Prevalence and incidence rate of lower-extremity tendinopathies in a Danish general practice: a registry-based study.
Achilles Tendon
Adolescent
Adult
Aged
Child
Child, Preschool
Denmark
/ epidemiology
Female
General Practice
/ statistics & numerical data
Humans
Incidence
Infant
Infant, Newborn
Lower Extremity
Male
Middle Aged
Pain
/ epidemiology
Patellar Ligament
Plantar Plate
Prevalence
Registries
/ statistics & numerical data
Tendinopathy
/ complications
Young Adult
Epidemiology
General practice
Incidence rate
Prevalence
Tendinopathy
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
22 May 2019
22 May 2019
Historique:
received:
07
03
2019
accepted:
14
05
2019
entrez:
23
5
2019
pubmed:
23
5
2019
medline:
18
12
2019
Statut:
epublish
Résumé
Tendinopathies of the lower extremity (e.g. Achilles, patellar, and plantar heel pain) are common in both general and sporting populations. However, the prevalence and incidence in Danish general practice is unknown. The aim was to determine the prevalence and incidence rate of lower-extremity tendinopathies in a Danish general practice. In this registry-based study, we extracted data from the electronic patient files of all patients in a single Danish general practice. The practice included 8836 patients. We searched ICPC-2 codes to identify patients with either of the following lower-extremity tendinopathies: plantar heel pain; Achilles tendinopathy; patellar tendinopathy; greater trochanteric pain syndrome or adductor tendinopathy. We defined an incident and prevalent case as a patient with a consultation because of tendinopathy in 2016 only. A prevalent, but not incident case was a patient with consultations in both 2015 and 2016. Incidence and prevalence were expressed as the number of patients with a tendinopathy per 1000 registered patients. The prevalence and incidence rate were 16.6 and 7.9 per 1000 registered patients, respectively. Plantar heel pain was the most prevalent tendinopathy and accounted for 39% of lower-extremity tendinopathies. Patients with tendinopathies were significantly older than all registered patients (46.0 years (95%CI: 43.3;48.7) versus 38.8 years (95%CI: 38.4;39.3), respectively). Lower-extremity tendinopathies, especially plantar heel pain, had a high prevalence and incidence rate in a Danish general practice. In a typical general practice with 5000 patients, general practitioners should expect to see more than 80 patients with a lower-extremity tendinopathy every year.
Sections du résumé
BACKGROUND
BACKGROUND
Tendinopathies of the lower extremity (e.g. Achilles, patellar, and plantar heel pain) are common in both general and sporting populations. However, the prevalence and incidence in Danish general practice is unknown. The aim was to determine the prevalence and incidence rate of lower-extremity tendinopathies in a Danish general practice.
METHODS
METHODS
In this registry-based study, we extracted data from the electronic patient files of all patients in a single Danish general practice. The practice included 8836 patients. We searched ICPC-2 codes to identify patients with either of the following lower-extremity tendinopathies: plantar heel pain; Achilles tendinopathy; patellar tendinopathy; greater trochanteric pain syndrome or adductor tendinopathy. We defined an incident and prevalent case as a patient with a consultation because of tendinopathy in 2016 only. A prevalent, but not incident case was a patient with consultations in both 2015 and 2016. Incidence and prevalence were expressed as the number of patients with a tendinopathy per 1000 registered patients.
RESULTS
RESULTS
The prevalence and incidence rate were 16.6 and 7.9 per 1000 registered patients, respectively. Plantar heel pain was the most prevalent tendinopathy and accounted for 39% of lower-extremity tendinopathies. Patients with tendinopathies were significantly older than all registered patients (46.0 years (95%CI: 43.3;48.7) versus 38.8 years (95%CI: 38.4;39.3), respectively).
CONCLUSIONS
CONCLUSIONS
Lower-extremity tendinopathies, especially plantar heel pain, had a high prevalence and incidence rate in a Danish general practice. In a typical general practice with 5000 patients, general practitioners should expect to see more than 80 patients with a lower-extremity tendinopathy every year.
Identifiants
pubmed: 31113484
doi: 10.1186/s12891-019-2629-6
pii: 10.1186/s12891-019-2629-6
pmc: PMC6530027
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
239Références
Pain. 2003 Mar;102(1-2):167-78
pubmed: 12620608
Age Ageing. 2004 Sep;33(5):461-7
pubmed: 15271637
Br J Gen Pract. 2005 Mar;55(512):199-204
pubmed: 15808035
J Public Health (Oxf). 2006 Sep;28(3):278-82
pubmed: 16905714
Am J Prev Med. 2007 Sep;33(3):250-64
pubmed: 17826585
Br J Sports Med. 2008 Nov;42(11):901-8
pubmed: 18658250
J Appl Physiol (1985). 2009 Apr;106(4):1385-93
pubmed: 18927264
Am J Sports Med. 2009 Sep;37(9):1855-67
pubmed: 19188560
Scand J Med Sci Sports. 2011 Feb;21(1):3-17
pubmed: 20673247
Br J Sports Med. 2011 Oct;45(13):1026-8
pubmed: 21926076
Int J Environ Res Public Health. 2013 Feb 25;10(3):747-61
pubmed: 23439514
Sports Med. 2013 Apr;43(4):267-86
pubmed: 23494258
Phys Sportsmed. 2013 Sep;41(3):36-49
pubmed: 24113701
J Sports Sci Med. 2011 Jun 01;10(2):238-53
pubmed: 24149868
J Arthroplasty. 2014 Feb;29(2):383-6
pubmed: 24210307
J Nutr Health Aging. 2014 Apr;18(4):441-8
pubmed: 24676328
Scand J Med Sci Sports. 2015 Oct;25(5):678-84
pubmed: 25091500
PLoS Med. 2015 Oct 06;12(10):e1001885
pubmed: 26440803
Sports Med. 2016 Apr;46(4):545-57
pubmed: 26626072
BMC Musculoskelet Disord. 2016 Jan 13;17:16
pubmed: 26759254
Int J Family Med. 2016;2016:8212837
pubmed: 27274872
Br J Sports Med. 2017 Nov;51(22):1576-1577
pubmed: 28219944
Res Sports Med. 2017 Jul-Sep;25(3):253-265
pubmed: 28391723
Scand J Med Sci Sports. 2018 Dec;28(12):2643-2650
pubmed: 30203866
Aust Fam Physician. 1997 Jan;26 Suppl 1:S12-7
pubmed: 9009030