在初级保健中手和手腕疾病的发生率:回顾性队列研究
Patrick Krastman1, Evelien It de Schepper2, Patrick Je Bindels2
1Department of General Practice, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands wetenschap@dezorghoek.nl.
BJGP open
|May 17, 2024
概括
这项研究确定了初级保健中手和手腕疾病的发病率,每1000人年发现手部疾病的发病率为5.9,手腕疾病的发病率为0.3. 建议改进诊断编码以获得准确的数据收集.
科学领域:
- 流行病学 流行病学
- 初级医疗保健医学 一级医疗保健医学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 在初级保健中,由于缺乏特定的诊断代码,特定的手和手腕疾病的发生率在很大程度上是未知的.
- 准确的发病率数据对于了解疾病负担和初级保健资源配置至关重要.
研究的目的:
- 在初级保健中确定手和手腕疾病的总体发病率.
- 为了确定特定类型的手和手腕疾病的发病率.
主要方法:
- 使用荷兰通用诊所医疗保健数据库进行了一项回顾性队列研究,覆盖了超过20万名患者.
- 从2015年1月到2019年12月的数据包括18岁以上的患者,他们有新的手或手腕疾病诊断,通过国际初级保健分类 (ICPC) 代码和自由文本搜索来确定.
主要成果:
- 手部疾病的平均发病率为每1000人/年5.9,手腕疾病的平均发病率为每1000人/年0.3.
- 具体发生率包括触发指/指 (3),手/手指骨折 (1),肌痛病 (1),子手指 (0.6),手/手指带损伤 (0.1),手腕骨折 (0.2),手腕带损伤 (0.1) 每1000人/年.
- 在患者报告的投诉和记录的诊断之间发现了显著的差异.
结论:
- 手和手腕问题患者数量与医疗档案中记录的诊断之间存在显著的差距.
- 实施特定的国际初级保健分类 (ICPC) 关于手和手腕疾病的代码可以提高诊断准确性和发病报告.
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