{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T13:18:21Z","timestamp":1762521501931},"reference-count":5,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To demonstrate the sensitivity of musculoskeletal (MSK) history taking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective study: consecutive children attending outpatient clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and patients<\/jats:title><jats:p>Paediatric rheumatology clinic (n=45; girls n=28; median age 12 years, range 3\u201318), acute general paediatric assessment unit (n=50; girls n=21; median age 8 years, range 3\u201316).<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>Pro forma recording abnormal joint involvement from history taking and then following MSK examination completed by clinicians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Sensitivity of MSK history taking compared with clinical examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Paediatric rheumatology clinic: 135 abnormal joints identified in 34 children; 53\/135 (39%) by history alone, 82\/135 (61%) detected on examination resulting in MSK history sensitivity 53%, specificity 98%. Acute paediatric unit: 29 abnormal joints identified in 17 children; 18\/29 identified on history (sensitivity 62%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>MSK history taking failed to identify a large number of abnormal joints which were detected on physical examination, emphasising the need for all joints to be examined as part of a screening examination as a minimum.<\/jats:p><\/jats:sec>","DOI":"10.1136\/archdischild-2011-300853","type":"journal-article","created":{"date-parts":[[2012,4,14]],"date-time":"2012-04-14T00:43:03Z","timestamp":1334364183000},"page":"644-646","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Poor sensitivity of musculoskeletal history in children"],"prefix":"10.1136","volume":"97","author":[{"given":"Iain","family":"Goff","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Rowan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Belinda Jane","family":"Bateman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen Elizabeth","family":"Foster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,4,13]]},"reference":[{"key":"2023011221401433000_97.7.644.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.330.7493.721"},{"key":"2023011221401433000_97.7.644.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.10.047"},{"key":"2023011221401433000_97.7.644.3","doi-asserted-by":"publisher","DOI":"10.1002\/art.22230"},{"key":"2023011221401433000_97.7.644.4","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kep460"},{"key":"2023011221401433000_97.7.644.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.08.013"}],"container-title":["Archives of Disease in Childhood"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2011-300853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T05:42:42Z","timestamp":1673588562000},"score":1,"resource":{"primary":{"URL":"https:\/\/adc.bmj.com\/lookup\/doi\/10.1136\/archdischild-2011-300853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,13]]},"references-count":5,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2012,6,28]]},"published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1136\/archdischild-2011-300853"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2011-300853","relation":{},"ISSN":["0003-9888","1468-2044"],"issn-type":[{"value":"0003-9888","type":"print"},{"value":"1468-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,13]]}}}