@article{velek_changes_2023,
	title = {Changes to consultations and diagnosis of osteoarthritis in primary care during the {COVID}-19 pandemic},
	volume = {31},
	issn = {1063-4584},
	url = {https://www.sciencedirect.com/science/article/pii/S1063458423006994},
	doi = {10.1016/j.joca.2023.02.075},
	abstract = {Objective
General practitioners (GP) are often the first medical professionals to treat musculoskeletal complaints. Yet the impact of COVID-19 on primary care utilisation for musculoskeletal complaints is largely unknown. This study quantifies the impact of the pandemic on primary care utilisation for musculoskeletal complaints and specifically osteoarthritis (OA) in the Netherlands.
Design
We extracted data on GP consultations in 2015–2020 from 118,756 patients over 45 years of age and estimated reductions in consultations in 2020 as compared to 5-year average. Outcomes were GP consultations for: any musculoskeletal complaints, knee and hip OA, knee and hip complaints, and newly diagnosed knee and hip OA/complaints.
Results
The relative reductions in consultations ranged from 46.7\% (95\% confidence intervals (CI): 43.9–49.3\%) (all musculoskeletal consultations) to 61.6\% (95\% CI: 44.7–73.3\%) (hip complaints) at the peak of the first wave, and from 9.3\% (95\% CI: 5.7–12.7\%) (all musculoskeletal consultations) to 26.6\% (95\% CI: 11.5–39.1\%) (knee OA) at the peak of the second wave. The reductions for new diagnoses were 87.0\% (95\% CI: 71.5–94.1\%) for knee OA/complaints, and 70.5\% (95\% CI: 37.7–86.0\%) for hip OA/complaints at the peak of the first wave, and not statistically significant at the peak of the second wave.
Conclusion
We observed 47\% reduction in GP consultations for musculoskeletal disorders during the first wave and 9\% during the second wave. For hip and knee OA/complaints, the reductions were over 50\% during the first, and 10\% during the second wave. This disruption may lead to accumulation of patients with severe OA symptoms and more requests for arthroplasty surgery.},
	language = {en},
	number = {6},
	urldate = {2023-06-07},
	journal = {Osteoarthritis and Cartilage},
	author = {Velek, P. and de Schepper, E. and Schiphof, D. and Evert van Spil, W. and Englund, M. and Magnusson, K. and Kiadaliri, A. and Dell'Isola, A. and Licher, S. and Bierma-Zeinstra, S. and Runhaar, J.},
	month = jun,
	year = {2023},
	note = {Number: 6},
	keywords = {COVID-19, Healthcare utilisation, Musculoskeletal disorders, Osteoarthritis, Primary care},
	pages = {829--838},
}

{"_id":"WGZ6Bj72LZ5dX57i6","bibbaseid":"velek-deschepper-schiphof-evertvanspil-englund-magnusson-kiadaliri-dellisola-etal-changestoconsultationsanddiagnosisofosteoarthritisinprimarycareduringthecovid19pandemic-2023","author_short":["Velek, P.","de Schepper, E.","Schiphof, D.","Evert van Spil, W.","Englund, M.","Magnusson, K.","Kiadaliri, A.","Dell'Isola, A.","Licher, S.","Bierma-Zeinstra, S.","Runhaar, J."],"bibdata":{"bibtype":"article","type":"article","title":"Changes to consultations and diagnosis of osteoarthritis in primary care during the COVID-19 pandemic","volume":"31","issn":"1063-4584","url":"https://www.sciencedirect.com/science/article/pii/S1063458423006994","doi":"10.1016/j.joca.2023.02.075","abstract":"Objective General practitioners (GP) are often the first medical professionals to treat musculoskeletal complaints. Yet the impact of COVID-19 on primary care utilisation for musculoskeletal complaints is largely unknown. This study quantifies the impact of the pandemic on primary care utilisation for musculoskeletal complaints and specifically osteoarthritis (OA) in the Netherlands. Design We extracted data on GP consultations in 2015–2020 from 118,756 patients over 45 years of age and estimated reductions in consultations in 2020 as compared to 5-year average. Outcomes were GP consultations for: any musculoskeletal complaints, knee and hip OA, knee and hip complaints, and newly diagnosed knee and hip OA/complaints. Results The relative reductions in consultations ranged from 46.7% (95% confidence intervals (CI): 43.9–49.3%) (all musculoskeletal consultations) to 61.6% (95% CI: 44.7–73.3%) (hip complaints) at the peak of the first wave, and from 9.3% (95% CI: 5.7–12.7%) (all musculoskeletal consultations) to 26.6% (95% CI: 11.5–39.1%) (knee OA) at the peak of the second wave. The reductions for new diagnoses were 87.0% (95% CI: 71.5–94.1%) for knee OA/complaints, and 70.5% (95% CI: 37.7–86.0%) for hip OA/complaints at the peak of the first wave, and not statistically significant at the peak of the second wave. Conclusion We observed 47% reduction in GP consultations for musculoskeletal disorders during the first wave and 9% during the second wave. For hip and knee OA/complaints, the reductions were over 50% during the first, and 10% during the second wave. This disruption may lead to accumulation of patients with severe OA symptoms and more requests for arthroplasty surgery.","language":"en","number":"6","urldate":"2023-06-07","journal":"Osteoarthritis and Cartilage","author":[{"propositions":[],"lastnames":["Velek"],"firstnames":["P."],"suffixes":[]},{"propositions":["de"],"lastnames":["Schepper"],"firstnames":["E."],"suffixes":[]},{"propositions":[],"lastnames":["Schiphof"],"firstnames":["D."],"suffixes":[]},{"propositions":["Evert","van"],"lastnames":["Spil"],"firstnames":["W."],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["M."],"suffixes":[]},{"propositions":[],"lastnames":["Magnusson"],"firstnames":["K."],"suffixes":[]},{"propositions":[],"lastnames":["Kiadaliri"],"firstnames":["A."],"suffixes":[]},{"propositions":[],"lastnames":["Dell'Isola"],"firstnames":["A."],"suffixes":[]},{"propositions":[],"lastnames":["Licher"],"firstnames":["S."],"suffixes":[]},{"propositions":[],"lastnames":["Bierma-Zeinstra"],"firstnames":["S."],"suffixes":[]},{"propositions":[],"lastnames":["Runhaar"],"firstnames":["J."],"suffixes":[]}],"month":"June","year":"2023","note":"Number: 6","keywords":"COVID-19, Healthcare utilisation, Musculoskeletal disorders, Osteoarthritis, Primary care","pages":"829–838","bibtex":"@article{velek_changes_2023,\n\ttitle = {Changes to consultations and diagnosis of osteoarthritis in primary care during the {COVID}-19 pandemic},\n\tvolume = {31},\n\tissn = {1063-4584},\n\turl = {https://www.sciencedirect.com/science/article/pii/S1063458423006994},\n\tdoi = {10.1016/j.joca.2023.02.075},\n\tabstract = {Objective\nGeneral practitioners (GP) are often the first medical professionals to treat musculoskeletal complaints. Yet the impact of COVID-19 on primary care utilisation for musculoskeletal complaints is largely unknown. This study quantifies the impact of the pandemic on primary care utilisation for musculoskeletal complaints and specifically osteoarthritis (OA) in the Netherlands.\nDesign\nWe extracted data on GP consultations in 2015–2020 from 118,756 patients over 45 years of age and estimated reductions in consultations in 2020 as compared to 5-year average. Outcomes were GP consultations for: any musculoskeletal complaints, knee and hip OA, knee and hip complaints, and newly diagnosed knee and hip OA/complaints.\nResults\nThe relative reductions in consultations ranged from 46.7\\% (95\\% confidence intervals (CI): 43.9–49.3\\%) (all musculoskeletal consultations) to 61.6\\% (95\\% CI: 44.7–73.3\\%) (hip complaints) at the peak of the first wave, and from 9.3\\% (95\\% CI: 5.7–12.7\\%) (all musculoskeletal consultations) to 26.6\\% (95\\% CI: 11.5–39.1\\%) (knee OA) at the peak of the second wave. The reductions for new diagnoses were 87.0\\% (95\\% CI: 71.5–94.1\\%) for knee OA/complaints, and 70.5\\% (95\\% CI: 37.7–86.0\\%) for hip OA/complaints at the peak of the first wave, and not statistically significant at the peak of the second wave.\nConclusion\nWe observed 47\\% reduction in GP consultations for musculoskeletal disorders during the first wave and 9\\% during the second wave. For hip and knee OA/complaints, the reductions were over 50\\% during the first, and 10\\% during the second wave. This disruption may lead to accumulation of patients with severe OA symptoms and more requests for arthroplasty surgery.},\n\tlanguage = {en},\n\tnumber = {6},\n\turldate = {2023-06-07},\n\tjournal = {Osteoarthritis and Cartilage},\n\tauthor = {Velek, P. and de Schepper, E. and Schiphof, D. and Evert van Spil, W. and Englund, M. and Magnusson, K. and Kiadaliri, A. and Dell'Isola, A. and Licher, S. and Bierma-Zeinstra, S. and Runhaar, J.},\n\tmonth = jun,\n\tyear = {2023},\n\tnote = {Number: 6},\n\tkeywords = {COVID-19, Healthcare utilisation, Musculoskeletal disorders, Osteoarthritis, Primary care},\n\tpages = {829--838},\n}\n\n","author_short":["Velek, P.","de Schepper, E.","Schiphof, D.","Evert van Spil, W.","Englund, M.","Magnusson, K.","Kiadaliri, A.","Dell'Isola, A.","Licher, S.","Bierma-Zeinstra, S.","Runhaar, J."],"key":"velek_changes_2023","id":"velek_changes_2023","bibbaseid":"velek-deschepper-schiphof-evertvanspil-englund-magnusson-kiadaliri-dellisola-etal-changestoconsultationsanddiagnosisofosteoarthritisinprimarycareduringthecovid19pandemic-2023","role":"author","urls":{"Paper":"https://www.sciencedirect.com/science/article/pii/S1063458423006994"},"keyword":["COVID-19","Healthcare utilisation","Musculoskeletal disorders","Osteoarthritis","Primary care"],"metadata":{"authorlinks":{}}},"bibtype":"article","biburl":"https://api.zotero.org/groups/5155143/items?key=IVTAjWy1U5EkGJqE2Z2qQCfh&format=bibtex&limit=100","dataSources":["7PYyrRz6AvkoBBchz","5jEuhQhgRx3py8LmG","LPTeGao77ndnG4Tks"],"keywords":["covid-19","healthcare utilisation","musculoskeletal disorders","osteoarthritis","primary care"],"search_terms":["changes","consultations","diagnosis","osteoarthritis","primary","care","during","covid","pandemic","velek","de schepper","schiphof","evert van spil","englund","magnusson","kiadaliri","dell'isola","licher","bierma-zeinstra","runhaar"],"title":"Changes to consultations and diagnosis of osteoarthritis in primary care during the COVID-19 pandemic","year":2023}