Encounters for foot and ankle pain in UK primary care: a population-based cohort study of CPRD data.
Adolescent
Adult
Aged
Aged, 80 and over
Ankle
Child
Child, Preschool
Cohort Studies
Facilities and Services Utilization
Female
Foot
General Practice
/ statistics & numerical data
Humans
Infant
Infant, Newborn
Male
Middle Aged
Pain
/ epidemiology
Prevalence
Primary Health Care
/ statistics & numerical data
Referral and Consultation
/ statistics & numerical data
United Kingdom
Young Adult
ankle
burden
foot
pain
prevalence
Journal
The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
30
07
2018
accepted:
24
10
2018
pubmed:
22
5
2019
medline:
2
1
2020
entrez:
22
5
2019
Statut:
ppublish
Résumé
Older patients who have foot pain report variation in access to services to manage their foot health. To plan services it is essential to understand the scale and burden of foot pain that exists for GPs. To provide UK-wide population-level data of the frequency of foot and/or ankle pain encounters recorded in general practice. Population-based cohort design study using data drawn from the UK Clinical Practice Research Datalink (CPRD) from January 2010 to December 2013. All CPRD data were collected prospectively by participating GPs. The primary outcome was prevalence of GP encounters for foot and/or ankle pain, stratified by age, sex, and different subgroups of causes. A foot and/or ankle pain encounter was recorded for 346 067 patients, and there was a total of 567 095 recorded encounters (mean per person 1.6, standard deviation [SD] 1.3). The prevalence of recorded encounters of foot and/or ankle pain was 2980 per 100 000 (3%). The number of patients with a recorded encounter of foot and/or ankle pain was 1820 per 100 000 (1.8%). Foot and/or ankle pain encounters were reported across all age groups (54.4% females), with those aged 71-80 years placing the greatest burden on GPs. The most common specified referrals were to orthopaedics ( The burden of foot and/or ankle pain encounters recorded by GPs is not insubstantial, and spans all ages, with a high proportion of referrals to orthopaedics. The authors recommend further exploration of 'first-contact practitioners' for foot and/or ankle pain in general practice to alleviate the burden on GPs.
Sections du résumé
BACKGROUND
BACKGROUND
Older patients who have foot pain report variation in access to services to manage their foot health. To plan services it is essential to understand the scale and burden of foot pain that exists for GPs.
AIM
OBJECTIVE
To provide UK-wide population-level data of the frequency of foot and/or ankle pain encounters recorded in general practice.
DESIGN AND SETTING
METHODS
Population-based cohort design study using data drawn from the UK Clinical Practice Research Datalink (CPRD) from January 2010 to December 2013.
METHOD
METHODS
All CPRD data were collected prospectively by participating GPs. The primary outcome was prevalence of GP encounters for foot and/or ankle pain, stratified by age, sex, and different subgroups of causes.
RESULTS
RESULTS
A foot and/or ankle pain encounter was recorded for 346 067 patients, and there was a total of 567 095 recorded encounters (mean per person 1.6, standard deviation [SD] 1.3). The prevalence of recorded encounters of foot and/or ankle pain was 2980 per 100 000 (3%). The number of patients with a recorded encounter of foot and/or ankle pain was 1820 per 100 000 (1.8%). Foot and/or ankle pain encounters were reported across all age groups (54.4% females), with those aged 71-80 years placing the greatest burden on GPs. The most common specified referrals were to orthopaedics (
CONCLUSION
CONCLUSIONS
The burden of foot and/or ankle pain encounters recorded by GPs is not insubstantial, and spans all ages, with a high proportion of referrals to orthopaedics. The authors recommend further exploration of 'first-contact practitioners' for foot and/or ankle pain in general practice to alleviate the burden on GPs.
Identifiants
pubmed: 31109927
pii: bjgp19X703817
doi: 10.3399/bjgp19X703817
pmc: PMC6532799
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e422-e429Subventions
Organisme : Department of Health
ID : CDF-2015-08-032
Pays : United Kingdom
Informations de copyright
© British Journal of General Practice 2019.
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