Local variation in musculoskeletal pain consultation rates in primary care: findings from an ecologic study in Staffordshire

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PEAT, George, HILL, Jonathan C., YU, Dahai, WATHALL, Simon, PARRY, Emma, BAILEY, James, STEVENSON, Kay, THOMPSON, Clare, WILKIE, Ross, DZIEDZIC, Krysia and JORDAN, Kelvin P. (2025). Local variation in musculoskeletal pain consultation rates in primary care: findings from an ecologic study in Staffordshire. Primary Health Care Research & Development, 26: e52. [Article]

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Abstract
Variation between general practices in the rate of consultations for musculoskeletal pain conditions may signal important differences in access to primary care, perceived usefulness, or available alternative sources of care; however, it might also just reflect differences in underlying ‘need’ between practices’ registered populations. In a study of 30 general practices in Staffordshire, we calculated the proportion of adults consulting for a musculoskeletal pain condition, then examined this in relation to selected practice and population characteristics, including the estimated prevalence of self-reported musculoskeletal problems and chronic pain in each practices’ registered population. Between September 2021 and July 2022, 18,388 adults were consulted for a musculoskeletal pain condition. After controlling for length of recruitment, time of year, and age-sex structure, the proportion consulting varied up to two-fold between practices but was not strongly associated with the prevalence of self-reported long-term musculoskeletal problems, chronic pain, and high-impact chronic pain.
More Information
Official URL:
https://www.cambridge.org/core/journals/primary-he...
Open Access URL:
https://www.cambridge.org/core/services/aop-cambri...
Open Access Version:
Published version
Additional Information:
** Article version: VoR ** From Cambridge University Press via Jisc Publications Router ** History: received 19-01-2024; rev-recd 04-11-2024; accepted 21-11-2024; epub 25-06-2025. ** Licence for VoR version of this article: https://creativecommons.org/licenses/by/4.0/ ** Acknowledgements: The authors wish to acknowledge the contributions of Gerri Mulcahy and members of the NIHR Clinical Research Network: West Midlands, practice managers and staff at participating practices, staff at MJog by Livi, and to Sarah Lawton, Steff Garvin, Jo Smith, Sarah Lewis, Rachael Heath and the administration support staff in Keele CTU contributed to the design and implementation of practice-based patient recruitment methods for MIDAS-GP. For the purpose of open access, the author has applied a Creative Commons Attribution (CC BY) licence to any Author Accepted Manuscript version arising from this submission.
Uncontrolled Keywords:
electronic health record, primary care, musculoskeletal

Identifiers

Identification Number:
10.1017/s1463423625100133
ORCID for George Peat: ORCID iD orcid.org/0000-0002-9008-0184
ORCID for Jonathan C. Hill: ORCID iD orcid.org/0000-0001-6246-1409
ORCID for Dahai Yu: ORCID iD orcid.org/0000-0002-8449-7725
ORCID for Simon Wathall: ORCID iD orcid.org/0000-0002-7107-5785
ORCID for Emma Parry: ORCID iD orcid.org/0000-0003-0278-6898
ORCID for James Bailey: ORCID iD orcid.org/0000-0002-2566-3527
ORCID for Kay Stevenson: ORCID iD orcid.org/0000-0002-2518-4227
ORCID for Clare Thompson: ORCID iD orcid.org/0009-0004-2160-0619
ORCID for Ross Wilkie: ORCID iD orcid.org/0000-0003-4825-714X
ORCID for Krysia Dziedzic: ORCID iD orcid.org/0000-0002-1168-8993
ORCID for Kelvin P. Jordan: ORCID iD orcid.org/0000-0003-4748-5335

Library

Item Type:
Article
SWORD Depositor:
Colin Knott
Depositing User:
Colin Knott
Date record made live:
25 Jun 2025 10:38
Last Modified:
25 Jun 2025 10:45
Date of first compliant deposit:
25 June 2025
Date of first compliant Open Access:
25 June 2025
Version of first compliant deposit:
Version of Record
URI:
https://shura.shu.ac.uk/id/eprint/35866
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