2005
Prognosis of trochanteric pain in primary care
Publication
Publication
British Journal of General Practice p. 199- 204
BACKGROUND: Trochanteric pain is the second most important diagnosis of
hip problems presenting in primary care, but its incidence and prognosis
in this context is largely unknown. AIM: To determine the 1- and 5-year
prognoses of trochanteric pain and the predictive variables for consistent
complaints.
DESIGN OF THE STUDY: Retrospective cohort study. SETTING: One
hundred and sixty-four patients (mean age = 55 years, 80% female) with
incidental trochanteric pain in the years 1996 or 2000 were asked in 2001
for past and present symptoms of trochanteric pain. Therapeutic
interventions, demographic factors and comorbidity were also investigated.
METHOD: The databases of 39 GPs were screened in order to identify all
incident cases with a suspicion of trochanteric pain in the years 1996 or
2000. These cases were sent a questionnaire.
RESULTS: The incidence of
trochanteric pain in primary care is 1.8 patients per 1000 per year. After
1 year at least 36% still suffered from trochanteric pain, and after 5
years this was 29%. Patients with osteoarthritis (OA) in the lower limbs
had a 4.8-fold risk of persistent symptoms after 1 year, as compared to
patients without OA. Patients who had received a corticosteroid injection
had a 2.7-fold chance of recovery after 5 years, as compared with patients
who had not received an injection.
CONCLUSION: Trochanteric pain is shown
to be a chronic disease in a substantial number of patients. The disorder
is associated with much impairment when conducting daily activities.
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hdl.handle.net/1765/10380 | |
British Journal of General Practice | |
Organisation | Erasmus MC: University Medical Center Rotterdam |
Schouten, B., Bohnen, A., Koes, B., Verhaar, J., Bierma-Zeinstra, S., & Lievense, A. (2005). Prognosis of trochanteric pain in primary care. British Journal of General Practice, 199–204. Retrieved from http://hdl.handle.net/1765/10380 |