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Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review
BACKGROUND: Shoulder complaints are common and have an unfavourable prognosis in many patients. Prognostic information is helpful for both patients and clinicians in managing the complaints. The research question was which factors have prognostic value on (un)favourable outcome in patients with shou...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600288/ https://www.ncbi.nlm.nih.gov/pubmed/26453452 http://dx.doi.org/10.1186/s12891-015-0738-4 |
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author | Kooijman, Margit K. Barten, Di-Janne A. Swinkels, Ilse CS Kuijpers, Ton de Bakker, Dinny Koes, Bart W. Veenhof, Cindy |
author_facet | Kooijman, Margit K. Barten, Di-Janne A. Swinkels, Ilse CS Kuijpers, Ton de Bakker, Dinny Koes, Bart W. Veenhof, Cindy |
author_sort | Kooijman, Margit K. |
collection | PubMed |
description | BACKGROUND: Shoulder complaints are common and have an unfavourable prognosis in many patients. Prognostic information is helpful for both patients and clinicians in managing the complaints. The research question was which factors have prognostic value on (un)favourable outcome in patients with shoulder complaints in primary care, secondary care and occupational settings. METHODS: Update of a systematic review in primary care, secondary care and occupational settings. RESULTS: Nine articles were published since the original review in 2004. Six were of high quality covering a wide variety of prognostic factors and outcome measures. Four studies were conducted in primary care settings. A best evidence synthesis, including the results of the previous systematic review on this topic shows that there is strong evidence that higher shoulder pain intensity, concomitant neck pain and a longer duration of symptoms predict poorer outcome in primary care settings. In secondary care populations, strong evidence was found for the association between greater disability and poorer outcome and between the existence of previous shoulder pain and poorer outcome. CONCLUSION: Clinicians may take these factors into account in the management of their patients. Those with a worse prognosis may be monitored more frequently and the treatment plan modified if complaints persist. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12891-015-0738-4) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4600288 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46002882015-10-11 Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review Kooijman, Margit K. Barten, Di-Janne A. Swinkels, Ilse CS Kuijpers, Ton de Bakker, Dinny Koes, Bart W. Veenhof, Cindy BMC Musculoskelet Disord Research Article BACKGROUND: Shoulder complaints are common and have an unfavourable prognosis in many patients. Prognostic information is helpful for both patients and clinicians in managing the complaints. The research question was which factors have prognostic value on (un)favourable outcome in patients with shoulder complaints in primary care, secondary care and occupational settings. METHODS: Update of a systematic review in primary care, secondary care and occupational settings. RESULTS: Nine articles were published since the original review in 2004. Six were of high quality covering a wide variety of prognostic factors and outcome measures. Four studies were conducted in primary care settings. A best evidence synthesis, including the results of the previous systematic review on this topic shows that there is strong evidence that higher shoulder pain intensity, concomitant neck pain and a longer duration of symptoms predict poorer outcome in primary care settings. In secondary care populations, strong evidence was found for the association between greater disability and poorer outcome and between the existence of previous shoulder pain and poorer outcome. CONCLUSION: Clinicians may take these factors into account in the management of their patients. Those with a worse prognosis may be monitored more frequently and the treatment plan modified if complaints persist. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12891-015-0738-4) contains supplementary material, which is available to authorized users. BioMed Central 2015-10-09 /pmc/articles/PMC4600288/ /pubmed/26453452 http://dx.doi.org/10.1186/s12891-015-0738-4 Text en © Kooijman et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Kooijman, Margit K. Barten, Di-Janne A. Swinkels, Ilse CS Kuijpers, Ton de Bakker, Dinny Koes, Bart W. Veenhof, Cindy Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review |
title | Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review |
title_full | Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review |
title_fullStr | Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review |
title_full_unstemmed | Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review |
title_short | Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review |
title_sort | pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4600288/ https://www.ncbi.nlm.nih.gov/pubmed/26453452 http://dx.doi.org/10.1186/s12891-015-0738-4 |
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