PMID- 25103016
OWN - NLM
STAT- MEDLINE
DCOM- 20141210
LR  - 20220409
IS  - 1651-2081 (Electronic)
IS  - 1650-1977 (Linking)
VI  - 46
IP  - 9
DP  - 2014 Oct
TI  - Shoulder pain patients in primary care--part 1: Clinical outcomes over 12 months 
      following standardized diagnostic workup, corticosteroid injections, and 
      community-based care.
PG  - 898-907
LID - 10.2340/16501977-1860 [doi]
AB  - OBJECTIVE: Measure changes in pain and disability of primary care shoulder pain 
      patients over a 12-month period. DESIGN: A non-randomized audit with repeated 
      measures of pain and disability at 3 weeks, 3, 6 and 12 months. PATIENTS: Of 208 
      patients, 161 agreed to participate with 96.9%, 98.1%, 86.3%, 83.9% follow-up at 
      3 weeks, at 3, 6 and 12 months, respectively. Mean age was 44 years, mean symptom 
      duration 3.6 months. METHODS: PATIENTS were treated with protocol driven 
      corticosteroid injection and community based care. Primary outcome measure was 
      the Shoulder Pain and Disability index (SPADI) questionnaire. Based on the SPADI 
      and minimal clinically important difference (MCID), outcomes were categorized 
      into: total recovery, 90% or more improved, better, unchanged and worse. RESULTS: 
      There was significant reduction of pain and disability at 3 weeks (p < 0.001), no 
      change at the 3- and 6-month follow-up and a significant reduction at the 
      12-month follow-up (p < 0.001). Excellent outcomes were achieved by 32.9% and 
      45.3%, and a poor clinical outcome resulted for 32.8% and 14.9% at the 3- and 
      12-month follow-up, respectively. CONCLUSION: Though there was significant 
      improvement at the 3-week and 12-month follow-up, 45% achieved an excellent 
      outcome and a 16.7% of patients were the same or worse than baseline at 12 
      months.
FAU - Laslett, Mark
AU  - Laslett M
AD  - Health and Rehabilitation Research Institute, AUT University, Auckland, New 
      Zealand. mark.laslett@xtra.co.nz, mark.laslett@aut.ac.nz.
FAU - Steele, Michael
AU  - Steele M
FAU - Hing, Wayne
AU  - Hing W
FAU - McNair, Peter
AU  - McNair P
FAU - Cadogan, Angela
AU  - Cadogan A
LA  - eng
PT  - Journal Article
PL  - Sweden
TA  - J Rehabil Med
JT  - Journal of rehabilitation medicine
JID - 101088169
RN  - 0 (Adrenal Cortex Hormones)
SB  - IM
MH  - Adrenal Cortex Hormones/*therapeutic use
MH  - Adult
MH  - Aged
MH  - Disability Evaluation
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Injections
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - *Primary Health Care
MH  - Shoulder Pain/*diagnosis/*drug therapy
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
EDAT- 2014/08/12 06:00
MHDA- 2014/12/15 06:00
CRDT- 2014/08/09 06:00
PHST- 2014/08/09 06:00 [entrez]
PHST- 2014/08/12 06:00 [pubmed]
PHST- 2014/12/15 06:00 [medline]
AID - 10.2340/16501977-1860 [doi]
PST - ppublish
SO  - J Rehabil Med. 2014 Oct;46(9):898-907. doi: 10.2340/16501977-1860.