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- Title
Prognostic indicators for non-recovery of non-traumatic complaints at arm, neck and shoulder in general practice—6 months follow-up.
- Authors
A. Feleus; S. M. A. Bierma-Zeinstra; H. S. Miedema; A. P. Verhagen; A. P. Nauta; A. Burdorf; J. A. N. Verhaar; B. W. Koes
- Abstract
Objectives. To identify predictors of non-recovery in non-traumatic complaints at the arm, neck and shoulder in general practice 6 months after the first consultation.Methods. A prospective cohort study was set in 21 Dutch general practices. Consulters with a first or new episode of non-traumatic arm, neck or shoulder complaints and age 18 through 64 yrs entered the cohort. Complaint, patient, physical, psychosocial and work characteristics were investigated as possible predictors of non-recovery at 6 months using multiple logistic regression analyses (backward Wald).Results. At 6 months, 46% of the total population (n = 612) and 42% of the working subpopulation (n = 473) still reported complaints. Complaint characteristics (long duration of the complaint before consultation, recurrent complaint, musculoskeletal comorbidity and complaint mainly located at wrist or hand) were most predictive of non-recovery followed by psychosocial characteristics (more somatization and experiencing less social support). Having a specific diagnosis was associated with recovery. In the working subpopulation, the same variables were predictors of non-recovery. Additionally, low supervisory support was associated with non-recovery. The models correctly classified 72–75% of the patients (explained variance 0.27–0.28).Conclusions. Besides questions on complaint characteristics, information on somatization and support can help a general practitioner to recognize patients at risk of persistent complaints.
- Subjects
ARM diseases; NECK diseases; SHOULDER disorders; COHORT analysis
- Publication
Rheumatology, 2007, Vol 46, Issue 1, p169
- ISSN
1462-0324
- Publication type
Article
- DOI
10.1093/rheumatology/kel164