Retrospective review of National Inpatient Sample (2000-2012) revealed that 31.28% of musculoskeletal (MSK) patients were found to have in-hospital psychological burdens (PBs). Adult spinal deformity (ASD), degenerative disc disease (DDD) and lung cancer patients had highest PB-prevalence. MSK patients with PB were more often young, white females with increased Deyo index compared to no-PB patients. Patients who underwent spinal revision procedures had higher PB rates than with primary procedures; a converse trend was observed for total hip/knee arthroplasty. Psychological disorders were identified as significant predictors of increased total-hospital charges. Augmenting counseling with psychological screening/support is recommended to complement MSK management.
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http://dx.doi.org/10.1016/j.jor.2018.02.010 | DOI Listing |
BMC Prim Care
January 2025
Faculty of Medine, University of Jordan, Jordan University Hospital, Amman, Jordan.
Background: Musculoskeletal (MSK) conditions, such as back pain and joint disorders, are common globally and significantly burden healthcare systems. Family medicine clinics serve as the first point of care, requiring providers to manage diverse MSK issues and address gender-specific differences, especially in regions with limited resources, like the Middle East. This study evaluates MSK management, gender differences, and patient perceptions in Jordanian family medicine clinics, aiming to improve care strategies and outcomes in similar settings.
View Article and Find Full Text PDFJ Pak Med Assoc
January 2025
Quetta Institute of Medical Sciences, Quetta, Pakistan.
The objective of this mini review is to discuss the role of musculoskeletal ultrasound (MSK US) in identification and treatment of pain generators in cervical spine in patients presenting with cervicogenic headache (CEH). CEH is a secondary headache arising from cervical nociceptive structures emerging from facet joints, intervertebral discs, nerves, muscles, fascia and ligaments. It presents a complex challenge in clinical management.
View Article and Find Full Text PDFTech Vasc Interv Radiol
December 2024
Division of Interventional Radiology, Mayo Clinic, Phoenix, AZ.
Image-guided robotic interventions have revolutionized the treatment of musculoskeletal (MSK) diseases, combining the precision of robotics with advanced imaging to improve procedural accuracy and patient outcomes. This review delves into the evolution, current applications, and future prospects of robotic systems in managing MSK disorders. Special attention is given to the integration of various imaging modalities, the clinical impact on patient care, and the ongoing challenges that need to be addressed to enhance the adoption and efficacy of these technologies.
View Article and Find Full Text PDFBMJ Open
January 2025
Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.
Introduction: Musculoskeletal pain is the second leading cause of disease burden in Australia, and there is a need to investigate new models of care to cope with the increasing demand for health services. This paper describes the protocol for a randomised controlled trial investigating whether a physiotherapist-led triage and treatment service is non-inferior for improving function at 6 months and superior for reducing treatment waiting times, compared with usual care for patients with musculoskeletal pain referred to public hospital outpatient physiotherapy clinics.
Methods And Analysis: A total of 368 participants (184 per arm) will be recruited from six public hospitals located in metropolitan Sydney, Australia.
J Arthroplasty
January 2025
Department of Orthopaedics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Introduction: The choice between cemented and cementless fixation in primary elective total hip arthroplasty (THA) remains a subject of ongoing debate. However, comparisons between the two are subject to limited adjustments for patient characteristics, diagnoses, and surgical factors, as well as by limited outcome time endpoints. Our study aimed to compare the effect of femoral fixation on safety and implant survival outcomes in matched patients.
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