| 1. |
- Atroshi, Isam, et al.
(författare)
-
Primary care patients with musculoskeletal pain : value of health-status and sense-of-coherence measures in predicting long-term work disability
- 2002
-
Ingår i: Scandinavian Journal of Rheumatology. - 0300-9742 .- 1502-7732. ; 31:4, s. 239-244
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate long-term sick leave among primary care patients with musculoskeletal disorders and the predictive value of health-status and sense-of-coherence measures. METHODS: Patients aged 17 to 64 years who, during seven weeks, attended one of six primary care centers because of non-traumatic musculoskeletal pain and who completed the SF-36 health questionnaire and the sense of coherence (SOC) scale at baseline and after one year. RESULTS: Of 189 patients, 36 (19%) were sicklisted for at least three months before and/or after their visit; the most common diagnoses were non-specific soft-tissue or multiple joint, low back, and shoulder pain. The long-term sicklisted patients had significantly worse baseline SF-36 and SOC scores than the non-sicklisted patients; moderate improvement in the SF-36 bodily pain but no improvement in the physical functioning scores occurred. The duration of sick leave at baseline and the SF-36 bodily pain score were significant predictors of continuos one-year work disability. CONCLUSION: Long-term sick leave was common among primary care patients with musculoskeletal pain. The physical functioning and return-to-work outcomes after one year were poor. The SF-36 bodily pain scale might be helpful in identifying at risk patients.
|
|
| 2. |
- Atroshi, Isam, et al.
(författare)
-
Primary care patients with musculoskeletal pain. Value of health-status and sense-of-coherence measures in predicting long-term work disability
- 2002
-
Ingår i: Scandinavian Journal of Rheumatology. - : Informa UK Limited. - 1502-7732 .- 0300-9742. ; 31:4, s. 239-244
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To investigate long-term sick leave among primary care patients with musculoskeletal disorders and the predictive value of health-status and sense-of-coherence measures. METHODS: Patients aged 17 to 64 years who, during seven weeks, attended one of six primary care centers because of non-traumatic musculoskeletal pain and who completed the SF-36 health questionnaire and the sense of coherence (SOC) scale at baseline and after one year. RESULTS: Of 189 patients, 36 (19%) were sicklisted for at least three months before and/or after their visit; the most common diagnoses were non-specific soft-tissue or multiple joint, low back, and shoulder pain. The long-term sicklisted patients had significantly worse baseline SF-36 and SOC scores than the non-sicklisted patients; moderate improvement in the SF-36 bodily pain but no improvement in the physical functioning scores occurred. The duration of sick leave at baseline and the SF-36 bodily pain score were significant predictors of continuos one-year work disability. CONCLUSION: Long-term sick leave was common among primary care patients with musculoskeletal pain. The physical functioning and return-to-work outcomes after one year were poor. The SF-36 bodily pain scale might be helpful in identifying at risk patients.
|
|
| 3. |
|
|
| 4. |
- Odenbring, Sten, et al.
(författare)
-
Long-term Outcomes of Arthroscopic Acromioplasty for Chronic Shoulder Impingement Syndrome: A Prospective Cohort Study With a Minimum of 12 Years' Follow-up
- 2008
-
Ingår i: Arthroscopy. - : Elsevier BV. - 0749-8063. ; 24:10, s. 1092-1098
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: The Purpose of this Study was to evaluate long-term outcomes of arthroscopic acromioplasty for shoulder impingement syndrome. Methods: This was a prospective cohort study of 31 shoulders (24 men) that underwent arthroscopic acromioplasty for shoulder impingement syndrome during 1992 and 1993. The mean age at surgery was 49 years (range, 33 to 68 years). A group of 29 shoulders (22 men) operated on consecutively with open acromioplasty from 1985 through 1991 served as controls. The patients were evaluated with the University of California, Los Angeles (UCLA) score (range, 0 to 35 points) at baseline and at 2 follow-up times performed at a mean of I and 13 years after surgery, respectively. At the second follow-up, the Disabilities of the Arm. Shoulder and Hand score, the Short Form-36 bodily pain score, and the EQ-5D health utility index also were obtained. Results: After arthroscopic acromioplasty, the mean improvement in UCLA score from baseline to long-term follow-up was 13 points (95% confidence interval, 11 to 15 points), and the scores indicated an excellent or good result in 77% of shoulders. The mean UCLA score was 32 points (SD, 5 points) for the patients treated with arthroscopic acromioplasty and 28 points (SD, 8 points) for those treated with open acromioplasty; the mean difference was 4.3 points (95% confidence interval, 0.4 to 8.2 points P = .03). In a mixed-model analysis adjusting for age. sex, duration of symptoms, preoperative UCLA score, dominance of operated side. rotator Cuff status at surgery, and time since surgery, the rate of change from baseline in UCLA score over time was significantly better after arthroscopic surgery than after open Surgery. Conclusions: Good results of arthroscopic acromioplasty were maintained at 12 to 14 years after surgery with excellent or good results shown in 77% of shoulders, and the long-term outcomes were superior to those after open acromioplasty. Level of Evidence: Level III, therapeutic case-control study.
|
|
| 5. |
- Odenbring, Sten, et al.
(författare)
-
Proteoglycan epitope in synovial fluid in gonarthrosis : 28 cases of tibial osteotomy studied prospectively for 2 years
- 1991
-
Ingår i: Acta Orthopaedica. - : Medical Journals Sweden AB. - 1745-3674 .- 0001-6470. ; 62:2, s. 169-173
-
Tidskriftsartikel (refereegranskat)abstract
- High tibial osteotomy was performed for medial gonarthrosis in 28 patients. Preoperatively, and at 3, 12, and 24 months after surgery, clinical and radiographic examinations were made, and joint-fluid samples were aspirated. Arthroscopy was performed preoperatively and at 24 months. Immunoassay of proteoglycan epitope in joint fluid showed an increase in concentration at all times as compared with a reference population with normal knee joints. An increase in both the concentration and the total amount of proteoglycan epitope in joint fluid was noted at 3 months postoperatively with a return to preoperative values at later times. Regrowth of fibrocartilage did not correlate with proteoglycan epitope data
|
|
