| Referrals from a primary care-based sports medicine department to an orthopaedic department: a retrospective cohort study. | |
| | |
MedLine Citation:
|
PMID: 20961919 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Objective To describe the impact of an expanded primary care-based sports medicine clinic on referrals to an orthopaedics clinic and to describe the patients seen and procedures performed. Design Retrospective cohort study. Setting Primary care-based sports medicine clinic and orthopaedics clinic at a tax-supported American safety net healthcare system. Participants All patients referred to the sports medicine clinic by other primary care physicians over a 1-year time period of July 2006-June 2007. Main outcome measures The referral rate from sports medicine clinic to orthopaedics clinic, the percentage of referred patients who were recommended surgery by the orthopaedists, the change in average waiting time to be seen in orthopaedics clinic and the most common conditions and procedures. Results 4925 patients were seen by the sports medicine department; 118 (2.4%) of those patients were referred to the orthopaedic department. Of the referred patients, surgery was offered by orthopaedists to 80 (68%) patients. The average wait for initial consultation by the orthopaedic spine clinic decreased from 199 to 70 days; the wait for general orthopaedic clinic decreased from 97 to 19 days. No single patient complaint or musculoskeletal pathology predominated: knee degenerative joint disease (25.3%), mechanical low back pain (21.6%) and lumbar disc disease (19.9%). Knee injections and epidural steroid injections were the most common procedures performed. Conclusions Very few patients with musculoskeletal pathology were referred by a primary care-based sports medicine clinic to an orthopaedics clinic. Of the referred patients, sports medicine physicians and orthopaedists frequently agreed on the need for surgery. Expansion of a primary care-based sports medicine service could help relieve overburdened orthopaedics departments of patients with conditions not requiring surgery. |
| | |
Authors:
|
Robert D Menzies; Richard A Young |
Related Documents
:
|
19470309 - Managing clinical grant costs. 15679789 - The role of urinary urgency and its measurement in the overactive bladder symptom syndr... 21943359 - Perceptions of the muslim religious leaders and their attitudes on herbal medicine in b... 6979419 - Appropriate uses of human immunoglobulin in clinical practice: memorandum from an iuis/... 19846889 - International consensus report on the investigation and management of primary immune th... 22043729 - Revisit, revamp and revitalize your business plan: part 4. 17299609 - Translational sciences-turning drug-like molecules into medicines. 2928899 - Surgical anatomy of the liver. 21058589 - Comparison of korean and european women professional golfers' training time and percept... |
Publication Detail:
|
Type: Journal Article Date: 2010-10-19 |
Journal Detail:
|
Title: British journal of sports medicine Volume: 45 ISSN: 1473-0480 ISO Abbreviation: Br J Sports Med Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-09-19 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0432520 Medline TA: Br J Sports Med Country: England |
Other Details:
|
Languages: eng Pagination: 1064-7 Citation Subset: IM |
Affiliation:
|
John Peter Smith Hospital, 701 E. I-20, Arlington, TX 76018, USA. rmenzies@jpshealth.org. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Injury risk of playing football in Futsal World Cups.
Next Document: Clustered metabolic risk and leisure-time physical activity in adolescents: effect of dose?