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Titolo:
THE PAINFUL SHOULDER - CAN CONSULTANTS AGREE
Autore:
BAMJI AN; ERHARDT CC; PRICE TR; WILLIAMS PL;
Indirizzi:
QUEEN MARYS HOSP,DEPT RHEUMATOL,FROGNAL AVE SIDCUP DA14 6LT KENT ENGLAND BROMLEY HOSP BROMLEY BR29AJ KENT ENGLAND GREENWICH DIST HOSP LONDON SE10 9HE ENGLAND MEDWAY HOSP GILLINGHAM ME7 5NY KENT ENGLAND
Titolo Testata:
British journal of rheumatology
fascicolo: 11, volume: 35, anno: 1996,
pagine: 1172 - 1174
SICI:
0263-7103(1996)35:11<1172:TPS-CC>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
FROZEN SHOULDER;
Keywords:
SHOULDER; SOFT TISSUE; INFLAMMATION; DIAGNOSIS; CORTICOSTEROIDS; AUDIT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
10
Recensione:
Indirizzi per estratti:
Citazione:
A.N. Bamji et al., "THE PAINFUL SHOULDER - CAN CONSULTANTS AGREE", British journal of rheumatology, 35(11), 1996, pp. 1172-1174

Abstract

As a two-phase exercise in inter-district audit, with the emphasis oncritical evaluation of routine clinical practice, three rheumatologists each examined the same 44 patients with shoulder pain, and recordedtheir diagnosis and the investigations and treatment they would carryout. In the first phase, 26 patients were seen by each rheumatologistseparately; there was complete diagnostic agreement in only 46%, withwide variation in the frequency of requests for standard investigations, but all three rheumatologists recommended steroid injections for most patients. In the second phase, all three rheumatologists examined a further 18 patients together, discussed the symptoms and signs, and recorded their diagnoses separately. There was complete agreement in 78%. The presence of more than one lesion, and differences in the interpretation of certain physical signs, partly explain the lack of agreement in Phase 1. Treatment of specific shoulder lesions is highly concordant, with injection the major treatment modality, followed by physiotherapy. Perhaps the different diagnoses reached, and the fact that treatment might therefore be administered for the wrong diagnosis, may explain some treatment failures. Also, recruitment of patients for studies of the treatment of shoulder lesions requires care to avoid selection of a heterogeneous group.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 09:37:51