Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review

BMC Musculoskeletal Disorders

Cindy Veenhof²  Bart W. Koes³  Dinny de Bakker⁴  Ton Kuijpers¹  Ilse CS Swinkels⁵  Di-Janne A. Barten⁵  Margit K. Kooijman⁵ 

[1] Dutch College of General Practitioners, Utrecht, The Netherlands;University Medical Center, Utrecht, The Netherlands;Erasmus Medical Center, Rotterdam, The Netherlands;TRANZO Tilburg University, Tilburg, The Netherlands;NIVEL Netherlands Institute of Health Services Research, Utrecht, The Netherlands

关键词: Review;    Prognosis;    Chronic pain;    Musculoskeletal disease;    Pain;    Shoulder;   

Others  :  1232863
DOI  :  10.1186/s12891-015-0738-4

 received in 2015-03-23, accepted in 2015-09-24,  发布年份 2015

【 摘 要 】

Background

Shoulder complaints are common and have an unfavourable prognosis in many patients. Prognostic information is helpful for both patients and clinicians in managing the complaints. The research question was which factors have prognostic value on (un)favourable outcome in patients with shoulder complaints in primary care, secondary care and occupational settings.

Methods

Update of a systematic review in primary care, secondary care and occupational settings.

Results

Nine articles were published since the original review in 2004. Six were of high quality covering a wide variety of prognostic factors and outcome measures. Four studies were conducted in primary care settings. A best evidence synthesis, including the results of the previous systematic review on this topic shows that there is strong evidence that higher shoulder pain intensity, concomitant neck pain and a longer duration of symptoms predict poorer outcome in primary care settings. In secondary care populations, strong evidence was found for the association between greater disability and poorer outcome and between the existence of previous shoulder pain and poorer outcome.

Conclusion

Clinicians may take these factors into account in the management of their patients. Those with a worse prognosis may be monitored more frequently and the treatment plan modified if complaints persist.

【 授权许可】

   
2015 Kooijman et al.

【 图 表 】

Fig. 1.

【 参考文献 】

• [1]Luime JJ, Koes BW, Hendriksen IJ, Burdorf A, Verhagen AP, Miedema HS et al.. Prevalence and incidence of shoulder pain in the general population; a systematic review. Scand J Rheumatol. 2004; 33(2):73-81.
• [2]Greving K, Dorrestijn O, Winters JC, Groenhof F, van der Meer K, Stevens M et al.. Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol. 2012; 41(2):150-5.
• [3]Physiotherapy Primary Care Database Utrecht 2014 [cited 2014]. Available from:. www. nivel.nl/node/3154 webcite
• [4]Reilingh ML, Kuijpers T, Tanja-Harfterkamp AM, van der Windt DA. Course and prognosis of shoulder symptoms in general practice. Rheumatology (Oxford). 2008; 47(5):724-30.
• [5]van der Windt DA, Koes BW, Boeke AJ, Deville W, De Jong BA, Bouter LM. Shoulder disorders in general practice: prognostic indicators of outcome. Br J Gen Pract. 1996; 46(410):519-23.
• [6]Dorrestijn O, Greving K, van der Veen WJ, van der Meer K, Diercks RL, Winters JC et al.. Patients with shoulder complaints in general practice: consumption of medical care. Rheumatology (Oxford). 2011; 50(2):389-95.
• [7]Virta L, Joranger P, Brox JI, Eriksson R. Costs of shoulder pain and resource use in primary health care: a cost-of-illness study in Sweden. BMC Musculoskelet Disord. 2012; 13:17. BioMed Central Full Text
• [8]Kuijpers T, van der Windt DA, van der Heijden GJ, Bouter LM. Systematic review of prognostic cohort studies on shoulder disorders. Pain. 2004; 109(3):420-31.
• [9]Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine: how to practice and teach EBM. Churchill-Livingstone, Philadelphia; 2000.
• [10]Ariens GA, van Mechelen W, Bongers PM, Bouter LM, van der Wal G. Physical risk factors for neck pain. Scand J Work Environ Health. 2000; 26(1):7-19.
• [11]Engebretsen K, Grotle M, Bautz-Holter E, Ekeberg OM, Brox JI. Predictors of shoulder pain and disability index (SPADI) and work status after 1 year in patients with subacromial shoulder pain. BMC Musculoskelet Disord. 2010; 11:218. BioMed Central Full Text
• [12]Gill TK SE, Taylor AW, Buchbinder R, Hill CL. Shoulder pain in the community: an examination of associative factors using a longitudinal cohort study. Arthritis Care Res (Hoboken). 2013; 65(12):2000-7.
• [13]Herin FVM, Thaon I, Soulat J, Paris C. Predictors of chronic shoulder pain after 5 years in a working population. Pain. 2012;153(11).
• [14]Kennedy CA, Manno M, Hogg-Johnson S, Haines T, Hurley L, McKenzie D et al.. Prognosis in soft tissue disorders of the shoulder: predicting both change in disability and level of disability after treatment. Phys Ther. 2006; 86(7):1013-32.
• [15]Kuijpers T, van der Windt DA, Boeke AJ, Twisk JW, Vergouwe Y, Bouter LM et al.. Clinical prediction rules for the prognosis of shoulder pain in general practice. Pain. 2006; 120(3):276-85.
• [16]Luime JJ, Koes BW, Miedem HS, Verhaar JA, Burdorf A. High incidence and recurrence of shoulder and neck pain in nursing home employees was demonstrated during a 2-year follow-up. J Clin Epidemiol. 2005; 58(4):407-13.
• [17]O’Malley KJ, Roddey TS, Gartsman GM, Cook KF. Outcome expectancies, functional outcomes, and expectancy fulfillment for patients with shoulder problems. Med Care. 2004; 42(2):139-46.
• [18]Thomas E, van der Windt DA, Hay EM, Smidt N, Dziedzic K, Bouter LM et al.. Two pragmatic trials of treatment for shoulder disorders in primary care: generalisability, course, and prognostic indicators. Ann Rheum Dis. 2005; 64(7):1056-61.
• [19]van der Windt DA, Kuijpers T, Jellema P, van der Heijden GJ, Bouter LM. Do psychological factors predict outcome in both low-back pain and shoulder pain? Ann Rheum Dis. 2007; 66(3):313-9.
• [20]Huguet AHJ, Stinson J, McGrath PJ, Chambers CT, Tougas ME, Wozney L. Judging the quality of evidence in reviews of prognostic factor research: adapting the GRADE framework. Syst Rev. 2013; 2(71):12.
• [21]Schunemann HJ OA, Brozek J, Glasziou P, Bossuyt P, Chang S, Muti P, Jaeschke R, Guyatt GH. GRADE: assessing the quality of evidence for diagnostic recommendations. ACP J Club. 2008; 149(6):2.
• [22]Macfarlane GJ, Hunt IM, Silman AJ. Predictors of chronic shoulder pain: a population based prospective study. J Rheumatol. 1998; 25(8):1612-5.
• [23]Croft P, Pope D, Silman A. The clinical course of shoulder pain: prospective cohort study in primary care. Primary Care Rheumatology Society Shoulder Study Group. Br Med J. 1996; 313(7057):601-2.
• [24]Bartolozzi A, Andreychik D, Ahmad S. Determinants of outcome in the treatment of rotator cuff disease. Clin Orthop Relat Res. 1994; 308:90-7.
• [25]Solomon DH, Bates DW, Schaffer JL, Horsky J, Burdick E, Katz JN. Referrals for musculoskeletal disorders: patterns, predictors, and outcomes. J Rheumatol. 2001; 28(9):2090-5.
• [26]Morrison DS, Frogameni AD, Woodworth P. Non-operative treatment of subacromial impingement syndrome. J Bone Joint Surg Am. 1997; 79(5):732-7.
• [27]Shaffer B, Tibone JE, Kerlan RK. Frozen shoulder. A long-term follow-up. J Bone Joint Surg Am. 1992; 74(5):738-46.
• [28]Binder AI, Bulgen DY, Hazleman BL, Roberts S. Frozen shoulder: a long-term prospective study. Ann Rheum Dis. 1984; 43(3):361-4.
• [29]Mulcahy KA, Baxter AD, Oni OO, Finlay D. The value of shoulder distension arthrography with intraarticular injection of steroid and local anaesthetic: a follow-up study. Br J Radiol. 1994; 67(795):263-6.
• [30]Viikari-Juntura E, Takala E, Riihimaki H, Martikainen R, Jappinen P. Predictive validity of symptoms and signs in the neck and shoulders. J Clin Epidemiol. 2000; 53(8):800-8.
• [31]Cassou B, Derriennic F, Monfort C, Norton J, Touranchet A. Chronic neck and shoulder pain, age, and working conditions: longitudinal results from a large random sample in France. Occup Environ Med. 2002; 59(8):537-44.
• [32]Miranda H, Viikari-Juntura E, Martikainen R, Takala EP, Riihimaki H. A prospective study of work related factors and physical exercise as predictors of shoulder pain. Occup Environ Med. 2001; 58(8):528-34.
• [33]Chard MD, Sattelle LM, Hazleman BL. The long-term outcome of rotator cuff tendinitis--a review study. Br J Rheumatol. 1988; 27(5):385-9.
• [34]Kaergaard A, Andersen JH. Musculoskeletal disorders of the neck and shoulders in female sewing machine operators: prevalence, incidence, and prognosis. Occup Environ Med. 2000; 57(8):528-34.
• [35]Brox JI, Brevik JI. Prognostic factors in patients with rotator tendinosis (stage II impingement syndrome) of the shoulder. Scand J Prim Health Care. 1996; 14(2):100-5.
• [36]Kuroda S, Sumiyoshi T, Moriishi J, Maruta K, Ishige N. The natural course of atraumatic shoulder instability. J Shoulder Elb Surg. 2001; 10(2):100-4.