Musculoskeletal Matters 2: Consultations for Selected Diagnoses & Regional

MUSCULOSKELETAL A r t h r i t i s R e s e a rc h U K N a t i o n a Bulletin 2: l Prim MATTERS a r y Ca i re Centre, Keele Univers ty CONSULTATIONS FOR SELECTED DIAGNOSES AND REGIONAL PROBLEMS The Typical General Practice • We have created The Typical General Practice from the combined details of 12 practices which contribute to our Keele GP Research Partnership. • The Practice has 10,000 registered patients. 1,600 (16%) are aged 0–14, 4,600 (46%) are aged 15–49 and 3,800 (38%) are aged 50 and over. • Musculoskeletal problems made up 12% of all consultations with a diagnosis. Selected Diagnoses • We have determined how many patients were recorded in a consultation as having selected diagnoses during one year. These could be fi rst, new or ongoing episodes. • In the course of one year, osteoarthritis was recorded for 180 patients (2% of registered patients) – 170 of these patients were aged 50 and over (4% of registered patients aged 50 plus consulted for osteoarthritis) – There were 300 consultations in total for osteoarthritis, 5% of all musculoskeletal consultations. • During the year, also recorded were: Gout: 40 patients Polymyalgia rheumatica: 20 patients Osteoporosis: 35 patients Psoriatic arthritis: 4 patients Rheumatoid arthritis: 25 patients Ankylosing spondylitis: 3 patients Systemic lupus erythematosus: 2 patients These bulletins are designed to provide information for general practitioners, the primary care team, teachers, trainers and policy makers about musculoskeletal problems in practice 175 150 Age 15-49 125 Age 50+ 100 75 50 25 0 Osteoarthritis Gout Osteoporosis Rheumatoid arthritis Polymyalgia rheumatica Psoriatic arthritis Ankylosing spondylitis Systemic lupus erythematosus Figure 1 – Number of adult patients consulting in 1 year by condition in a practice of 10,000 March 2010