An Analysis of the Structures People With Shoulder Pain Recall After Receiving Their Diagnostic Imaging Results.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2024-09-01 DOI:10.1002/msc.1946
Yotam B Brotman, Peter Malliaras, Melanie K Farlie
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Abstract

Aims: Rotator cuff related shoulder pain (RCRSP) is a prevalent cause of musculoskeletal pain. Patients presenting with this condition often undergo diagnostic imaging. However, many patients appear to have difficulty recalling the nature of their diagnosis. This may impact their rehabilitation outcomes. The aim of this study was to explore peoples' recall of their structural features relating to RCRSP by comparing their recalled description of their condition with the contents of their imaging reports as reported in an online questionnaire. In doing so, we aim to explore the potential emphasis they place on structural features related to their condition.

Methods: This study was a content analysis embedded within a larger survey study published previously. Data containing patients' recall of their diagnosis was used from the study, and analysed using content analysis to quantify content in terms of codes and categories. The aims of frequency, completeness and accuracy of recall were then explored.

Results: The analysis identified eight categories of terminology either recalled by patients or reported in imaging reports. The most frequent categories in reports were tendinopathy (71%) and joint (67%), but only 17% and 36% of participant responses contained these codes, respectively. Participants' completeness of recall compared with their imaging report was 30% on average. In terms of accuracy, only 8 out of 95 participants recalled their diagnoses 100% correctly.

Conclusion: This study indicates that patients have poor overall recall of their RCRSP-related structural features. We contend that participants may have been able to recall what they viewed to be the most prominent structural feature in their imaging findings. It may be important for clinicians to consider the impact of diagnostic labelling, and whether a patient's ability to recall such labelling may have an influence on their outcomes.

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肩痛患者在收到诊断成像结果后对结构的回忆分析。
目的:肩袖相关性疼痛(RCRSP)是导致肌肉骨骼疼痛的常见原因。出现这种情况的患者通常要接受影像学诊断。然而,许多患者似乎很难回忆起诊断的性质。这可能会影响他们的康复效果。本研究的目的是通过比较患者对其病情的回忆描述和在线问卷中的影像学报告内容,探索患者对与 RCRSP 相关的结构特征的回忆。在此过程中,我们旨在探索他们对与其病情相关的结构特征的潜在重视程度:本研究是一项内容分析,包含在之前发表的一项大型调查研究中。研究中使用了包含患者对其诊断的回忆的数据,并使用内容分析法对这些数据进行了分析,根据代码和类别对内容进行了量化。然后对回忆的频率、完整性和准确性进行了探讨:结果:分析确定了患者回忆或成像报告中报告的八类术语。报告中最常见的类别是肌腱病(71%)和关节(67%),但分别只有 17% 和 36% 的参与者的回答包含这些代码。与影像报告相比,参与者回忆的完整性平均为 30%。在准确性方面,95 名参与者中只有 8 人的诊断回忆正确率为 100%:本研究表明,患者对其 RCRSP 相关结构特征的整体回忆能力较差。我们认为,参与者可能能够回忆起他们认为成像结果中最突出的结构特征。对于临床医生来说,考虑诊断标记的影响以及患者回忆此类标记的能力是否会对其结果产生影响可能非常重要。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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