Patiëntgerapporteerde zorgverlening voor het grote-trochanterpijnsyndroom

J. Croes, F.-R. Dusar, S. Bogaerts
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Abstract

Patient-reported care for the greater trochanteric pain syndrome The greater trochanteric pain syndrome (GTPS) is a condition that mostly affects middle-aged women. At the University Hospitals Leuven (Belgium), many patients consult a physician for this problem. This retrospective cohort study evaluated the technical investigations and treatment options women with GTPS went through before presenting to a university hospital. Despite the fact that GTPS is described as a clinical diagnosis, most patients already underwent technical investigations. In literature, an MRI of the pelvis is often considered the gold standard for the differential diagnosis, but only a minority already got one. The most performed technical investigation was a hip radiography, followed by an ultrasound of the hip. Less than half of the patient population reported they already had physiotherapy with an active exercise program. About 25% received a corticosteroid injection. Both the proposed diagnostic examinations and treatment options for GTPS seem to differentiate among caregivers. This type of descriptive study makes them reflect critically about the care provided.
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患者报告了对大转子疼痛综合征的护理
大转子疼痛综合征(GTPS)是一种主要影响中年妇女的疾病。在鲁汶大学医院(比利时),许多患者为此问题向医生咨询。本回顾性队列研究评估了GTPS妇女在到大学医院就诊前所经历的技术调查和治疗方案。尽管GTPS被描述为一种临床诊断,但大多数患者已经接受了技术检查。在文献中,骨盆的核磁共振成像通常被认为是鉴别诊断的金标准,但只有少数人已经做过了。进行最多的技术检查是髋关节x线摄影,其次是髋关节超声检查。不到一半的患者报告说他们已经接受了物理治疗和积极的锻炼计划。约25%的患者接受了皮质类固醇注射。建议的GTPS诊断检查和治疗方案似乎在照顾者之间存在差异。这种类型的描述性研究使他们批判性地反思所提供的护理。
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