Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints
Background: It remains unclear to what extent patients with traumatic knee complaints aged 18–45 years seen in general practice experience difficulties with return to sports. Objectives: This study aims to determine the proportion of patients with a knee trauma that return to sports at six weeks and...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-10-01
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| Series: | European Journal of General Practice |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/13814788.2019.1646241 |
| _version_ | 1818500189471637504 |
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| author | Nynke M. Swart Kim van Oudenaarde Sita M. A. Bierma-Zeinstra Johan L. Bloem Patrick J. E. Bindels Paul R. Algra Monique Reijnierse Pim A. J. Luijsterburg |
| author_facet | Nynke M. Swart Kim van Oudenaarde Sita M. A. Bierma-Zeinstra Johan L. Bloem Patrick J. E. Bindels Paul R. Algra Monique Reijnierse Pim A. J. Luijsterburg |
| author_sort | Nynke M. Swart |
| collection | DOAJ |
| description | Background: It remains unclear to what extent patients with traumatic knee complaints aged 18–45 years seen in general practice experience difficulties with return to sports. Objectives: This study aims to determine the proportion of patients with a knee trauma that return to sports at six weeks and three months follow-up. Also examined were associations between no return to sports and baseline patient/trauma characteristics, knee complaints and MR (magnetic resonance) findings, as well as the additive value of MR findings. Methods: Included were patients with traumatic knee complaints participating in a randomized controlled trial assessing the cost-effectiveness of an MR scan in general practice. Patients were classified as ‘no return to sports’ or ‘return to sports’ (sports on pre-injury or adapted level). Potential baseline predictors for no return to sports were assessed using logistic regression analyses. The area under the curves (AUC) was compared. Results: At six weeks and three months follow-up, 147 (59%) and 175 (74%) patients, respectively, reported return to sports. Combining patient characteristics, trauma characteristics and knee complaints predicted no return to sports with an AUC of 0.86 (95%CI: 0.81–0.90) at six weeks and of 0.82 (95%CI: 0.76–0.88) at three months follow-up. After adding MR findings, the AUC was 0.79 (95%CI: 0.71–0.87) at six weeks and 0.79 (95%CI: 0.70–0.88) at three months follow-up. Conclusion: Three out of four patients with a knee trauma in general practice reported return to sports at three months follow-up. A combination of patient/trauma characteristics and knee complaints predicted no return to sports, whereas MR findings had no additive value. Trial registration: Dutch trial registration: registration number: NTR3689. registration date: 7 November 2012. |
| first_indexed | 2024-12-10T20:39:27Z |
| format | Article |
| id | doaj.art-d75247c29a2a42eabb3de72c5c6da7c1 |
| institution | Directory Open Access Journal |
| issn | 1381-4788 1751-1402 |
| language | English |
| last_indexed | 2024-12-10T20:39:27Z |
| publishDate | 2019-10-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of General Practice |
| spelling | doaj.art-d75247c29a2a42eabb3de72c5c6da7c12022-12-22T01:34:26ZengTaylor & Francis GroupEuropean Journal of General Practice1381-47881751-14022019-10-0125420521310.1080/13814788.2019.16462411646241Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaintsNynke M. Swart0Kim van Oudenaarde1Sita M. A. Bierma-Zeinstra2Johan L. Bloem3Patrick J. E. Bindels4Paul R. Algra5Monique Reijnierse6Pim A. J. Luijsterburg7Erasmus MC, University Medical Center RotterdamLeiden University Medical CentreErasmus MC, University Medical Center RotterdamLeiden University Medical CentreErasmus MC, University Medical Center RotterdamNorthwest Clinics, location AlkmaarLeiden University Medical CentreErasmus MC, University Medical Center RotterdamBackground: It remains unclear to what extent patients with traumatic knee complaints aged 18–45 years seen in general practice experience difficulties with return to sports. Objectives: This study aims to determine the proportion of patients with a knee trauma that return to sports at six weeks and three months follow-up. Also examined were associations between no return to sports and baseline patient/trauma characteristics, knee complaints and MR (magnetic resonance) findings, as well as the additive value of MR findings. Methods: Included were patients with traumatic knee complaints participating in a randomized controlled trial assessing the cost-effectiveness of an MR scan in general practice. Patients were classified as ‘no return to sports’ or ‘return to sports’ (sports on pre-injury or adapted level). Potential baseline predictors for no return to sports were assessed using logistic regression analyses. The area under the curves (AUC) was compared. Results: At six weeks and three months follow-up, 147 (59%) and 175 (74%) patients, respectively, reported return to sports. Combining patient characteristics, trauma characteristics and knee complaints predicted no return to sports with an AUC of 0.86 (95%CI: 0.81–0.90) at six weeks and of 0.82 (95%CI: 0.76–0.88) at three months follow-up. After adding MR findings, the AUC was 0.79 (95%CI: 0.71–0.87) at six weeks and 0.79 (95%CI: 0.70–0.88) at three months follow-up. Conclusion: Three out of four patients with a knee trauma in general practice reported return to sports at three months follow-up. A combination of patient/trauma characteristics and knee complaints predicted no return to sports, whereas MR findings had no additive value. Trial registration: Dutch trial registration: registration number: NTR3689. registration date: 7 November 2012.http://dx.doi.org/10.1080/13814788.2019.1646241knee injuriesprimary caregeneral practicemagnetic resonance imagingreturn to sport |
| spellingShingle | Nynke M. Swart Kim van Oudenaarde Sita M. A. Bierma-Zeinstra Johan L. Bloem Patrick J. E. Bindels Paul R. Algra Monique Reijnierse Pim A. J. Luijsterburg Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints European Journal of General Practice knee injuries primary care general practice magnetic resonance imaging return to sport |
| title | Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints |
| title_full | Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints |
| title_fullStr | Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints |
| title_full_unstemmed | Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints |
| title_short | Predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics, trauma characteristics and knee complaints |
| title_sort | predicting no return to sports after three months in patients with traumatic knee complaints in general practice by combining patient characteristics trauma characteristics and knee complaints |
| topic | knee injuries primary care general practice magnetic resonance imaging return to sport |
| url | http://dx.doi.org/10.1080/13814788.2019.1646241 |
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