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Musculoskeletal disorders in Norway: trends in health care utilization and patient pathways: a nationwide register study
Describe trends in health care utilization, demographic characteristics and patient pathways among patients with musculoskeletal disorders (MSD) in Norway. Register-based cohort study. Data were obtained from two Norwegian National registries; the Norwegian Control and Payment of Health Reimbursemen...
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| Published in: | Scandinavian journal of primary health care 2024-12, Vol.42 (4), p.582-592 |
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| container_title | Scandinavian journal of primary health care |
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| creator | Tyrdal, Mari Kristine Perrier, Flavie Røe, Cecilie Natvig, Bård Wahl, Astrid Klopstad Veierød, Marit B Robinson, Hilde Stendal |
| description | Describe trends in health care utilization, demographic characteristics and patient pathways among patients with musculoskeletal disorders (MSD) in Norway.
Register-based cohort study.
Data were obtained from two Norwegian National registries; the Norwegian Control and Payment of Health Reimbursements Database (KUHR) and the Norwegian Patient Registry (NPR).
Patients with MSD according to ICPC-2 and ICD-10 during 2014-2017.
Patient pathways from the first contact and the following two years, described in a Sankey Diagram for all MSD patients and three common diagnoses: spine pain, osteoarthritis (OA) and fibromyalgia (FM).
About 26% of the Norwegian population consulted PHC annually while 7% were treated in SHC. Mean age was 47 and 53 years in PHC and SHC, respectively. The proportion of women increased by age. Spine pain was the most common diagnosis; 33% and 22% in PHC and SHC, respectively. Over 90% visited a GP first, 50% of them were treated by PT and/or in SHC during follow-up. Patients visiting the PT first were less likely to be treated in SHC. OA patients were most likely to be treated by more than one health care professional (>70%).
One third of the Norwegian population consulted health care services due to MSD annually between 2014-2017. GP was the most consulted health care professional. Among MSD patients with long-term use of health care services, 50% were treated by a PT and/or in SHC in addition to a GP. |
| doi_str_mv | 10.1080/02813432.2024.2368848 |
| format | article |
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Register-based cohort study.
Data were obtained from two Norwegian National registries; the Norwegian Control and Payment of Health Reimbursements Database (KUHR) and the Norwegian Patient Registry (NPR).
Patients with MSD according to ICPC-2 and ICD-10 during 2014-2017.
Patient pathways from the first contact and the following two years, described in a Sankey Diagram for all MSD patients and three common diagnoses: spine pain, osteoarthritis (OA) and fibromyalgia (FM).
About 26% of the Norwegian population consulted PHC annually while 7% were treated in SHC. Mean age was 47 and 53 years in PHC and SHC, respectively. The proportion of women increased by age. Spine pain was the most common diagnosis; 33% and 22% in PHC and SHC, respectively. Over 90% visited a GP first, 50% of them were treated by PT and/or in SHC during follow-up. Patients visiting the PT first were less likely to be treated in SHC. OA patients were most likely to be treated by more than one health care professional (>70%).
One third of the Norwegian population consulted health care services due to MSD annually between 2014-2017. GP was the most consulted health care professional. Among MSD patients with long-term use of health care services, 50% were treated by a PT and/or in SHC in addition to a GP.</description><identifier>ISSN: 0281-3432</identifier><identifier>ISSN: 1502-7724</identifier><identifier>EISSN: 1502-7724</identifier><identifier>DOI: 10.1080/02813432.2024.2368848</identifier><identifier>PMID: 39034654</identifier><language>eng</language><publisher>United States: Taylor & Francis LLC</publisher><subject>Adolescent ; Adult ; Aged ; Back Pain - epidemiology ; Back Pain - therapy ; Cohort analysis ; Cohort Studies ; Demography ; Family physicians ; Female ; Fibromyalgia ; Fibromyalgia - epidemiology ; Fibromyalgia - therapy ; general practitioner ; Health services utilization ; Health status ; Humans ; Male ; Medical diagnosis ; Medical personnel ; Middle Aged ; Musculoskeletal diseases ; Musculoskeletal Diseases - epidemiology ; Musculoskeletal Diseases - therapy ; Norway - epidemiology ; Osteoarthritis ; Osteoarthritis - epidemiology ; Osteoarthritis - therapy ; Pain ; Patient Acceptance of Health Care - statistics & numerical data ; Patients ; physiotherapy ; Primary Health Care ; Register data ; Registries ; specialist health care ; Trends ; Women ; Young Adult</subject><ispartof>Scandinavian journal of primary health care, 2024-12, Vol.42 (4), p.582-592</ispartof><rights>2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. 2024 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c384t-5e0170e29da8692e61da8727fe18919aa7f06bf14104a2754e6b4b08b92369003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11552292/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3126247804?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,12846,25753,27924,27925,30999,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39034654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tyrdal, Mari Kristine</creatorcontrib><creatorcontrib>Perrier, Flavie</creatorcontrib><creatorcontrib>Røe, Cecilie</creatorcontrib><creatorcontrib>Natvig, Bård</creatorcontrib><creatorcontrib>Wahl, Astrid Klopstad</creatorcontrib><creatorcontrib>Veierød, Marit B</creatorcontrib><creatorcontrib>Robinson, Hilde Stendal</creatorcontrib><title>Musculoskeletal disorders in Norway: trends in health care utilization and patient pathways: a nationwide register study</title><title>Scandinavian journal of primary health care</title><addtitle>Scand J Prim Health Care</addtitle><description>Describe trends in health care utilization, demographic characteristics and patient pathways among patients with musculoskeletal disorders (MSD) in Norway.
Register-based cohort study.
Data were obtained from two Norwegian National registries; the Norwegian Control and Payment of Health Reimbursements Database (KUHR) and the Norwegian Patient Registry (NPR).
Patients with MSD according to ICPC-2 and ICD-10 during 2014-2017.
Patient pathways from the first contact and the following two years, described in a Sankey Diagram for all MSD patients and three common diagnoses: spine pain, osteoarthritis (OA) and fibromyalgia (FM).
About 26% of the Norwegian population consulted PHC annually while 7% were treated in SHC. Mean age was 47 and 53 years in PHC and SHC, respectively. The proportion of women increased by age. Spine pain was the most common diagnosis; 33% and 22% in PHC and SHC, respectively. Over 90% visited a GP first, 50% of them were treated by PT and/or in SHC during follow-up. Patients visiting the PT first were less likely to be treated in SHC. OA patients were most likely to be treated by more than one health care professional (>70%).
One third of the Norwegian population consulted health care services due to MSD annually between 2014-2017. GP was the most consulted health care professional. Among MSD patients with long-term use of health care services, 50% were treated by a PT and/or in SHC in addition to a GP.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Back Pain - epidemiology</subject><subject>Back Pain - therapy</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Demography</subject><subject>Family physicians</subject><subject>Female</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia - epidemiology</subject><subject>Fibromyalgia - therapy</subject><subject>general practitioner</subject><subject>Health services utilization</subject><subject>Health status</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Musculoskeletal diseases</subject><subject>Musculoskeletal Diseases - epidemiology</subject><subject>Musculoskeletal Diseases - therapy</subject><subject>Norway - epidemiology</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis - epidemiology</subject><subject>Osteoarthritis - therapy</subject><subject>Pain</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patients</subject><subject>physiotherapy</subject><subject>Primary Health Care</subject><subject>Register data</subject><subject>Registries</subject><subject>specialist health care</subject><subject>Trends</subject><subject>Women</subject><subject>Young Adult</subject><issn>0281-3432</issn><issn>1502-7724</issn><issn>1502-7724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk1vEzEQhi0EoiHwE0CWuHBJGH_srrcXVFUUKhW4wNny2pPEYbMOtpeS_nqcj1aU04xmnnk1M3oJec1gzkDBe-CKCSn4nAOXcy5qpaR6QiasAj5rGi6fksmeme2hM_IipTUAU9CK5-RMtCBkXckJ-fNlTHbsQ_qJPWbTU-dTiA5jon6gX0O8NbtzmiMO7lBZoenziloTkY7Z9_7OZB8GagZHtyXFIe_jqoylc2rocGjfeoc04tKnjJGmPLrdS_JsYfqEr05xSn5cffx--Xl28-3T9eXFzcwKJfOsQmANIG-dUXXLsWYlaXizQKZa1hrTLKDuFkwykIY3lcS6kx2ori0vaQHElFwfdV0wa72NfmPiTgfj9aEQ4lKbmL3tUTeVFR1nAoSzsmmsAsFb4LWtjGiddEXrw1FrO3YbdLYcG03_SPRxZ_ArvQy_NWNVxXlZaUrenRRi-DViynrjk8W-NwOGMWkBSnBWc1YV9O1_6DqMcSi_0oLxmstGgSxUdaRsDClFXDxsw0DvjaLvjaL3RtEno5S5N_-e8jB17wzxFxBHuW4</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Tyrdal, Mari Kristine</creator><creator>Perrier, Flavie</creator><creator>Røe, Cecilie</creator><creator>Natvig, Bård</creator><creator>Wahl, Astrid Klopstad</creator><creator>Veierød, Marit B</creator><creator>Robinson, Hilde Stendal</creator><general>Taylor & Francis LLC</general><general>Taylor & Francis</general><general>Taylor & Francis Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QJ</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>202412</creationdate><title>Musculoskeletal disorders in Norway: trends in health care utilization and patient pathways: a nationwide register study</title><author>Tyrdal, Mari Kristine ; 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Register-based cohort study.
Data were obtained from two Norwegian National registries; the Norwegian Control and Payment of Health Reimbursements Database (KUHR) and the Norwegian Patient Registry (NPR).
Patients with MSD according to ICPC-2 and ICD-10 during 2014-2017.
Patient pathways from the first contact and the following two years, described in a Sankey Diagram for all MSD patients and three common diagnoses: spine pain, osteoarthritis (OA) and fibromyalgia (FM).
About 26% of the Norwegian population consulted PHC annually while 7% were treated in SHC. Mean age was 47 and 53 years in PHC and SHC, respectively. The proportion of women increased by age. Spine pain was the most common diagnosis; 33% and 22% in PHC and SHC, respectively. Over 90% visited a GP first, 50% of them were treated by PT and/or in SHC during follow-up. Patients visiting the PT first were less likely to be treated in SHC. OA patients were most likely to be treated by more than one health care professional (>70%).
One third of the Norwegian population consulted health care services due to MSD annually between 2014-2017. GP was the most consulted health care professional. Among MSD patients with long-term use of health care services, 50% were treated by a PT and/or in SHC in addition to a GP.</abstract><cop>United States</cop><pub>Taylor & Francis LLC</pub><pmid>39034654</pmid><doi>10.1080/02813432.2024.2368848</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0281-3432 |
| ispartof | Scandinavian journal of primary health care, 2024-12, Vol.42 (4), p.582-592 |
| issn | 0281-3432 1502-7724 1502-7724 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Publicly Available Content Database (Proquest) (PQ_SDU_P3); Taylor & Francis; PubMed Central |
| subjects | Adolescent Adult Aged Back Pain - epidemiology Back Pain - therapy Cohort analysis Cohort Studies Demography Family physicians Female Fibromyalgia Fibromyalgia - epidemiology Fibromyalgia - therapy general practitioner Health services utilization Health status Humans Male Medical diagnosis Medical personnel Middle Aged Musculoskeletal diseases Musculoskeletal Diseases - epidemiology Musculoskeletal Diseases - therapy Norway - epidemiology Osteoarthritis Osteoarthritis - epidemiology Osteoarthritis - therapy Pain Patient Acceptance of Health Care - statistics & numerical data Patients physiotherapy Primary Health Care Register data Registries specialist health care Trends Women Young Adult |
| title | Musculoskeletal disorders in Norway: trends in health care utilization and patient pathways: a nationwide register study |
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