{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T22:41:45Z","timestamp":1793572905568,"version":"4.5.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,2,5]],"date-time":"2015-02-05T00:00:00Z","timestamp":1423094400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Lateral elbow tendinosis (epicondylitis) is a common condition both in primary care and specialty clinics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the natural history (ie, incidence, recurrence, and progression to surgery) of lateral elbow tendinosis in a large population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Descriptive epidemiology study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study population comprised a population-based incidence cohort of patients with new-onset lateral elbow tendinosis between January 1, 2000, and December 31, 2012. The medical records of a 10% random sample (n = 576) were reviewed to ascertain information on patient and disease characteristics, treatment modalities, recurrence, and progression to surgery. Age- and sex-specific incidence rates were calculated and adjusted to the 2010 US population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The age- and sex-adjusted annual incidence of lateral elbow tendinosis decreased significantly over time from 4.5 per 1000 people in 2000 to 2.4 per 1000 in 2012 ( P &lt; .001). The recurrence rate within 2 years was 8.5% and remained constant over time. The proportion of surgically treated cases within 2 years of diagnosis tripled over time, from 1.1% during the 2000-2002 time period to 3.2% after 2009 ( P &lt; .00001). About 1 in 10 patients with persistent symptoms at 6 months required surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The decrease in incidence of lateral elbow tendinosis may represent changes in diagnosis patterns or a true decrease in disease incidence. Natural history data can be used to help guide patients and providers in determining the most appropriate course at a given time in the disease process. The study data suggest that patients without resolution after 6 months of onset may have a prolonged disease course and may need surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546514568087","type":"journal-article","created":{"date-parts":[[2015,2,5]],"date-time":"2015-02-05T23:38:58Z","timestamp":1423179538000},"page":"1066-1071","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":233,"title":["The Epidemiology and Health Care Burden of Tennis Elbow"],"prefix":"10.1177","volume":"43","author":[{"suffix":"Jr","given":"Thomas L.","family":"Sanders","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilal","family":"Maradit Kremers","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA"},{"name":"Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"Bryan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanine E.","family":"Ransom","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard F.","family":"Morrey","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,2,5]]},"reference":[{"key":"bibr1-0363546514568087","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200801000-00004"},{"key":"bibr2-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.09.008"},{"key":"bibr3-0363546514568087","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197355060-00004"},{"key":"bibr4-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2012-101341"},{"key":"bibr5-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507308932"},{"key":"bibr6-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1136\/oem.60.5.322"},{"key":"bibr7-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg360"},{"key":"bibr8-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2012.08.012"},{"key":"bibr9-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510390452"},{"key":"bibr10-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.12.012"},{"key":"bibr11-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2011.11.009"},{"key":"bibr12-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys195"},{"key":"bibr13-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1177\/1941738112454651"},{"key":"bibr14-0363546514568087","doi-asserted-by":"publisher","DOI":"10.1007\/BF00180221"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546514568087","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546514568087","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546514568087","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:49:02Z","timestamp":1777369742000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546514568087"}},"subtitle":["A Population-Based Study"],"short-title":[],"issued":{"date-parts":[[2015,2,5]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,5]]}},"alternative-id":["10.1177\/0363546514568087"],"URL":"https:\/\/doi.org\/10.1177\/0363546514568087","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,5]]}}}