Peat G; Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. Electronic address: g.m.peat@keele.ac.uk. |
| المصدر: | Osteoarthritis and cartilage [Osteoarthritis Cartilage] 2016 May; Vol. 24 (5), pp. 786-93. Date of Electronic Publication: 2015 Dec 31. |
| نوع المنشور: | Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders For The Osteoarthritis Research Society Country of Publication: England NLM ID: 9305697 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1522-9653 (Electronic) Linking ISSN: 10634584 NLM ISO Abbreviation: Osteoarthritis Cartilage Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : W.B. Saunders For The Osteoarthritis Research Society Original Publication: London : Published for the Society by Baillère Tindall, c1993- |
| مواضيع طبية MeSH: | Arthralgia/*diagnosis , Osteoarthritis/*diagnosis , Primary Health Care/*methods, Age Factors ; Aged ; Analgesics/therapeutic use ; Arthralgia/drug therapy ; Arthralgia/epidemiology ; Cohort Studies ; Diagnosis, Differential ; Drug Utilization/statistics & numerical data ; Electronic Health Records ; England/epidemiology ; Family Practice/methods ; Female ; Humans ; Male ; Medical Record Linkage ; Middle Aged ; Osteoarthritis/drug therapy ; Osteoarthritis/epidemiology ; Pain Measurement/methods ; Risk Factors |
| مستخلص: | Objective: Clinicians may record patients presenting with osteoarthritis (OA) symptoms with joint pain rather than an OA diagnosis. This may have implications for OA research studies and patient care. The objective was to assess whether older adults recorded with joint pain are similar to those with a recorded OA diagnosis. Method: A study of adults aged ≥50 years in eight United Kingdom general practices, with electronic health records linked to survey data. Patients with a recorded regional OA diagnosis were compared to those with a recorded joint pain symptom on socio-demographics, risk factors, body region, pain severity, prescribed analgesia, and potential differential diagnoses. A sub-group was compared on radiographic knee OA. Results: Thirteen thousand eight hundred and thirty-one survey responders consented to record review. One thousand four hundred and twenty-seven (10%) received an OA (n = 616) or joint pain (n = 811) code with wide practice variation. Receiving an OA diagnosis was associated with age (75+ compared to 50-64 OR 3.25; 95% Credible intervals (CrI) 2.36, 4.53), obesity (1.72; 1.22, 2.33), and pain interference (1.45; 1.09, 1.92). Analgesia management was similar. Radiographic OA was common in both groups. A quarter of those with a joint pain record received an OA diagnosis in the following 6 years. Conclusion: Recording OA diagnoses are less common than recording a joint pain symptom and associated with risk factors and severity. OA studies in primary care need to consider joint pain symptoms to understand the burden and quality of care across the spectrum of OA. Patients recorded with joint pain may represent early cases of OA with need for early intervention. (Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| References: | Pain. 2001 Jan;89(2-3):127-34. (PMID: 11166468) Rheumatology (Oxford). 2015 May;54(5):844-53. (PMID: 25336538) BMC Musculoskelet Disord. 2004 Feb 12;5:4. (PMID: 15028109) Pain. 2004 Jul;110(1-2):361-8. (PMID: 15275787) Acta Psychiatr Scand. 1983 Jun;67(6):361-70. (PMID: 6880820) Ann Rheum Dis. 1957 Dec;16(4):494-502. (PMID: 13498604) Br J Gen Pract. 2004 Dec;54(509):932-8. (PMID: 15588540) Fam Pract. 2005 Feb;22(1):96-102. (PMID: 15640301) Fam Pract. 2005 Feb;22(1):103-8. (PMID: 15640302) Rheumatology (Oxford). 2006 Jun;45(6):757-60. (PMID: 16418199) Ann Rheum Dis. 2006 Oct;65(10):1363-7. (PMID: 16627539) Ann Rheum Dis. 2007 Jan;66(1):86-91. (PMID: 16877532) Br J Gen Pract. 2007 Jan;57(534):7-14. (PMID: 17244418) BMC Musculoskelet Disord. 2007;8:85. (PMID: 17760988) Pain. 2008 Jul 31;137(3):652-61. (PMID: 18434022) Qual Life Res. 2008 May;17(4):529-39. (PMID: 18365768) Osteoarthritis Cartilage. 2010 Jan;18(1):24-33. (PMID: 19751691) Ann Rheum Dis. 2010 Mar;69(3):483-9. (PMID: 19762361) Eur J Pain. 2013 Mar;17(3):434-43. (PMID: 22865816) Ann Rheum Dis. 2014 Jan;73(1):212-8. (PMID: 23345602) Rheumatology (Oxford). 2014 Feb;53(2):338-45. (PMID: 24173433) Osteoarthritis Cartilage. 2014 Nov;22(11):1826-32. (PMID: 25084132) Osteoarthritis Cartilage. 2015 Apr;23(4):507-15. (PMID: 25447976) BMC Fam Pract. 2015;16:11. (PMID: 25649201) Rheumatology (Oxford). 2015 May;54(5):827-35. (PMID: 25313145) Disabil Rehabil. 2001 Oct 15;23(15):654-64. (PMID: 11720115) |
| معلومات مُعتمدة: | IAT/I-PF/010/009 United Kingdom DH_ Department of Health; G9900220 United Kingdom MRC_ Medical Research Council; G0501798 United Kingdom MRC_ Medical Research Council; 2008 IPF PORCHERET United Kingdom DH_ Department of Health; 18175 United Kingdom ARC_ Arthritis Research UK; RP-PG-0407-10386 United Kingdom DH_ Department of Health |
| فهرسة مساهمة: | Keywords: Computerized patient medical records; Osteoarthritis; Primary health care |
| المشرفين على المادة: | 0 (Analgesics) |
| تواريخ الأحداث: | Date Created: 20160110 Date Completed: 20170103 Latest Revision: 20220321 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4850243 |
| DOI: | 10.1016/j.joca.2015.12.015 |
| PMID: | 26746149 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1522-9653 |
|---|---|
| DOI: | 10.1016/j.joca.2015.12.015 |