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General practice rheumatology.

P Jobanputra1

  • 1Windrush Health Centre, Witney, Oxfordshire.

Journal of the Royal Society of Medicine
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

Rheumatic complaints are common in general practice, often involving the lower back and soft tissues. Most patients receive advice and reassurance, with few needing specialist referrals.

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Area of Science:

  • General Practice
  • Rheumatology
  • Musculoskeletal Disorders

Background:

  • Rheumatic conditions represent a significant patient burden in primary care settings.
  • Understanding the prevalence and nature of these complaints is crucial for effective management.

Purpose of the Study:

  • To determine the frequency and types of rheumatic problems in general practice.
  • To identify the treatments required for these rheumatic complaints.
  • To assess the need for specialist referrals in rheumatic conditions.

Main Methods:

  • A survey of 1000 consecutive patients presenting with new complaints in general practice.
  • Data collection on rheumatic problem identification, characteristics, and management.
  • Follow-up of patients for specialist referral rates.

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Main Results:

  • 6.3% of patients presented with rheumatic complaints.
  • Lower back issues accounted for 43% of rheumatic complaints.
  • Soft tissue disorders were predominant, with 54% managed by advice and reassurance.
  • 11% of patients with rheumatic complaints were referred for specialist opinions within 3 months.

Conclusions:

  • Rheumatic complaints are a notable issue in general practice, particularly lower back and soft tissue disorders.
  • Current management often relies on conservative measures like advice and reassurance.
  • Enhanced training in managing these common musculoskeletal conditions is recommended for general practitioners.