Evidence map›Paper›PMID 37669000›Full record

ArticleFamily practice2023

Patellofemoral pain in general practice: the incidence and management.

Guido J van Leeuwen, Evelien I T de Schepper, Patrick J E Bindels, Sita M A Bierma-Zeinstra, Marienke van Middelkoop

Open access · hybridAbstract read
In one paragraph

Article in Family practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Guido J van LeeuwenDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-6199-6206
Evelien I T de SchepperDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-1896-6343
Patrick J E BindelsDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-5941-4820
Sita M A Bierma-ZeinstraDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-1280-5896
Marienke van MiddelkoopDepartment of General Practice, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-6926-0618
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatellofemoral pain (PFP) is a nontraumatic knee problem primarily observed in physically active adolescents. The objective of this study was to determine the incidence and management of PFP in children and adolescents in general practice.

methodsA retrospective cohort study was conducted using a regional primary care database containing full electronic health records of over 300,000 patients. Patients with a new PFP diagnosis between the years 2013 and 2019 were extracted using a search algorithm based on International Classification of Primary Health Care coding and search terms in free text. Data on the management of PFP were manually checked and analysed. In addition, a sub-analysis for chronic and nonchronic PFP patients was performed.

resultsThe mean incidence of PFP over the study period was 3.4 (95% CI 3.2-3.6) per 1,000 person years in the age group of 7-24 years. Girls had a higher incidence rate (4.6 [95% CI 4.3-5.0]) compared to boys (2.3 [95% CI 2.1-2.5]). Peak incidence was at age 13 years for both sexes. The most commonly applied management strategy was advice (55.1%), followed by referral to physiotherapy (28.2%), analgesics prescription (10.4%), and referral to the orthopaedic surgeon (8.9%). No differences were found in age, sex, and treatment between chronic and nonchronic PFP patients.

conclusionsThe average Dutch general practitioner sees approximately 1.4 new child or adolescent with PFP per year. Overall management strategies were in concordance with current Dutch general practice guideline on nontraumatic knee problems. More insight should be gained in the population with chronic complaints.

Indexed as

General PracticeGeneral PractitionersPatellofemoral Pain SyndromeAdolescentAdultChildFemaleHumansIncidenceMaleRetrospective StudiesYoung Adultadolescentscohort studiesepidemiologygeneral practiceincidencekneemanagementpatellofemoral painprimary health care

Identifiers

PMID37669000
PMCPMC10667070
OpenAlexW4386438305

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.