Knee Pain as the Reason for Encounter in General Practice

Objective. Currently, an overview of the management of knee pain in general practitioner’s offices is not available. The main concern of this study was to evaluate the consultation prevalence of knee pain, accompanying symptoms, the frequency of diagnostic and therapeutic procedures, and results of encounters of patients suffering from knee pain. Methods. For the SESAM 2 study cross-sectional data was collected from randomly selected patients during one year and compared with publicly available data from the Dutch Transition Project. Results. Overall, 127 out of 8,877 (1.4%) patients of the SESAM 2 study and 6,754 out of 149,238 (4.5%) patients of the Dutch Transition Project consulted for knee pain. Drug prescription, follow-up consultation, giving doctor’s advice, and referral to a specialist or physiotherapist were the most frequent procedures. Osteoarthritis of the knee and other musculoskeletal diseases were the most frequent results of encounter. Overweight, age, gender, and other musculoskeletal diseases were found to be significantly associated with knee pain. Conclusion. Knee pain in general practice settings is mainly associated with chronic problems. Dangerous outcomes (as suspected fracture or thrombosis) are rare. Further research is needed in order to reduce the influence knee pain has on daily living.

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Off-label drug prescriptions in French general practice: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-026076 ◽

2019 ◽

Vol 9 (4) ◽

pp. e026076 ◽

Cited By ~ 1

Author(s):

François Drogou ◽

Allison Netboute ◽

Joris Giai ◽

Xavier Dode ◽

David Darmon ◽

...

Keyword(s):

General Practice ◽

Drug Prescription ◽

Low Frequency ◽

Cross Sectional Study ◽

Drug Prescriptions ◽

Off Label Use ◽

Sectional Study ◽

Cross Sectional ◽

Off Label ◽

Label Use

ObjectivesOff-label drug prescribing is a public health and economic issue. The aim of this study was to describe off-label prescription in general practice in France, in terms of frequency and nature, and to identify its main determining factors.DesignMulticentre cross-sectional studySettingTwenty-three training general practice officesParticipantsAll the voluntary patients coming for a medical consultation or visited at home over a cumulative period of 5 days per office between November 2015 and January 2016.MethodsEleven interns, acting as observers, collected data. Two reviewers analysed the drugs prescribed by the trainers, in order to identify those prescribed off-label in terms of their indication or the age of the patient. We used a univariate, then a multivariate model, based on hierarchical mixed-effects logistic regression.ResultsAmong the 4932 drug prescriptions registered, 911 (18.5%[95% CI17.4% to 19.6%]) were off-label, of which 865 (17.6%) due to the indication of the drug and 58 (1.2%) due to the age of the patient. The prescription never mentioned the off-label use, neither was the patient informed of it, as required by the French law. With the multivariate analysis, variables contributing to off-label prescription were the number of drugs (OR=1.05 for each additional drug), the initiation of new drug therapy (OR=1.26) and the non-specific goal of the prescription (OR=1.43); the age of the patient ≤14 years (OR=1.42); the rural location of the physician’s practice (OR=1.38) and the low frequency of the visits of national health insurance representatives (OR=0.93).ConclusionAlmost one out of five drugs prescribed in French general practice was off-label. It seems necessary to better train physicians in clinical pharmacology, to provide them with more effective drug prescription software, to reinforce postmarketing surveillance and to clearly define off-label use by consensus.

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Headache in General Practice: Frequency, Management, and Results of Encounter

International Scholarly Research Notices ◽

10.1155/2014/169428 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Thomas Frese ◽

Henriette Druckrey ◽

Hagen Sandholzer

Keyword(s):

General Practice ◽

General Practitioner ◽

Drug Prescription ◽

Spinal Column ◽

Primary Headache ◽

Secondary Headache ◽

Upper Respiratory Tract ◽

Cross Sectional ◽

Frequency Management ◽

Tract Infections

Objective. Headache is a common reason for consulting the general practitioner. The goal of the investigation was to characterize the headache consultation rates, the associated symptoms, the frequency of diagnostic and therapeutic procedures, and the results of the encounter of patients with headache. Methods. Cross-sectional data were collected from randomly selected patients during the German SESAM 2 study and compared with unpublished but publicly available data from the Dutch Transition Project. Results. Headache accounts for up to five percent of all general practice consultations. Women consult the general practitioner for headache twice as often as men. Physical examination and drug prescription are the most frequent procedures. Most of the patients suffer from primary headache; secondary headache is due to upper respiratory tract infections or problems of the spinal column. Dangerous courses occur in very rare cases. Conclusion. This work confirms the findings of earlier studies regarding the management of patients that consult the general practitioner for headache. It broadens the preexisting database since cross-sectional data regarding headache in general practice was rarely published.

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Patterns of hypnotic drug prescription in Italy

The British Journal of Psychiatry ◽

10.1192/bjp.170.2.176 ◽

1997 ◽

Vol 170 (2) ◽

pp. 176-180 ◽

Cited By ~ 14

Author(s):

M. Balestrieri ◽

M. Bortolomasi ◽

M. Galletta ◽

C. Bellantuono

Keyword(s):

General Practice ◽

Drug Prescription ◽

Community Sample ◽

The Elderly ◽

Short Acting ◽

Large Cities ◽

Hypnotic Drug ◽

North Eastern ◽

Hypnotic Drugs ◽

One Year

BackgroundIn Italy a number of studies have been published on psychotropic drug use in general practice and community settings. However, the present study is the first Italian study to focus on hypnotic drug prescriptions in a large community sample.MethodData were collected from 145 of the total of 404 pharmacies of five large cities in north-eastern Italy. All consecutive patients presenting a prescription for a hypnotic drug were interviewed by the pharmacists during a two-week period.ResultsThe pharmacists interviewed 7/44 consecutive patients. The highest prevalence of prescriptions for hypnotic drugs was found in the elderly and in women. The majority (96%) of prescriptions were for benzodiazepines, with lorazepam and triazolam accounting for 50%. Short-acting and ultra-short-acting benzodiazepines were more frequently prescribed for sleep induction by general practitioners (GPs) than by psychiatrists and other physicians. Frequently the benzodiazepine used as a hypnotic was also prescribed for day time sedation. Approximately 72% of subjects reported they had been taking the prescribed drug for one year or more.ConclusionsIn Italy benzodiazepines are the most frequently prescribed drugs for sleep induction; as they are widely prescribed for elderly people by GPs often for long periods of time, educational programmes and guidelines on the rational use of benzodiazepines in general practice are needed.

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Lateral Trunk Motion and Knee Pain in Osteoarthritis of the Knee: a cross-sectional study

BMC Musculoskeletal Disorders ◽

10.1186/1471-2474-12-141 ◽

2011 ◽

Vol 12 (1) ◽

Cited By ~ 12

Author(s):

Martin van der Esch ◽

Martijn PM Steultjens ◽

Jaap Harlaar ◽

Josien C van den Noort ◽

Dirk L Knol ◽

...

Keyword(s):

Knee Pain ◽

Cross Sectional Study ◽

Osteoarthritis Of The Knee ◽

Sectional Study ◽

Cross Sectional ◽

Trunk Motion

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Relationships between Pain, Function and Radiographic Findings in Osteoarthritis of the Knee: A Cross-Sectional Study

Arthritis ◽

10.1155/2012/984060 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 43

Author(s):

Duygu Cubukcu ◽

Ayse Sarsan ◽

Hakan Alkan

Keyword(s):

Knee Pain ◽

Disease Duration ◽

Osteoarthritis Of The Knee ◽

Womac Pain ◽

Cross Sectional ◽

Radiographic Findings ◽

Knee Oa ◽

Duration Of Disease ◽

Grading Scale ◽

The Mean

Objectives. The aim of this study was to investigate the relationships between pain, disability, and radiographic findings in patients with knee osteoarthritis (OA). Patients and Methods. A total of 114 patients with knee OA who attended the physical medicine and rehabilitation outpatient clinic were included in this study. The diagnosis was based on the American College of Rheumatology (ACR) criteria for knee OA. Age, duration of disease, and body mass index (BMI) of the patients were recorded. Radiographic features on the two-sided knee radiography were assessed with the Kellgren-Lawrence scale. The severity of knee pain, stiffness, and disability were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results. The mean age of the patients was 56.98 (±8.28) years and the mean disease duration was 4.14 (±4.15) years. Kellgren-Lawrence grading scale and age or disease duration were positively and significantly associated, whereas none of the WOMAC subscores were found to be related with Kellgren-Lawrence grading scale (). On the other hand, WOMAC disability scores were significantly associated with WOMAC pain and WOMAC stiffness (). Conclusions. Knee pain, stiffness, and duration of disease may affect the level of disability in the patients with knee OA. Therefore treatment of knee OA could be planned according to the clinical features and functional status instead of radiological findings.

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Effects of Sarcopenia and Sarcopenic Obesity on Joint Pain and Degenerative Osteoarthritis in Postmenopausal Women

10.21203/rs.3.rs-1155240/v1 ◽

2021 ◽

Author(s):

Hye In Kim ◽

So Hyun Ahn ◽

Yup Kim ◽

Ji Eun Lee ◽

Seok Kyo Seo

Keyword(s):

Postmenopausal Women ◽

Knee Pain ◽

Cross Sectional Study ◽

Obese Group ◽

Sarcopenic Obesity ◽

Obese Women ◽

Cross Sectional ◽

Knee Oa ◽

Health And Nutrition ◽

One Year

Abstract This study aimed to identify the prevalence of sarcopenia, obesity, and sarcopenic obesity and examine their association with radiographic knee osteoarthritis (OA) and knee pain in Korean menopausal women. This cross-sectional study utilized the data from Korean National Health and Nutrition Examination Surveys 2009–2011. The participants were categorized based on body composition. The prevalence of radiographic knee OA and knee pain was calculated. The effect of hormone therapy (HT) was also evaluated. The prevalence of radiographic knee OA, knee pain, and both were all highest in the sarcopenic obese group and lowest in the non-sarcopenic non-obese group. Without sarcopenia, obese women showed higher ratio of radiographic knee OA. With sarcopenia, the coexistence of obesity presented higher ratio of radiographic knee OA, knee pain, and both compared to sarcopenia without obesity. The use of HT for more than one year was not associated with radiographic knee OA, knee pain, or both. Obesity with sarcopenia had greater effect on knee OA compared to obesity without sarcopenia. Moreover, HT use for more than one year was not associated with the prevalence of knee OA. Therefore, more efforts should focus on reducing body fat and increasing muscle in postmenopausal women with knee OA.

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Drug prescription pattern for asthma among nigerian doctors in general practice: A cross-sectional survey

Annals of Thoracic Medicine ◽

10.4103/1817-1737.94524 ◽

2012 ◽

Vol 7 (2) ◽

pp. 78 ◽

Cited By ~ 6

Author(s):

AdemolaE Fawibe ◽

CajetanC Onyedum ◽

OlumideM Sogaolu ◽

AO Ajayi ◽

AJ Fasae

Keyword(s):

General Practice ◽

Drug Prescription ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Prescription Pattern

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Nurse’s knowledge and Awareness Regarding Cervical Cancer and its Prevention in Different Hospitals of Quetta, Pakistan

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2018.v04i01.06 ◽

2017 ◽

Vol 4 (1) ◽

pp. 436-441

Author(s):

Saba Haider ◽

Noman Ul Haq ◽

Sohail Riaz ◽

Aqeel Nasim ◽

Muhammad Saood ◽

...

Keyword(s):

Cervical Cancer ◽

Family History ◽

Sampling Technique ◽

Knowledge Score ◽

Validity And Reliability ◽

Contributing Factors ◽

Cross Sectional ◽

Adequate Knowledge ◽

Current Area ◽

One Year

Objective: This study aimed to assess the knowledge and awareness regarding cervical cancer and its prevention among nurses working in different hospitals of Quetta, Pakistan. Methodology: The cross sectional, descriptive study was conducted by using structured questionnaire in different hospitals of Quetta from January to September 2016. Convenient sampling technique was applied by targeting all the nurses working in different hospitals of Quetta city. Study questionnaire was developed and tested for validity and reliability. Descriptive and inferential statistics (Mann Whitney U test and Kruskal Wallis tests, p<0.05) were used to assess the significance among study variables and were performed by using IBM SPSS v.20. Results: Out of 415 distributed questionnaires 324 were returned (response rate of 78%). The mean Age of respondents was 28.18 ±9.5 years. Majority (n=127, 43.3%) of participants were interns and had no or less than one year of experience (n=128, 43.7%) with negative family history of any cancer (n=275, 93.9%). Mean knowledge score was 18.52±4.84with majority (n=258, 88.1%) had adequate knowledge regarding cervical cancer. Respondent sage, current area of practice, qualification, Institute of degree and past family history were contributing factors (p > 0.05) in adequate knowledge in this study. The results also reviled that not only 68.3% (n=200) and 65.5% (n=192) respondents knew that cervical cancer is vaccine preventable and availability of the vaccine for it. Conclusions: Nurses working in different hospitals of Quetta city had better understanding of the disease cervical cancer and its prevention. Yet many of the respondent are not aware of it vaccine and its availability.

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Computed Tomography Angiography (CTA) Evaluation of Spontaneous Subarachnoid Hemorrhage

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v6i2.50745 ◽

2020 ◽

Vol 6 (2) ◽

pp. 78-81

Author(s):

Md Tauhidul Islam Chowdhury ◽

Mohammad Shah Jahirul Hoque Chowdhury ◽

Mohammad Sadekur Rahman Sarkar ◽

KM Ahasan Ahmed ◽

Md Nazmul Kabir ◽

...

Keyword(s):

Computed Tomography ◽

Subarachnoid Hemorrhage ◽

Computed Tomography Angiography ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Multiple Aneurysm ◽

Traumatic Subarachnoid Hemorrhage ◽

One Year ◽

Spontaneous Subarachnoid Hemorrhage

Background: In evaluation of non-traumatic subarachnoid hemorrhage CT angiography (CTA) has 97-98% sensitivity and near 100% specificity. Objective: This study was conducted to evaluate the CTA findings of CT positive non traumatic subarachnoid hemorrhage. Methodology: This is an observational cross sectional study performed in Neurology department of National Institute of Neurosciences and Hospital, Dhaka over one year period (January 2019 to December 2019). Total 87 CT positive subarachnoid hemorrhage cases were purposively included in this study. All CT positive patients underwent CTA of Cerebral vessels for further evaluation. The angiography were evaluated by competent neuro-radiologists blinded about the study. Result: Among 87 patients, 40.2% were male and 59.8% were female. The average age was 53.33±11.1 years. Among the studied patient the source of bleeding was found 78.16% aneurysmal and 21.84% non-aneurysmal. 85.30% patients had single aneurysm and 14.70% had multiple aneurysm. The highest number of patient had Acom aneurysm (41.17%) followed by MCA (22.05%), ICA (13.23%), ACA (7.35%) and vertebral artery (1.14%) in order of frequency. Among the multiple aneurysm group most of the patients had combination of Acom, MCA and ICA aneurysm. Conclusion: From this study, we can conclude that CTA can be used as the primary diagnostic tool in evaluation of spontaneous SAH. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 78-81

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