{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:26:23Z","timestamp":1792452383956,"version":"4.5.0"},"reference-count":16,"publisher":"Royal College of General Practitioners","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2024,3,26]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>The incidence of different types of hand and wrist disorders in primary care is unknown since there are no specific encodings for it.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Aim<\/jats:title>\n<jats:p>To determine the overall incidence and the incidence of specific types of hand and wrist disorders in primary care.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Design &amp; setting<\/jats:title>\n<jats:p>A retrospective cohort study was undertaken, using a healthcare registration database from Dutch general practice, which contains medical records of more than 200 000 patients, and included approximately 25% of the population of the area of Rotterdam in The Netherlands.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Method<\/jats:title>\n<jats:p>Patients aged \u226518 years with a new diagnosis of hand or wrist disorder from 1 January 2015\u201331 December 2019 were extracted using a search algorithm based on International Classification of Primary Care (ICPC) coding and search terms in free text.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>The mean incidence over the study period of a hand disorder was 5.9 per 1000 persons-years and of a wrist disorder 0.3 per 1000 persons-years. The incidence of trigger finger or thumb, hand or finger fracture, tendon or ligament tendinopathy, mallet finger, and hand or finger ligament injury were 3 (95% confidence interval [CI] = 2.69 to 3.15), 1 (95% CI = 1.03 to 1.33), 1 (95% CI = 0.98 to 1.28), 0.6 (95% CI = 0.48 to 0.69), and 0.1 (95% CI = 0.06 to 0.14) per 1000 persons-years, respectively. The incidence of a wrist fracture and ligament injury were 0.2 (95% CI = 0.13 to 0.25) and 0.1 (95% CI = 0.04 to 0.12) per 1000 persons-years, respectively.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>There is a large difference between the number of patients presenting to the GP with hand and wrist complaints and the number of hand and wrist diagnoses reported in the medical files. Introducing specific ICPC codes for different types of hand and wrist disorders could (potentially) lead to a more accurate registration of a diagnosis and determination of the incidence figures.<\/jats:p>\n<\/jats:sec>","DOI":"10.3399\/bjgpo.2023.0240","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T14:20:14Z","timestamp":1715955614000},"page":"BJGPO.2023.0240","source":"Crossref","is-referenced-by-count":2,"title":["Incidence of hand and wrist disorders in primary care: a retrospective cohort study"],"prefix":"10.3399","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5609-9471","authenticated-orcid":false,"given":"Patrick","family":"Krastman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelien IT","family":"de Schepper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick JE","family":"Bindels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sita MA","family":"Bierma-Zeinstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Kraan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6293-6707","authenticated-orcid":false,"given":"Jos","family":"Runhaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2024,5,17]]},"reference":[{"key":"2025010207450556000_8.4.BJGPO.2023.0240.1","unstructured":"Nielen MM Hek K Schermer TR (2019) [Annual figures on diseases: incidences and prevalences] Jaarcijfers aandoeningen: incidenties enprevalenties Utrecht: Nivel Zorgregistraties Eerste Lijn (in Dutch), accessed. https:\/\/www.nivel.nl\/nl\/panels-en-registraties\/nivel-zorgregistraties-eerste-lijn\/methoden\/vaststellen-cijfers-zorgverlening. 11 Sep 2024."},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.2","unstructured":"Duineveld B Kole HM Werven H (2019) [Adequate Record Formation with the Electronic Patient Record (ADEPD)] Adequate Dossiervorming met Het Elektronisch Pati\u00ebNtdossier (ADEPD) (in Dutch), accessed. https:\/\/www.nhg.org\/praktijkvoering\/informatisering\/richtlijn-adequate-dossiervorming-epd\/. 9 Sep 2024."},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.3","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyac026"},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.4","unstructured":"WONCA International Classification Committee (2018) International Classification of Primary Care, accessed. https:\/\/www.globalfamilydoctor.com\/groups\/workingparties\/wicc.aspx. 16 Jul 2024."},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.5","doi-asserted-by":"publisher","DOI":"10.3399\/BJGPO.2023.0040"},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.6","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24861"},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.7","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2988-z"},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-037810"},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.9","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.9134"},{"key":"2025010207450556000_8.4.BJGPO.2023.0240.10","unstructured":"van Dijk CE Korevaar JC de Jong JD Koopmans B et al [Room for substitution? 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