Cristin-resultat-ID: 2048195
Sist endret: 28. september 2022, 13:40
NVI-rapporteringsår: 2022
Resultat
Vitenskapelig artikkel
2022

Patient-reported outcomes after initial conservative fracture treatment in primary healthcare – a survey study

Bidragsytere:
  • Stein Vabo
  • Knut Steen
  • Christina Elisabeth Brudvik
  • Steinar Hunskaar og
  • Tone Morken

Tidsskrift

BMC Primary Care
ISSN 2731-4553
e-ISSN 2731-4553
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2022
Volum: 23
Hefte: 1
Sider: 1 - 10
Artikkelnummer: 191
Open Access

Importkilder

Scopus-ID: 2-s2.0-85135191919

Beskrivelse Beskrivelse

Tittel

Patient-reported outcomes after initial conservative fracture treatment in primary healthcare – a survey study

Sammendrag

Background Primary healthcare in Norway has first-line responsibility for medical emergencies, including traumas and fractures. Normally, patients with suspected fractures are referred to specialist care. However, some municipalities have X-ray facilities and handle minor fractures locally. We investigated patient-reported outcome measures after initial treatment of radiologically diagnosed fractures of the wrist, collarbone, and ankle at a primary healthcare centre in a rural municipality with a large ski resort. The patients’ general satisfaction with the treatment was also investigated. Methods Validated questionnaires were sent to patients with fractures of the wrist or collarbone (Quick DASH—Disability of Arm, Shoulder and Hand) or the ankle (FAOS -The Foot and Ankle Outcome Score). Patients with wrist and collarbone fractures also answered the Quality-of-life questions that are a subscale of the FAOS questionnaire for ankle fractures. Patient satisfaction was measured for all fracture groups. The Quick DASH scale ranges from 0 (no disability at all) to 100 (great disability), while for FAOS a score of 100 indicates no symptoms and 0 indicates extreme disabilities. Results A total of 148 of 238 patients answered the questionnaire (62% response rate). Patients with distal radius fractures had a mean Quick DASH score of 5.1 (median 0, range 0–77), and scores were significantly lower for males (p = 0.013) and increased with age (p = 0.024). Patients with collarbone fractures had a mean Quick DASH score of 2.1 (median 0, range 0–32) with no significant age or gender differences. Patients with ankle fractures had the following mean subscale-scores: Pain, 93.8; Symptoms, 71.4; Activities of daily living, 97.4; Sport, 90.0; and Quality of life, 92.1. The scores did not differ significantly by specialization of the physician. A total of 88% of the patients were highly or very highly satisfied with the handling of their fracture. Conclusions The patients reported low rates of functional disability and high rates of satisfaction after initial radiological diagnosis and treatment of their fracture at the primary healthcare centre. Specialisation of the treating physician was not associated with the outcome in any of the fracture types.

Bidragsytere

Stein Vabo

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse og samfunn - Legevaktmedisin ved NORCE Norwegian Research Centre AS
  • Tilknyttet:
    Forfatter
    ved Diverse norske bedrifter og organisasjoner

Knut Steen

  • Tilknyttet:
    Forfatter
    ved NORCE Helse og samfunn ved NORCE Norwegian Research Centre AS

Christina Elisabeth Brudvik

  • Tilknyttet:
    Forfatter
    ved Klinisk institutt 1 ved Universitetet i Bergen

Steinar Hunskår

Bidragsyterens navn vises på dette resultatet som Steinar Hunskaar
  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter
    ved NORCE Helse og samfunn - Legevaktmedisin ved NORCE Norwegian Research Centre AS
Aktiv cristin-person

Tone Morken

  • Tilknyttet:
    Forfatter
    ved NORCE Helse og samfunn - Legevaktmedisin ved NORCE Norwegian Research Centre AS
1 - 5 av 5