Greater Trochanteric Pain Syndrome is a broad term employed to characterize lateral hip pain originating from the structures attached to the greater trochanter of the femur. The documented decrease in work participation, elevated levels of pain and dysfunction impeding physical activity, and diminished quality of life align with those observed in individuals with severe hip osteoarthritis. Effectively managing Greater Trochanteric Pain Syndrome can present considerable challenges. Generally, patients with Greater Trochanteric Pain Syndrome tend to respond favourably to conservative management. However, regarding the conservative approach of using corticosteroid injections there is still some debate regarding the specific estimation of effect. A recent systematic review by Wang et al. (2022) was undertaken to explore the effect of corticosteroid injection in the treatment of Greater Trochanteric Pain Syndrome. This commentary seeks to critically assess the methodologies employed in the review conducted by Wang et al. (2022) and provide a broader understanding of the findings in the context of the four pillars of advanced practice; clinical practice, leadership, education and research.
大转子疼痛综合征是一个广义的术语，用于描述源自股骨大转子附属结构的髋关节外侧疼痛。大转子疼痛综合征与严重髋关节骨性关节炎患者的症状相似，都会导致工作参与度下降、疼痛加剧、功能障碍妨碍身体活动以及生活质量下降。有效治疗大转子疼痛综合征是一项巨大的挑战。一般来说，大转子疼痛综合征患者往往对保守治疗反应良好。然而，对于使用皮质类固醇注射的保守治疗方法，在具体的效果评估方面仍存在一些争议。最近，Wang 等人（2022 年）进行了一项系统性综述，探讨了皮质类固醇注射治疗大转子疼痛综合征的效果。本评论旨在批判性地评估 Wang 等人（2022 年）的综述所采用的方法，并从高级实践的四大支柱（临床实践、领导力、教育和研究）的角度对研究结果提供更广泛的理解。
{"title":"Commentary: The Effect of Corticosteroid Injection in the Treatment of Greater Trochanter Pain Syndrome.","authors":"M McCarney, C Brennan, S Bunting, S Hill, J Hill","doi":"10.12968/ijap.2023.0056","DOIUrl":"10.12968/ijap.2023.0056","url":null,"abstract":"<p><p>Greater Trochanteric Pain Syndrome is a broad term employed to characterize lateral hip pain originating from the structures attached to the greater trochanter of the femur. The documented decrease in work participation, elevated levels of pain and dysfunction impeding physical activity, and diminished quality of life align with those observed in individuals with severe hip osteoarthritis. Effectively managing Greater Trochanteric Pain Syndrome can present considerable challenges. Generally, patients with Greater Trochanteric Pain Syndrome tend to respond favourably to conservative management. However, regarding the conservative approach of using corticosteroid injections there is still some debate regarding the specific estimation of effect. A recent systematic review by Wang et al. (2022) was undertaken to explore the effect of corticosteroid injection in the treatment of Greater Trochanteric Pain Syndrome. This commentary seeks to critically assess the methodologies employed in the review conducted by Wang et al. (2022) and provide a broader understanding of the findings in the context of the four pillars of advanced practice; clinical practice, leadership, education and research.</p>","PeriodicalId":520271,"journal":{"name":"International journal for advancing practice","volume":"2 4","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7616830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samantha Febrey, Julia Frost, Abi J Hall, Naomi Morley, Julie Whitney, Vicky Johnston, Payal Wilson, Cliff Kilgore, Victoria A Goodwin
Background: Advanced practitioner (AP) roles are becoming increasingly common in primary care and community settings for supporting older people and those living with frailty.
Aims: The aim of this study was to explore health and social work AP roles in primary care and community settings in the UK, and understand how they support older people and factors that may impact on APs use of technology in practice.
Methods: A cross-sectional, web-based survey was adopted to explore the views and perspectives of APs.
Results: The survey received 111 responses. There were different views as to whether technology was suitable for older people. Although digital exclusion was a concern, it was perceived that this would change in the future as generations become more digitally literate. Respondents suggested that using technology brought about efficiencies and the ability to respond sooner to symptom changes, with some concerns mentioned regarding the accuracy of technology that may miss signs and symptoms.
Conclusion: This is the first national survey to explore advanced practice roles with older people in non-hospital settings. While APs have wide-ranging skills, few currently use technology in their practice. Findings will inform a future study on digitally enhanced comprehensive geriatric assessments.
{"title":"Advanced practitioners working with older people in primary care and community settings: a survey of roles and use of technology.","authors":"Samantha Febrey, Julia Frost, Abi J Hall, Naomi Morley, Julie Whitney, Vicky Johnston, Payal Wilson, Cliff Kilgore, Victoria A Goodwin","doi":"10.12968/ijap.2023.0048","DOIUrl":"10.12968/ijap.2023.0048","url":null,"abstract":"<p><strong>Background: </strong>Advanced practitioner (AP) roles are becoming increasingly common in primary care and community settings for supporting older people and those living with frailty.</p><p><strong>Aims: </strong>The aim of this study was to explore health and social work AP roles in primary care and community settings in the UK, and understand how they support older people and factors that may impact on APs use of technology in practice.</p><p><strong>Methods: </strong>A cross-sectional, web-based survey was adopted to explore the views and perspectives of APs.</p><p><strong>Results: </strong>The survey received 111 responses. There were different views as to whether technology was suitable for older people. Although digital exclusion was a concern, it was perceived that this would change in the future as generations become more digitally literate. Respondents suggested that using technology brought about efficiencies and the ability to respond sooner to symptom changes, with some concerns mentioned regarding the accuracy of technology that may miss signs and symptoms.</p><p><strong>Conclusion: </strong>This is the first national survey to explore advanced practice roles with older people in non-hospital settings. While APs have wide-ranging skills, few currently use technology in their practice. Findings will inform a future study on digitally enhanced comprehensive geriatric assessments.</p>","PeriodicalId":520271,"journal":{"name":"International journal for advancing practice","volume":"2 4","pages":"191-198"},"PeriodicalIF":0.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7616759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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