Evidence map›Paper›PMID 39034654›Full record

ArticleScandinavian journal of primary health care2024

Musculoskeletal disorders in Norway: trends in health care utilization and patient pathways: a nationwide register study.

Mari Kristine Tyrdal, Flavie Perrier, Cecilie Røe, Bård Natvig, Astrid Klopstad Wahl, Marit B Veierød, Hilde Stendal Robinson

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

7 authors.

Mari Kristine TyrdalDepartment of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Oslo, Norway.
Flavie PerrierOslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Cecilie RøeDepartment of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.
Bård NatvigDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Astrid Klopstad WahlDepartment of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Oslo, Norway.
Marit B VeierødOslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Hilde Stendal RobinsonDepartment of Interdisciplinary Health Sciences, Institute of Health and Society, University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDescribe trends in health care utilization, demographic characteristics and patient pathways among patients with musculoskeletal disorders (MSD) in Norway.

designRegister-based cohort study. SETTINGS: Data were obtained from two Norwegian National registries; the Norwegian Control and Payment of Health Reimbursements Database (KUHR) and the Norwegian Patient Registry (NPR). SUBJECTS: Patients with MSD according to ICPC-2 and ICD-10 during 2014-2017.

main outcome measuresPatient pathways from the first contact and the following two years, described in a Sankey Diagram for all MSD patients and three common diagnoses: spine pain, osteoarthritis (OA) and fibromyalgia (FM).

resultAbout 26% of the Norwegian population consulted PHC annually while 7% were treated in SHC. Mean age was 47 and 53 years in PHC and SHC, respectively. The proportion of women increased by age. Spine pain was the most common diagnosis; 33% and 22% in PHC and SHC, respectively. Over 90% visited a GP first, 50% of them were treated by PT and/or in SHC during follow-up. Patients visiting the PT first were less likely to be treated in SHC. OA patients were most likely to be treated by more than one health care professional (>70%).

conclusionOne third of the Norwegian population consulted health care services due to MSD annually between 2014-2017. GP was the most consulted health care professional. Among MSD patients with long-term use of health care services, 50% were treated by a PT and/or in SHC in addition to a GP.

Indexed as

FibromyalgiaMusculoskeletal DiseasesPatient Acceptance of Health CareRegistriesAdolescentAdultAgedBack PainCohort StudiesFemaleHumansMaleMiddle AgedNorwayOsteoarthritisPrimary Health Caregeneral practitionerphysiotherapyprimary health careRegister dataspecialist health care

Identifiers

PMID39034654
PMCPMC11552292

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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.