{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T21:25:22Z","timestamp":1711574722806},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Prim. Care"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Primary healthcare in Norway has first-line responsibility for medical emergencies, including traumas and fractures. Normally, patients with suspected fractures are referred to specialist care. However, some municipalities have X-ray facilities and handle minor fractures locally.\u00a0We investigated patient-reported outcome measures after initial treatment of radiologically diagnosed fractures of the wrist, collarbone, and ankle at a primary healthcare centre in a rural municipality with a large ski resort. The patients\u2019 general satisfaction with the treatment was also investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Validated questionnaires were sent to patients with fractures of the wrist or collarbone (Quick DASH\u2014Disability of Arm, Shoulder and Hand) or the ankle (FAOS -The Foot and Ankle Outcome Score). Patients with wrist and collarbone fractures also answered the Quality-of-life questions that are a subscale of the FAOS questionnaire for ankle fractures. Patient satisfaction was measured for all fracture groups. The Quick DASH scale ranges from 0 (no disability at all) to 100 (great disability), while for FAOS a score of 100 indicates no symptoms and 0 indicates extreme disabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 148 of 238 patients answered the questionnaire (62% response rate). Patients with distal radius fractures had a mean Quick DASH score of 5.1 (median 0, range 0\u201377), and scores were significantly lower for males (<jats:italic>p<\/jats:italic>\u2009=\u20090.013) and increased with age (<jats:italic>p<\/jats:italic>\u2009=\u20090.024). Patients with collarbone fractures had a mean Quick DASH score of 2.1 (median 0, range 0\u201332) with no significant age or gender differences. Patients with ankle fractures had the following mean subscale-scores: Pain, 93.8; Symptoms, 71.4; Activities of daily living, 97.4; Sport, 90.0; and Quality of life, 92.1. The scores did not differ significantly by specialization of the physician. A total of 88% of the patients were highly or very highly satisfied with the handling of their fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The patients reported low rates of functional disability and high rates of satisfaction after initial radiological diagnosis and treatment of their fracture at the primary healthcare centre. Specialisation of the treating physician was not associated with the outcome in any of the fracture types.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12875-022-01799-4","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T10:03:01Z","timestamp":1659175381000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Patient-reported outcomes after initial conservative fracture treatment in primary healthcare \u2013 a survey study"],"prefix":"10.1186","volume":"23","author":[{"given":"Stein","family":"Vabo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Knut","family":"Steen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Brudvik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steinar","family":"Hunskaar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tone","family":"Morken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,7,30]]},"reference":[{"key":"1799_CR1","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1186\/s12875-015-0268-z","volume":"16","author":"JJ Jacobs","year":"2015","unstructured":"Jacobs JJ, Jacobs JP, van Sonderen E, van der Molen T, Sanderman R. Fracture diagnostics, unnecessary travel and treatment: a comparative study before and after the introduction of teleradiology in a remote general practice. BMC Fam Pract. 2015;16:53.","journal-title":"BMC Fam Pract"},{"issue":"4","key":"1799_CR2","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1080\/02813432.2019.1685202","volume":"37","author":"S Vabo","year":"2019","unstructured":"Vabo S, Steen K, Brudvik C, Hunskaar S, Morken T. Fractures diagnosed in primary care - a five-year retrospective observational study from a Norwegian rural municipality with a ski resort. Scand J Prim Health Care. 2019;37(4):444\u201351.","journal-title":"Scand J Prim Health Care"},{"issue":"7","key":"1799_CR3","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1007\/s00423-015-1324-9","volume":"400","author":"JH Ju","year":"2015","unstructured":"Ju JH, Jin GZ, Li GX, Hu HY, Hou RX. Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis. Langenbecks Arch Surg. 2015;400(7):767\u201379.","journal-title":"Langenbecks Arch Surg"},{"issue":"7","key":"1799_CR4","doi-asserted-by":"publisher","first-page":"e276","DOI":"10.1097\/BOT.0000000000001174","volume":"32","author":"AF Ahmed","year":"2018","unstructured":"Ahmed AF, Salameh M, AlKhatib N, Elmhiregh A, Ahmed GO. Open Reduction and Internal Fixation Versus Nonsurgical Treatment in Displaced Midshaft Clavicle Fractures: A Meta-Analysis. J Orthop Trauma. 2018;32(7):e276\u201383.","journal-title":"J Orthop Trauma"},{"issue":"23","key":"1799_CR5","doi-asserted-by":"publisher","first-page":"2146","DOI":"10.2106\/JBJS.J.01597","volume":"93","author":"R Arora","year":"2011","unstructured":"Arora R, Lutz M, Deml C, Krappinger D, Haug L, Gabl M. A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older. J Bone Joint Surg Am. 2011;93(23):2146\u201353.","journal-title":"J Bone Joint Surg Am"},{"issue":"9","key":"1799_CR6","doi-asserted-by":"publisher","first-page":"1851","DOI":"10.2106\/JBJS.I.00968","volume":"92","author":"KA Egol","year":"2010","unstructured":"Egol KA, Walsh M, Romo-Cardoso S, Dorsky S, Paksima N. Distal radial fractures in the elderly: operative compared with nonoperative treatment. J Bone Joint Surg Am. 2010;92(9):1851\u20137.","journal-title":"J Bone Joint Surg Am"},{"issue":"13","key":"1799_CR7","doi-asserted-by":"publisher","first-page":"1159","DOI":"10.2106\/JBJS.L.01390","volume":"95","author":"J Schulz","year":"2013","unstructured":"Schulz J, Moor M, Roocroft J, Bastrom TP, Pennock AT. Functional and radiographic outcomes of nonoperative treatment of displaced adolescent clavicle fractures. J Bone Joint Surg Am. 2013;95(13):1159\u201365.","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"1799_CR8","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/j.fas.2018.02.009","volume":"25","author":"P Larsen","year":"2019","unstructured":"Larsen P, Rathleff MS, Elsoe R. Surgical versus conservative treatment for ankle fractures in adults - A systematic review and meta-analysis of the benefits and harms. Foot Ankle Surg. 2019;25(4):409\u201317.","journal-title":"Foot Ankle Surg"},{"issue":"1","key":"1799_CR9","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1007\/s00402-015-2353-0","volume":"136","author":"PK Sculco","year":"2016","unstructured":"Sculco PK, Lazaro LE, Little MM, Berkes MB, Warner SJ, Helfet DL, et al. Dislocation is a risk factor for poor outcome after supination external rotation type ankle fractures. Arch Orthop Trauma Surg. 2016;136(1):9\u201315.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"51","key":"1799_CR10","first-page":"A5428","volume":"156","author":"JJ Jacobs","year":"2013","unstructured":"Jacobs JJ, Jacobs JP, Wiersma D, Sanderman R. Teleradiology in a family practice on the Dutch island of Ameland: a cost-benefit analysis. Ned Tijdschr Geneeskd. 2013;156(51):A5428.","journal-title":"Ned Tijdschr Geneeskd"},{"key":"1799_CR11","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s12875-016-0418-y","volume":"17","author":"J Jacobs","year":"2016","unstructured":"Jacobs J, Ekkelboom R, Jacobs J, van der Molen T, Sanderman R. Patient satisfaction with a teleradiology service in general practice. BMC Fam Pract. 2016;17:17.","journal-title":"BMC Fam Pract"},{"key":"1799_CR12","volume-title":"Metodebok i skadebehandling [Methods of injury treatment]","author":"G L\u00f8nne","year":"2006","unstructured":"L\u00f8nne G, Nerhus TK. Metodebok i skadebehandling [Methods of injury treatment]. Oslo: Legeforlaget; 2006."},{"issue":"3","key":"1799_CR13","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1177\/1457496915607410","volume":"105","author":"A Stenroos","year":"2016","unstructured":"Stenroos A, Pakarinen H, Jalkanen J, Malkia T, Handolin L. Tibial Fractures in Alpine Skiing and Snowboarding in Finland: A Retrospective Study on Fracture Types and Injury Mechanisms in 363 Patients. Scand J Surg. 2016;105(3):191\u20136.","journal-title":"Scand J Surg"},{"issue":"5","key":"1799_CR14","first-page":"1038","volume":"87","author":"DE Beaton","year":"2005","unstructured":"Beaton DE, Wright JG, Katz JN. Upper Extremity Collaborative G. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am. 2005;87(5):1038\u201346.","journal-title":"J Bone Joint Surg Am"},{"issue":"9","key":"1799_CR15","first-page":"1070","volume":"128","author":"V Finsen","year":"2008","unstructured":"Finsen V. Norwegian version of the DASH questionnaire for examination of the arm shoulders and hand. Tidsskr Nor Laegeforen. 2008;128(9):1070.","journal-title":"Tidsskr Nor Laegeforen"},{"issue":"2","key":"1799_CR16","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1177\/1753193413481302","volume":"39","author":"T Aasheim","year":"2014","unstructured":"Aasheim T, Finsen V. The DASH and the QuickDASH instruments. Normative values in the general population in Norway. J Hand Surg Eur. 2014;39(2):140\u20134.","journal-title":"J Hand Surg Eur"},{"issue":"10","key":"1799_CR17","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1177\/107110070102201004","volume":"22","author":"EM Roos","year":"2001","unstructured":"Roos EM, Brandsson S, Karlsson J. Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int. 2001;22(10):788\u201394.","journal-title":"Foot Ankle Int"},{"issue":"4","key":"1799_CR18","doi-asserted-by":"publisher","first-page":"405","DOI":"10.4045\/tidsskr.12.0297","volume":"133","author":"HD Kvernmo","year":"2013","unstructured":"Kvernmo HD, Krukhaug Y. Treatment of distal radius fractures. Tidsskr Nor Laegeforen. 2013;133(4):405\u201311.","journal-title":"Tidsskr Nor Laegeforen"},{"issue":"6","key":"1799_CR19","first-page":"394","volume":"5","author":"R Govindasamy","year":"2017","unstructured":"Govindasamy R, Kasirajan S, Doke T. Functional Results of Unstable (Type 2) Distal Clavicle Fractures Treated with Superior Anterior Locking Plate. Arch Bone Jt Surg. 2017;5(6):394\u20139.","journal-title":"Arch Bone Jt Surg"},{"issue":"9","key":"1799_CR20","doi-asserted-by":"publisher","first-page":"1179","DOI":"10.1177\/10711007211002811","volume":"42","author":"P Larsen","year":"2021","unstructured":"Larsen P, Al-Bayati M, Elsoe R. The Foot and Ankle Outcome Score (FAOS) During Early Recovery After Ankle Fracture. Foot Ankle Int. 2021;42(9):1179\u201384.","journal-title":"Foot Ankle Int"},{"issue":"1","key":"1799_CR21","doi-asserted-by":"publisher","first-page":"30","DOI":"10.2519\/jospt.2014.4893","volume":"44","author":"F Franchignoni","year":"2014","unstructured":"Franchignoni F, Vercelli S, Giordano A, Sartorio F, Bravini E, Ferriero G. Minimal clinically important difference of the disabilities of the arm, shoulder and hand outcome measure (DASH) and its shortened version (QuickDASH). J Orthop Sports Phys Ther. 2014;44(1):30\u20139.","journal-title":"J Orthop Sports Phys Ther"},{"issue":"8","key":"1799_CR22","doi-asserted-by":"publisher","first-page":"498","DOI":"10.5435\/JAAOS-20-08-498","volume":"20","author":"NK Pandya","year":"2012","unstructured":"Pandya NK, Namdari S, Hosalkar HS. Displaced clavicle fractures in adolescents: facts, controversies, and current trends. J Am Acad Orthop Surg. 2012;20(8):498\u2013505.","journal-title":"J Am Acad Orthop Surg"},{"issue":"5","key":"1799_CR23","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1016\/j.jse.2007.01.001","volume":"16","author":"JM Potter","year":"2007","unstructured":"Potter JM, Jones C, Wild LM, Schemitsch EH, McKee MD. Does delay matter? The restoration of objectively measured shoulder strength and patient-oriented outcome after immediate fixation versus delayed reconstruction of displaced midshaft fractures of the clavicle. J Shoulder Elbow Surg. 2007;16(5):514\u20138.","journal-title":"J Shoulder Elbow Surg"},{"issue":"1","key":"1799_CR24","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/1472-6963-5-6","volume":"5","author":"CJ van Uden","year":"2005","unstructured":"van Uden CJ, Ament AJ, Hobma SO, Zwietering PJ, Crebolder HF. Patient satisfaction with out-of-hours primary care in the Netherlands. BMC Health Serv Res. 2005;5(1):6.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"1799_CR25","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1080\/13814788.2021.1959911","volume":"27","author":"MH Rutten","year":"2021","unstructured":"Rutten MH, Giesen PHJ, Assendelft WJJ, Westert G, Smits M. Effects of access to radiology in out-of-hours primary care on patient satisfaction and length of stay. Eur J Gen Pract. 2021;27(1):221\u20137.","journal-title":"Eur J Gen Pract"},{"issue":"3","key":"1799_CR26","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.cjtee.2019.01.002","volume":"22","author":"S Hartwig","year":"2019","unstructured":"Hartwig S, Nissen MC, Voss JO, Doll C, Adolphs N, Heiland M, et al. Clinical outcome after orbital floor fracture reduction with special regard to patient\u2019s satisfaction. Chin J Traumatol. 2019;22(3):155\u201360.","journal-title":"Chin J Traumatol"},{"key":"1799_CR27","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1186\/1471-2296-11-73","volume":"11","author":"K Danielsen","year":"2010","unstructured":"Danielsen K, Bjertnaes OA, Garratt A, Forland O, Iversen HH, Hunskaar S. The association between demographic factors, user reported experiences and user satisfaction: results from three casualty clinics in Norway. BMC Fam Pract. 2010;11:73.","journal-title":"BMC Fam Pract"},{"issue":"12","key":"1799_CR28","doi-asserted-by":"publisher","first-page":"E727","DOI":"10.1097\/BRS.0000000000002457","volume":"43","author":"CDN Rasmussen","year":"2018","unstructured":"Rasmussen CDN, Holtermann A, Jorgensen MB. Recall Bias in Low Back Pain Among Workers: Effects of Recall Period and Individual and Work-Related Factors. Spine\u00a0(Phila Pa 1976). 2018;43(12):E727\u201333.","journal-title":"Spine\u00a0(Phila Pa 1976)"},{"key":"1799_CR29","doi-asserted-by":"crossref","unstructured":"Colovic H, Stankovic I, Dimitrijevic L, Zivkovic V, Nikolic D. The value of modified DASH questionnaire for evaluation of elbow function after supracondylar fractures in children. 2008 Jan. 27\u201332 p.","DOI":"10.2298\/VSP0801027C"},{"issue":"2","key":"1799_CR30","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-025046","volume":"9","author":"T Verbeek","year":"2019","unstructured":"Verbeek T, Arentsen H, Breet EJ, Kuipers MM, Lubbert PHW, Burger H. Patient satisfaction in treatment of non-complex fractures and dislocations in general practice in the Netherlands: prospective cohort study protocol. BMJ Open. 2019;9(2): e025046.","journal-title":"BMJ Open"}],"container-title":["BMC Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-022-01799-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12875-022-01799-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-022-01799-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,25]],"date-time":"2023-11-25T04:35:44Z","timestamp":1700886944000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcfampract.biomedcentral.com\/articles\/10.1186\/s12875-022-01799-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,30]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["1799"],"URL":"https:\/\/doi.org\/10.1186\/s12875-022-01799-4","relation":{},"ISSN":["2731-4553"],"issn-type":[{"value":"2731-4553","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,30]]},"assertion":[{"value":"28 October 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"We\u00a0confirm that\u00a0all methods were performed in accordance with the relevant guidelines and regulations with\u00a0the declaration of Helsinki. Informed consent was obtained from all patients and from parents\/legal guardians of minors for participation in the study by answering the questionnaire.The project was approved by the Regional Committee for Medical and Health Research, Western Norway, University of Bergen. post@helseforskning.etikkom.no (Ethics approval no. 2015\/59).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent of publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"191"}}