Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2012

Open Access 01-12-2012 | Research article

Population-based consultation patterns in patients with shoulder pain diagnoses

Authors: Eva Tekavec, Anna Jöud, Ralf Rittner, Zoli Mikoczy, Catarina Nordander, Ingemar F Petersson, Martin Englund

Published in: BMC Musculoskeletal Disorders | Issue 1/2012

Login to get access

Abstract

Background

To assess the annual consultation prevalence and new onset consultation rate for doctor-diagnosed shoulder pain conditions.

Methods

We identified all residents in the southernmost county in Sweden who received a shoulder pain diagnosis during 2006 (ICD-10 code M75). In subjects who did not consult due to such disorders during 2004 and 2005, we estimated the new onset consultation rate. The distribution of specific shoulder conditions and the length of the period of repeated consultation were calculated.

Results

Annual consultation prevalence was 103/10 000 women and 98/10 000 men. New onset consultation rate was 80/10 000 women (peak in age 50–59 at 129/10 000) and 74/10 000 men (peak in age 60–69 at 116/10 000). About one fifth of both genders continued to consult more than three months after initial presentation, but only a few percent beyond two years. Rotator cuff - and impingement syndromes were the most frequent diagnoses.

Conclusion

The annual consultation prevalence for shoulder pain conditions (1%) was similar in women and men, and about two thirds of patients consulted a doctor only once. Impingement and rotator cuff syndromes were the most frequent diagnoses.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bernard BP: Musculoskeletal Disorders and Workplace Factors. A Critical Review of Epidemiological Evidence for Work-Related Musculoskeletal Disorders of the Neck, Upper extremity, and Low Back. 1997, Cincinatti, OH, US: National Institute of Occupational Safety and Health, 97-141. Bernard BP: Musculoskeletal Disorders and Workplace Factors. A Critical Review of Epidemiological Evidence for Work-Related Musculoskeletal Disorders of the Neck, Upper extremity, and Low Back. 1997, Cincinatti, OH, US: National Institute of Occupational Safety and Health, 97-141.
2.
go back to reference Buckle PW, Devereux JJ: The nature of work-related neck and upper limb musculoskeletal disorders. Appl Ergon. 2002, 333: 207-217.CrossRef Buckle PW, Devereux JJ: The nature of work-related neck and upper limb musculoskeletal disorders. Appl Ergon. 2002, 333: 207-217.CrossRef
3.
go back to reference Luime JJ, Kuiper JI, Koes BW, et al: Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers. Scand J Work Environ Health. 2004, 304: 279-286.CrossRef Luime JJ, Kuiper JI, Koes BW, et al: Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers. Scand J Work Environ Health. 2004, 304: 279-286.CrossRef
4.
go back to reference Woolf AD, Akesson K: Understanding the burden of musculoskeletal conditions. The burden is huge and not reflected in national health priorities. BMJ. 2001, 3227294: 1079-1080.CrossRef Woolf AD, Akesson K: Understanding the burden of musculoskeletal conditions. The burden is huge and not reflected in national health priorities. BMJ. 2001, 3227294: 1079-1080.CrossRef
5.
go back to reference Meislin RJ, Sperling JW, Stitik TP: Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. Am J Orthop (Belle Mead NJ). 2005, 3412 (Suppl): 5-9. Meislin RJ, Sperling JW, Stitik TP: Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. Am J Orthop (Belle Mead NJ). 2005, 3412 (Suppl): 5-9.
8.
go back to reference Bergman S, Herrstrom P, Hogstrom K, et al: Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol. 2001, 286: 1369-1377. Bergman S, Herrstrom P, Hogstrom K, et al: Chronic musculoskeletal pain, prevalence rates, and sociodemographic associations in a Swedish population study. J Rheumatol. 2001, 286: 1369-1377.
9.
go back to reference Joud A, Petersson IF, Englund M: Low back pain - epidemiology of consultations. Arthritis Care Res (Hoboken). 2012, 64: 1084-1088. Joud A, Petersson IF, Englund M: Low back pain - epidemiology of consultations. Arthritis Care Res (Hoboken). 2012, 64: 1084-1088.
10.
go back to reference Urwin M, Symmons D, Allison T, et al: Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998, 5711: 649-655.CrossRef Urwin M, Symmons D, Allison T, et al: Estimating the burden of musculoskeletal disorders in the community: the comparative prevalence of symptoms at different anatomical sites, and the relation to social deprivation. Ann Rheum Dis. 1998, 5711: 649-655.CrossRef
11.
go back to reference van Rijn RM, Huisstede BM, Koes BW, et al: Associations between work-related factors and specific disorders of the shoulder–a systematic review of the literature. Scand J Work Environ Health. 2010, 363: 189-201.CrossRef van Rijn RM, Huisstede BM, Koes BW, et al: Associations between work-related factors and specific disorders of the shoulder–a systematic review of the literature. Scand J Work Environ Health. 2010, 363: 189-201.CrossRef
12.
go back to reference Ahacic K, Kareholt I: Prevalence of musculoskeletal pain in the general Swedish population from 1968 to 2002: age, period, and cohort patterns. Pain. 2010, 1511: 206-214.CrossRef Ahacic K, Kareholt I: Prevalence of musculoskeletal pain in the general Swedish population from 1968 to 2002: age, period, and cohort patterns. Pain. 2010, 1511: 206-214.CrossRef
13.
go back to reference Jordan KP, Kadam UT, Hayward R, et al: Annual consultation prevalence of regional musculoskeletal problems in primary care: an observational study. BMC Musculoskelet Disord. 2010, 11: 144-10.1186/1471-2474-11-144.CrossRefPubMedPubMedCentral Jordan KP, Kadam UT, Hayward R, et al: Annual consultation prevalence of regional musculoskeletal problems in primary care: an observational study. BMC Musculoskelet Disord. 2010, 11: 144-10.1186/1471-2474-11-144.CrossRefPubMedPubMedCentral
14.
go back to reference Bot SD, van der Waal JM, Terwee CB, et al: Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis. 2005, 641: 118-123.CrossRef Bot SD, van der Waal JM, Terwee CB, et al: Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis. 2005, 641: 118-123.CrossRef
15.
go back to reference Linsell L, Dawson J, Zondervan K, et al: Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology (Oxford). 2006, 452: 215-221. Linsell L, Dawson J, Zondervan K, et al: Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology (Oxford). 2006, 452: 215-221.
16.
go back to reference Greving K, Dorrestijn O, Winters J, et al: Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol. 2011, 41: 150-155.CrossRefPubMed Greving K, Dorrestijn O, Winters J, et al: Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol. 2011, 41: 150-155.CrossRefPubMed
17.
go back to reference Feleus A, Bierma-Zeinstra SM, Miedema HS, et al: Incidence of non-traumatic complaints of arm, neck and shoulder in general practice. Man Ther. 2008, 135: 426-433.CrossRef Feleus A, Bierma-Zeinstra SM, Miedema HS, et al: Incidence of non-traumatic complaints of arm, neck and shoulder in general practice. Man Ther. 2008, 135: 426-433.CrossRef
18.
go back to reference van der Windt DA, Koes BW, de Jong BA, et al: Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995, 5412: 959-964.CrossRef van der Windt DA, Koes BW, de Jong BA, et al: Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995, 5412: 959-964.CrossRef
19.
go back to reference Buckle PW: Work factors and upper limb disorders. BMJ. 1997, 3157119: 1360-1363.CrossRef Buckle PW: Work factors and upper limb disorders. BMJ. 1997, 3157119: 1360-1363.CrossRef
20.
go back to reference Bodin J, Ha C, Chastang JF, et al: Comparison of risk factors for shoulder pain and rotator cuff syndrome in the working population. Am J Ind Med. 2011, 55: 605-615.CrossRefPubMed Bodin J, Ha C, Chastang JF, et al: Comparison of risk factors for shoulder pain and rotator cuff syndrome in the working population. Am J Ind Med. 2011, 55: 605-615.CrossRefPubMed
21.
go back to reference Roquelaure Y, Bodin J, Ha C, et al: Personal, biomechanical, and psychosocial risk factors for rotator cuff syndrome in a working population. Scand J Work Environ Health. 2011, 376: 502-511.CrossRef Roquelaure Y, Bodin J, Ha C, et al: Personal, biomechanical, and psychosocial risk factors for rotator cuff syndrome in a working population. Scand J Work Environ Health. 2011, 376: 502-511.CrossRef
22.
go back to reference Roquelaure Y, Mariel J, Fanello S, et al: Active epidemiological surveillance of musculoskeletal disorders in a shoe factory. Occup Environ Med. 2002, 597: 452-458.CrossRef Roquelaure Y, Mariel J, Fanello S, et al: Active epidemiological surveillance of musculoskeletal disorders in a shoe factory. Occup Environ Med. 2002, 597: 452-458.CrossRef
23.
go back to reference Leclerc A, Landre MF, Chastang JF, et al: Upper-limb disorders in repetitive work. Scand J Work Environ Health. 2001, 274: 268-278.CrossRef Leclerc A, Landre MF, Chastang JF, et al: Upper-limb disorders in repetitive work. Scand J Work Environ Health. 2001, 274: 268-278.CrossRef
24.
go back to reference Bergman S, Jacobsson LT, Herrstrom P, et al: Health status as measured by SF-36 reflects changes and predicts outcome in chronic musculoskeletal pain: a 3-year follow up study in the general population. Pain. 2004, 1081–2: 115-123.CrossRef Bergman S, Jacobsson LT, Herrstrom P, et al: Health status as measured by SF-36 reflects changes and predicts outcome in chronic musculoskeletal pain: a 3-year follow up study in the general population. Pain. 2004, 1081–2: 115-123.CrossRef
25.
go back to reference Treaster DE, Burr D: Gender differences in prevalence of upper extremity musculoskeletal disorders. Ergonomics. 2004, 475: 495-526.CrossRef Treaster DE, Burr D: Gender differences in prevalence of upper extremity musculoskeletal disorders. Ergonomics. 2004, 475: 495-526.CrossRef
26.
go back to reference Hooftman WE, van Poppel MN, van der Beek AJ, et al: Gender differences in the relations between work-related physical and psychosocial risk factors and musculoskeletal complaints. Scand J Work Environ Health. 2004, 304: 261-278.CrossRef Hooftman WE, van Poppel MN, van der Beek AJ, et al: Gender differences in the relations between work-related physical and psychosocial risk factors and musculoskeletal complaints. Scand J Work Environ Health. 2004, 304: 261-278.CrossRef
27.
go back to reference Englund M, Joud A, Geborek P, et al: Prevalence and incidence of rheumatoid arthritis in southern Sweden 2008 and their relation to prescribed biologics. Rheumatology (Oxford). 2010, 498: 1563-1569.CrossRef Englund M, Joud A, Geborek P, et al: Prevalence and incidence of rheumatoid arthritis in southern Sweden 2008 and their relation to prescribed biologics. Rheumatology (Oxford). 2010, 498: 1563-1569.CrossRef
28.
go back to reference Haglund E, Bremander AB, Petersson IF, et al: Prevalence of spondyloarthritis and its subtypes in southern Sweden. Ann Rheum Dis. 2011, 706: 943-948.CrossRef Haglund E, Bremander AB, Petersson IF, et al: Prevalence of spondyloarthritis and its subtypes in southern Sweden. Ann Rheum Dis. 2011, 706: 943-948.CrossRef
30.
go back to reference Dorrestijn O, Greving K, van der Veen WJ, et al: Patients with shoulder complaints in general practice: consumption of medical care. Rheumatology (Oxford). 2011, 502: 389-395.CrossRef Dorrestijn O, Greving K, van der Veen WJ, et al: Patients with shoulder complaints in general practice: consumption of medical care. Rheumatology (Oxford). 2011, 502: 389-395.CrossRef
31.
go back to reference Winters JC, Sobel JS, Groenier KH, et al: The long-term course of shoulder complaints: a prospective study in general practice. Rheumatology (Oxford). 1999, 382: 160-163.CrossRef Winters JC, Sobel JS, Groenier KH, et al: The long-term course of shoulder complaints: a prospective study in general practice. Rheumatology (Oxford). 1999, 382: 160-163.CrossRef
32.
go back to reference Luime JJ, Koes BW, Miedem HS, et al: High incidence and recurrence of shoulder and neck pain in nursing home employees was demonstrated during a 2-year follow-up. J Clin Epidemiol. 2005, 584: 407-413.CrossRef Luime JJ, Koes BW, Miedem HS, et al: High incidence and recurrence of shoulder and neck pain in nursing home employees was demonstrated during a 2-year follow-up. J Clin Epidemiol. 2005, 584: 407-413.CrossRef
33.
go back to reference van der Heijden GJ: Shoulder disorders: a state-of-the-art review. Baillieres Best Pract Res Clin Rheumatol. 1999, 132: 287-309.CrossRef van der Heijden GJ: Shoulder disorders: a state-of-the-art review. Baillieres Best Pract Res Clin Rheumatol. 1999, 132: 287-309.CrossRef
34.
go back to reference Croft P, Pope D, Silman A: The clinical course of shoulder pain: prospective cohort study in primary care. Primary Care Rheumatology Society Shoulder Study Group. BMJ. 1996, 3137057: 601-602.CrossRef Croft P, Pope D, Silman A: The clinical course of shoulder pain: prospective cohort study in primary care. Primary Care Rheumatology Society Shoulder Study Group. BMJ. 1996, 3137057: 601-602.CrossRef
35.
go back to reference de Zwart BC, Frings-Dresen MH, Kilbom A: Gender differences in upper extremity musculoskeletal complaints in the working population. Int Arch Occup Environ Health. 2001, 741: 21-30. de Zwart BC, Frings-Dresen MH, Kilbom A: Gender differences in upper extremity musculoskeletal complaints in the working population. Int Arch Occup Environ Health. 2001, 741: 21-30.
36.
go back to reference Mehlum IS, Kjuus H, Veiersted KB, et al: Self-reported work-related health problems from the Oslo Health Study. Occup Med (Lond). 2006, 566: 371-379.CrossRef Mehlum IS, Kjuus H, Veiersted KB, et al: Self-reported work-related health problems from the Oslo Health Study. Occup Med (Lond). 2006, 566: 371-379.CrossRef
37.
go back to reference Silverstein B, Fan ZJ, Smith CK, et al: Gender adjustment or stratification in discerning upper extremity musculoskeletal disorder risk?. Scand J Work Environ Health. 2009, 352: 113-126.CrossRef Silverstein B, Fan ZJ, Smith CK, et al: Gender adjustment or stratification in discerning upper extremity musculoskeletal disorder risk?. Scand J Work Environ Health. 2009, 352: 113-126.CrossRef
38.
go back to reference Keijsers E, Feleus A, Miedema HS, et al: Psychosocial factors predicted nonrecovery in both specific and nonspecific diagnoses at arm, neck, and shoulder. J Clin Epidemiol. 2010, 6312: 1370-1379.CrossRef Keijsers E, Feleus A, Miedema HS, et al: Psychosocial factors predicted nonrecovery in both specific and nonspecific diagnoses at arm, neck, and shoulder. J Clin Epidemiol. 2010, 6312: 1370-1379.CrossRef
39.
40.
go back to reference Sheridan MA, Hannafin JA: Upper extremity: emphasis on frozen shoulder. Orthop Clin North Am. 2006, 374: 531-539.CrossRef Sheridan MA, Hannafin JA: Upper extremity: emphasis on frozen shoulder. Orthop Clin North Am. 2006, 374: 531-539.CrossRef
41.
go back to reference Roquelaure Y, Ha C, Rouillon C, et al: Risk factors for upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 2009, 6110: 1425-1434.CrossRef Roquelaure Y, Ha C, Rouillon C, et al: Risk factors for upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 2009, 6110: 1425-1434.CrossRef
42.
go back to reference Cyriax J: Diagnosis at the shoulder. S Afr Med J. 1958, 323: 62-68. Cyriax J: Diagnosis at the shoulder. S Afr Med J. 1958, 323: 62-68.
43.
go back to reference Sluiter JK, Rest KM, Frings-Dresen MH: Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders. Scand J Work Environ Health. 2001, 27 (Suppl 1): 1-102.CrossRefPubMed Sluiter JK, Rest KM, Frings-Dresen MH: Criteria document for evaluating the work-relatedness of upper-extremity musculoskeletal disorders. Scand J Work Environ Health. 2001, 27 (Suppl 1): 1-102.CrossRefPubMed
44.
go back to reference de Winter AF, Jans MP, Scholten RJ, et al: Diagnostic classification of shoulder disorders: interobserver agreement and determinants of disagreement. Ann Rheum Dis. 1999, 585: 272-277.CrossRef de Winter AF, Jans MP, Scholten RJ, et al: Diagnostic classification of shoulder disorders: interobserver agreement and determinants of disagreement. Ann Rheum Dis. 1999, 585: 272-277.CrossRef
45.
go back to reference Schellingerhout JM, Verhagen AP, Thomas S, et al: Lack of uniformity in diagnostic labeling of shoulder pain: time for a different approach. Man Ther. 2008, 136: 478-483.CrossRef Schellingerhout JM, Verhagen AP, Thomas S, et al: Lack of uniformity in diagnostic labeling of shoulder pain: time for a different approach. Man Ther. 2008, 136: 478-483.CrossRef
46.
go back to reference Walker-Bone K, Palmer KT, Reading I, et al: Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum. 2004, 514: 642-651.CrossRef Walker-Bone K, Palmer KT, Reading I, et al: Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum. 2004, 514: 642-651.CrossRef
47.
go back to reference Palmer KT, Harris EC, Linaker C, et al: Optimising case definitions of upper limb disorder for aetiological research and prevention: a review. Occup Environ Med. 2012, 691: 71-78.CrossRef Palmer KT, Harris EC, Linaker C, et al: Optimising case definitions of upper limb disorder for aetiological research and prevention: a review. Occup Environ Med. 2012, 691: 71-78.CrossRef
48.
go back to reference Van Eerd D, Beaton D, Cole D, et al: Classification systems for upper-limb musculoskeletal disorders in workers: a review of the literature. J Clin Epidemiol. 2003, 5610: 925-936.CrossRef Van Eerd D, Beaton D, Cole D, et al: Classification systems for upper-limb musculoskeletal disorders in workers: a review of the literature. J Clin Epidemiol. 2003, 5610: 925-936.CrossRef
Metadata
Title
Population-based consultation patterns in patients with shoulder pain diagnoses
Authors
Eva Tekavec
Anna Jöud
Ralf Rittner
Zoli Mikoczy
Catarina Nordander
Ingemar F Petersson
Martin Englund
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2012
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-13-238

Other articles of this Issue 1/2012

BMC Musculoskeletal Disorders 1/2012 Go to the issue