Trajectories of Musculoskeletal Healthcare Utilization of People with Chronic Musculoskeletal Pain - A Population-Based Cohort Study
| Autor: | Anne Smith, David Høyrup Christiansen, Søren Mose, Johan Hviid Andersen, Peter Kent |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Musculoskeletal pain
Healthcare use medicine.medical_specialty Healthcare utilization Chronic musculoskeletal pain chronic musculoskeletal pain Epidemiology Population Population based cohort Health care Medicine Clinical Epidemiology education healthcare registers Original Research National health education.field_of_study musculoskeletal business.industry healthcare utilization latent class growth analysis Latent class growth analysis Musculoskeletal Physical therapy Healthcare registers business Cohort study |
| Zdroj: | Mose, S, Kent, P, Smith, A, Andersen, J H & Christiansen, D H 2021, ' Trajectories of Musculoskeletal Healthcare Utilization of People with Chronic Musculoskeletal Pain-A Population-Based Cohort Study ', Clinical epidemiology, vol. 13, pp. 825-843 . https://doi.org/10.2147/CLEP.S323903 Mose, S, Kent, P, Smith, A, Andersen, J H & Christiansen, D H 2021, ' Trajectories of musculoskeletal healthcare utilization of people with chronic musculoskeletal pain – a population-based cohort study ', Clinical Epidemiology, vol. 13, pp. 825-843 . https://doi.org/10.2147/CLEP.S323903 Clinical Epidemiology |
| Popis: | Background and Aim Chronic musculoskeletal pain is common and associated with more general healthcare-seeking. However, musculoskeletal-related healthcare utilization is under-explored. This study aimed to explore, describe and profile trajectories of long-term musculoskeletal healthcare for people reporting chronic musculoskeletal pain. Methods This exploratory prognostic cohort study combined survey and national health register data from a representative group of adult Danes reporting chronic musculoskeletal pain (N = 2929). Trajectories of long-term musculoskeletal healthcare use were generated using latent class growth analysis. Types of healthcare-seeking, individual, sociodemographic, health, belief and work-related factors were used to describe and profile identified trajectories. Results We identified five distinct trajectories of long-term musculoskeletal healthcare utilization (low stable, low ascending, low descending, medium stable and high stable). The low stable trajectory group (no or almost no annual contacts) represented 39% of the sample, whereas the high stable trajectory group (consistent high number of annual contacts) represented 8%. Most healthcare-seeking was in primary healthcare settings (GP/physiotherapy/chiropractor). Opioid consumption was primarily in the high stable trajectory group, and surgery was rare. There were statistically significant differences across the five trajectory groups in individual, sociodemographic, health, belief and work-related profiles. Conclusion Long-term use of musculoskeletal healthcare services varied in this chronic musculoskeletal pain population. Almost 40% coped without seeking care, whereas 8% had consistent high use of healthcare services. Chronic musculoskeletal pain was mostly managed in primary care settings, which aligns with musculoskeletal guidelines, as did the use of pain medication and surgery. People with different musculoskeletal healthcare trajectories had different individual, sociodemographic, health, belief and work-related profiles. Video Abstract Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/o24sO5gidU4 |
| Databáze: | OpenAIRE |
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