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dc.contributor.authorVicenzino, B
dc.contributor.authorBritt, H
dc.contributor.authorPollack, AJ
dc.contributor.authorHall, M
dc.contributor.authorBennell, KL
dc.contributor.authorHunter, DJ
dc.date.accessioned2020-12-17T03:18:14Z
dc.date.available2020-12-17T03:18:14Z
dc.date.issued2017-07-20
dc.identifierpii: PONE-D-16-42748
dc.identifier.citationVicenzino, B., Britt, H., Pollack, A. J., Hall, M., Bennell, K. L. & Hunter, D. J. (2017). No abatement of steroid injections for tennis elbow in Australian General Practice: A 15-year observational study with random general practitioner sampling. PLOS ONE, 12 (7), https://doi.org/10.1371/journal.pone.0181631.
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/11343/254828
dc.description.abstractOBJECTIVE: Evaluate general practitioner (GP) management of tennis elbow (TE) in Australia. METHODS: Data about the management of TE by GPs from 2000 to 2015 were extracted from the Bettering the Evaluation of Care of Health program database. Patient and GP characteristics and encounter management data were classified by the International Classification of Primary Care, version 2, and reported using descriptive statistics with point estimates and 95% confidence intervals. RESULTS: TE was managed by GPs 242,000 times per year on average. Patients were mainly female (52.3%), aged between 35 and 64 years (mean: 49.3 yrs), had higher relative risks of concomitant disorders (e.g. carpal tunnel syndrome and other tendonitis) and their TE was 10 times more likely to be work related than problems managed for patients who did not have TE. Use of diagnostic tests was low, implying a clinical examination based diagnosis of TE. Management was by procedural treatments (36 per 100 TE problems), advice, education or counselling (25 per 100), and referral to other health care providers (14 per 100, mainly to physiotherapy). The rate of local injection did not change over the 15 years and was performed at similar rates as physiotherapy referral. CONCLUSION: The high risk of comorbidities and work relatedness and no abatement in the reasonably high rate of local injections (which is contrary to the evidence from clinical trials) provides support for the development and dissemination of TE clinical guidelines for GPs.
dc.languageEnglish
dc.publisherPUBLIC LIBRARY SCIENCE
dc.titleNo abatement of steroid injections for tennis elbow in Australian General Practice: A 15-year observational study with random general practitioner sampling
dc.typeJournal Article
dc.identifier.doi10.1371/journal.pone.0181631
melbourne.affiliation.departmentPhysiotherapy
melbourne.source.titlePLoS One
melbourne.source.volume12
melbourne.source.issue7
dc.rights.licenseCC BY
melbourne.elementsid1224256
melbourne.contributor.authorBennell, Kim
melbourne.contributor.authorHall, Michelle
dc.identifier.eissn1932-6203
melbourne.accessrightsOpen Access


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