Evidence map›Paper›PMID 42177401›Full record

ArticleBMC primary care2026

Insights into the proportion of consultations for musculoskeletal disorders in Dutch general practice: a register-based retrospective cohort study.

Patrick Krastman, Kimberley Heijneman, Angeline Bosman, Marcel de Wilde, Johan van der Lei, Jos Runhaar

Abstract read
In one paragraph

Article in BMC primary care, 2026. 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
–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

1 citing paper in PubMed.

  1. Yonder.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    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

6 authors.

Patrick KrastmanDepartment of General Practice, Erasmus MC University Medical Center Rotterdam, PO Box 2040, Room NA1911, Rotterdam, 3000 CA, the Netherlands. p.krastman@erasmusmc.nl.
Kimberley HeijnemanDepartment of General Practice, Erasmus MC University Medical Center Rotterdam, PO Box 2040, Room NA1911, Rotterdam, 3000 CA, the Netherlands.
Angeline BosmanDepartment of General Practice, Erasmus MC University Medical Center Rotterdam, PO Box 2040, Room NA1911, Rotterdam, 3000 CA, the Netherlands.
Marcel de WildeDepartment of Medical Informatics, Erasmus MC University Medical Center Rotterdam, PO Box 2040, Rotterdam, 3000 CA, the Netherlands.
Johan van der LeiDepartment of Medical Informatics, Erasmus MC University Medical Center Rotterdam, PO Box 2040, Rotterdam, 3000 CA, the Netherlands.
Jos RunhaarDepartment of General Practice, Erasmus MC University Medical Center Rotterdam, PO Box 2040, Room NA1911, Rotterdam, 3000 CA, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practice care is facing increasing pressure due to a sustained rise in healthcare utilization, partly driven by population ageing and the growing prevalence of chronic conditions, such as musculoskeletal disorders (MSDs). Existing evidence reports wide variation in the proportion of GP consultations related to MSDs, while data specific to Dutch primary care remain scarce. The purpose of the study is to estimate the proportion of consultations for MSDs in Dutch general practice, stratified by age categories, sex, and anatomical region.

methodsA retrospective cohort study was performed using data from the Integrated Primary Care Information database, comprising routinely collected electronic health records of over 2.5 million patients. The study included individuals of all ages between 2017 and 2023. The proportion of consultations attributed to each International Classification of Primary Care (ICPC) chapter was determined, with MSDs identified using ICPC L chapter codes.

resultsAcross the study period, annual consultations ranged from 7.5 to 9.3 million. MSDs accounted for 11.3-12.6% of all consultations, representing the leading reason for consultation in Dutch general practice. Lower limb disorders were most frequent (31.0 -33.1%), followed by upper limb (17,9 - 20,3%) and back (21,3 - 22,9%) disorders. Females accounted for approximately 60% of MSD consultations, with the highest proportions observed among individuals aged 55-64 years (18.6-19.0%) and ≥75 years (17.6-20.3%).

conclusionsMSDs is the overall leading contributor to consultation volume in Dutch general practice, particularly among females and older adults. As population ageing continues, MSD-related consultations are likely to increase further, underscoring the need for efficient workforce planning and sustainable models of GP care delivery.

Indexed as

General PracticeMusculoskeletal DiseasesReferral and ConsultationAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMiddle AgedNetherlandsConsultationGeneral practiceMusculoskeletal disorders

Identifiers

PMID42177401
PMCPMC13281364

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LicenceCC BY-NC-ND
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Registered trials

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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.