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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2015

Open Access 01-12-2015 | Research article

Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review

Authors: Margit K. Kooijman, Di-Janne A. Barten, Ilse CS Swinkels, Ton Kuijpers, Dinny de Bakker, Bart W. Koes, Cindy Veenhof

Published in: BMC Musculoskeletal Disorders | Issue 1/2015

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Abstract

Background

Shoulder complaints are common and have an unfavourable prognosis in many patients. Prognostic information is helpful for both patients and clinicians in managing the complaints. The research question was which factors have prognostic value on (un)favourable outcome in patients with shoulder complaints in primary care, secondary care and occupational settings.

Methods

Update of a systematic review in primary care, secondary care and occupational settings.

Results

Nine articles were published since the original review in 2004. Six were of high quality covering a wide variety of prognostic factors and outcome measures. Four studies were conducted in primary care settings. A best evidence synthesis, including the results of the previous systematic review on this topic shows that there is strong evidence that higher shoulder pain intensity, concomitant neck pain and a longer duration of symptoms predict poorer outcome in primary care settings. In secondary care populations, strong evidence was found for the association between greater disability and poorer outcome and between the existence of previous shoulder pain and poorer outcome.

Conclusion

Clinicians may take these factors into account in the management of their patients. Those with a worse prognosis may be monitored more frequently and the treatment plan modified if complaints persist.
Appendix
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Metadata
Title
Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review
Authors
Margit K. Kooijman
Di-Janne A. Barten
Ilse CS Swinkels
Ton Kuijpers
Dinny de Bakker
Bart W. Koes
Cindy Veenhof
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2015
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-015-0738-4

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