Table 4. GP management of RC related shoulder pain by time period (2000–2016).
2000–2004 N = 1190 (95% CIs) |
2004–2008 N = 1347 (95% CIs) |
2008–2012 N = 1685 (95% CIs) |
2012–2016 N = 2064 (95% CIs) |
|
---|---|---|---|---|
Management rate (per 1000 encounters) |
2.98 (2.78–3.19) |
3.50 (3.26–3.73) |
4.28 (4.03–5.52) |
5.30 (5.02–5.57) |
Medication | 57.1 (54.0–60.1) | 47.9 (44.9–50.8) | 51.0 (48.5–53.6) | 54.3 (52.0–56.6) |
NSAID | 33.6 (30.7–36.5) | 22.9 (20.4–25.3) | 20.5 (18.4–22.5) | 18.4 (16.7–20.1) |
Steroid–Injection | 9.8 (7.9–11.8) | 10.3 (8.3–12.3) | 15.8 (13.9–17.8) | 19.7 (17.8–21.6) |
Opioid | 6.6 (5.2–8.1) | 6.9 (5.5–8.3) | 7.5 (6.2–8.8) | 8.1 (6.9–9.3) |
Panadol | 7.1 (5.6–8.6) | 6.7 (5.3–8.1) | 7.0 (5.8–8.2) | 7.4 (6.1–8.6) |
Steroid–oral | 0.2 (-0.1–0.4) | 0.4 (-0.0–0.8) | 0.1 (-0.0–0.3) | 0.5 (0.2–0.8) |
Advice/education/counselling | 13.1 (11.1–15.1) | 11.4 (9.6–13.3) | 11.6 (10.0–13.2) | 9.9 (8.5–11.4) |
Exercise | 2.5 (1.6–3.4) | 1.9 (1.1–2.7) | 2.3 (1.6–3.0) | 0.6 (0.2–0.9) |
Medication | 0.8 (0.3–1.2) | 0.4 (0.1–0.8) | 0.4 (0.1–0.6) | 0.6 (0.3–0.1) |
Procedure | 25.3 (22.6–28.0) | 24.3 (21.3–27.2) | 21.3 (18.9–23.7) | 17.0 (15.1–18.9) |
Physical medicine/ rehabilitation | 12.0 (10.0–14.0) | 8.7 (6.9–10.5) | 7.5 (6.2–8.9) | 6.6 (5.4–7.8) |
Referral | 18.7 (16.5–21.0) | 18.2 (16.0–20.4) | 18.8 (16.8–20.7) | 19.3 (17.4–21.1) |
Physiotherapist | 10.6 (8.8–12.4) | 11.5 (9.7–13.3) | 11.2 (9.6–12.9) | 12.2 (10.7–13.8) |
Surgeon | 6.1 (4.7–7.6) | 4.4 (3.3–5.5) | 5.2 (4.1–6.2) | 4.5 (3.6–5.4) |
Rheumatologist | 1.3 (0.7–2.0) | 0.6 (-0.1–1.2) | 0.5 (0.1–0.8) | 0.3 (0.1–0.6) |
Imaging | 24.2 (21.7–26.7) | 27.2 (24.7–29.8) | 35.5 (33.0–37.9) | 44.1 (41.8–46.4) |
Ultrasound shoulder | 19.1 (16.8–21.4) | 24.2 (21.7–26.7) | 33.1 (30.7–35.5) | 41.9 (39.6–44.2) |
X-ray shoulder | 13.7 (11.6–15.8) | 12.1 (10.3–13.9) | 12.2 (10.6–13.9) | 11.8 (10.3–13.2) |
MRI shoulder | 0.0 | 0.0 | 0.1 (-0.0–0.3) | 0.5 (0.2–0.8) |
CT scan shoulder | 0.0 | 0.0 | 0.3 (0.0–0.6) | 0.1 (0.0–0.2) |