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Tytuł:
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Consensus for a primary care clinical decision-making tool for assessing, diagnosing, and managing shoulder pain in Alberta, Canada.
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Autorzy:
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Eubank BHF; Department of Health & Physical Education, Faculty of Health, Community, & Education, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, Alberta, Canada, T3E 6K6. .
Lackey SW; Alberta Bone and Joint Health Institute, Suite 316, 400 Crowfoot Crescent NW, Calgary, Alberta, Canada, T3G 5H6.
Slomp M; Bone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.
Werle JR; Bone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.; Section of Orthopaedic Surgery, Cumming School of Medicine, University of Calgary, 2500 University Drive NW, Calgary, Alberta, Canada, T2N 1N4.
Kuntze C; Bone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.; Access Orthopaedics, 3916 Macleod Trail, Suite 300, Calgary, Alberta, Canada, T2G 2R5.
Sheps DM; Bone and Joint Health Strategic Clinical Network, Alberta Health Services, Seventh Street Plaza, 14th Floor, North Tower, 10030 - 107 Street, Edmonton, Alberta, Canada, T5J 3E4.; Edmonton Bone and Joint Centre, 9499 - 137 Ave NW, Edmonton, Alberta, Canada, T5E 5R8.; Division of Orthopaedics, Department of Surgery, University of Alberta, 116 St & 85 Ave, Edmonton, Alberta, Canada, T6G 2R3.; Faculty of Rehabilitation Medicine, University of Alberta, 116 St & 85 Ave, Edmonton, Alberta, Canada, T6G 2R3.
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Źródło:
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BMC family practice [BMC Fam Pract] 2021 Oct 09; Vol. 22 (1), pp. 201. Date of Electronic Publication: 2021 Oct 09.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2000-2021]
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MeSH Terms:
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Clinical Decision-Making*
Shoulder Pain*/diagnosis
Shoulder Pain*/therapy
Alberta ; Consensus ; Humans ; Primary Health Care
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References:
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Contributed Indexing:
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Keywords: Clinical care pathway; Clinical decision-making; Consensus methods; Delphi process; Shoulder pain
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Entry Date(s):
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Date Created: 20211010 Date Completed: 20211101 Latest Revision: 20211101
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Update Code:
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20240104
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PubMed Central ID:
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PMC8502088
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DOI:
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10.1186/s12875-021-01544-3
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PMID:
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34627163
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Background: Shoulder pain is a highly prevalent condition and a significant cause of morbidity and functional disability. Current data suggests that many patients presenting with shoulder pain at the primary care level are not receiving high quality care. Primary care decision-making is complex and has the potential to influence the quality of care provided and patient outcomes. The aim of this study was to develop a clinical decision-making tool that standardizes care and minimizes uncertainty in assessment, diagnosis, and management.
Methods: First a rapid review was conducted to identify existing tools and evidence that could support a comprehensive clinical decision-making tool for shoulder pain. Secondly, provincial consensus was established for the assessment, diagnosis, and management of patients presenting to primary care with shoulder pain in Alberta, Canada using a three-step modified Delphi approach. This project was a highly collaborative effort between Alberta Health Services' Bone and Joint Health Strategic Clinical Network (BJH SCN) and the Alberta Bone and Joint Health Institute (ABJHI).
Results: A clinical decision-making tool for shoulder pain was developed and reached consensus by a province-wide expert panel representing various health disciplines and geographical regions. This tool consists of a clinical examination algorithm for assessing, diagnosis, and managing shoulder pain; recommendations for history-taking and identification of red flags or additional concerns; recommendations for physical examination and neurological screening; recommendations for the differential diagnosis; and care pathways for managing patients presenting with rotator cuff disease, biceps pathology, superior labral tear, adhesive capsulitis, osteoarthritis, and instability.
Conclusions: This clinical decision-making tool will help to standardize care, provide guidance on the diagnosis and management of shoulder pain, and assist in clinical decision-making for primary care providers in both public and private sectors.
(© 2021. The Author(s).)
