{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T01:05:22Z","timestamp":1791594322125,"version":"4.3.4"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"unspecified","delay-in-days":175,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Summary<\/jats:title>\n\t  <jats:p>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 \u2018need\u2019 between practices\u2019 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\u2019 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.<\/jats:p>","DOI":"10.1017\/s1463423625100133","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T06:02:10Z","timestamp":1750831330000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Local variation in musculoskeletal pain consultation rates in primary care: findings from an ecologic study in Staffordshire"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9008-0184","authenticated-orcid":false,"given":"George M.","family":"Peat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6246-1409","authenticated-orcid":false,"given":"Jonathan C.","family":"Hill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8449-7725","authenticated-orcid":false,"given":"Dahai","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7107-5785","authenticated-orcid":false,"given":"Simon","family":"Wathall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0278-6898","authenticated-orcid":false,"given":"Emma","family":"Parry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2566-3527","authenticated-orcid":false,"given":"James","family":"Bailey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2518-4227","authenticated-orcid":false,"given":"Kay","family":"Stevenson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2160-0619","authenticated-orcid":false,"given":"Clare","family":"Thompson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4825-714X","authenticated-orcid":false,"given":"Ross","family":"Wilkie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1168-8993","authenticated-orcid":false,"given":"Krysia","family":"Dziedzic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4748-5335","authenticated-orcid":false,"given":"Kelvin P.","family":"Jordan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the MIDAS Patient Advisory Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"S1463423625100133_ref11","unstructured":"Jordan, K , Bailey, J , Burton, C , Welsh, V , Wathall, S. , Hill, J. , Parry, E. , Garvin, S and Peat, G , (2021) Keele Core Sets of SNOMED CT Concept IDs: MSK Pain\/Injury (Adult). Supporting Documentation. Version: 1.0; Date: 2021-02-11."},{"key":"S1463423625100133_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.2148"},{"key":"S1463423625100133_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045018"},{"key":"S1463423625100133_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4936.395"},{"key":"S1463423625100133_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00620-6"},{"key":"S1463423625100133_ref17","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X695981"},{"key":"S1463423625100133_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00229-4"},{"key":"S1463423625100133_ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-019-04430-5"},{"key":"S1463423625100133_ref21","doi-asserted-by":"publisher","DOI":"10.1136\/jech.46.3.227"},{"key":"S1463423625100133_ref8","doi-asserted-by":"publisher","DOI":"10.1136\/jech.50.3.347"},{"key":"S1463423625100133_ref20","unstructured":"Versus Arthritis\/Imperial College London, (2023) Musculoskeletal Calculator. Available: https:\/\/www.versusarthritis.org\/policy\/resources-for-policy-makers\/musculoskeletal-calculator\/ [11 Sep, 2023]."},{"key":"S1463423625100133_ref23","doi-asserted-by":"publisher","DOI":"10.2147\/CLEP.S160059"},{"key":"S1463423625100133_ref12","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-019-4036-y"},{"key":"S1463423625100133_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010652"},{"key":"S1463423625100133_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-12-16"},{"key":"S1463423625100133_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmq085"},{"key":"S1463423625100133_ref18","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2024.0033"},{"key":"S1463423625100133_ref3","volume-title":"Data Saves Lives: Reshaping Health and Social Care with Data","year":"2022"},{"key":"S1463423625100133_ref6","volume-title":"The Symptom Iceberg: A Study of Community Health","author":"Hannay","year":"1979"},{"key":"S1463423625100133_ref22","doi-asserted-by":"publisher","DOI":"10.3399\/BJGP.2023.0560"},{"key":"S1463423625100133_ref7","first-page":"116","article-title":"Rule of halves: implications of increasing diagnosis and reducing dropout for future workload and prescribing costs in primary care","volume":"42","author":"Hart","year":"1992","journal-title":"British Journal of General Practice"},{"key":"S1463423625100133_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg438"},{"key":"S1463423625100133_ref19","unstructured":"UK Government, (2022) Health & Care Act 2022."}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423625100133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T06:02:13Z","timestamp":1750831333000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423625100133\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":23,"alternative-id":["S1463423625100133"],"URL":"https:\/\/doi.org\/10.1017\/s1463423625100133","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e52"}}