Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care
AbstractObjective Norway has a high incidence of forearm fractures, however, the incidence rates based on secondary care registers can be underestimated, as some fractures are treated exclusively in primary care. We estimated the proportion of forearm fracture diagnoses registered exclusively in pri...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-07-01
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| Series: | Scandinavian Journal of Primary Health Care |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/02813432.2023.2231028 |
| _version_ | 1797729204658241536 |
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| author | Cecilie Dahl Eyvind Ohm Siri Marie Solbakken Nudrat Anwar Kristin Holvik Christian Madsen Frede Frihagen Åshild Bjørnerem Frida Igland Nissen Lene B. Solberg Tone Kristin Omsland |
| author_facet | Cecilie Dahl Eyvind Ohm Siri Marie Solbakken Nudrat Anwar Kristin Holvik Christian Madsen Frede Frihagen Åshild Bjørnerem Frida Igland Nissen Lene B. Solberg Tone Kristin Omsland |
| author_sort | Cecilie Dahl |
| collection | DOAJ |
| description | AbstractObjective Norway has a high incidence of forearm fractures, however, the incidence rates based on secondary care registers can be underestimated, as some fractures are treated exclusively in primary care. We estimated the proportion of forearm fracture diagnoses registered exclusively in primary care and assessed the agreement between diagnosis for forearm fractures in primary and secondary care.Design Quality assurance study combining nationwide data from 2008 to 2019 on forearm fractures registered in primary care (Norwegian Control and Payment of Health Reimbursement) and secondary care (the Norwegian Patient Registry).Setting and patients Forearm fracture diagnoses in patients aged ≥20 treated in primary care (n = 83,357) were combined with injury diagnoses for in- and outpatients in secondary care (n = 3,294,336).Main outcome measures Proportion of forearm fractures registered exclusively in primary care, and corresponding injury diagnoses for those registered in both primary and secondary care.Results Of 189,105 forearm fracture registrations in primary and secondary care, 13,948 (7.4%) were registered exclusively in primary care. The proportion ranged from 4.9% to 13.5% on average between counties, but was higher in some municipalities (>30%). Of 66,747 primary care forearm fractures registered with a diagnosis in secondary care, 62% were incident forearm fractures, 28% follow-up controls, and 10% other fractures or non-fracture injuries.Conclusion An overall small proportion of forearm fractures were registered only in primary care, but it was larger in some areas of Norway. Failing to include fractures exclusively treated in primary care could underestimate the incidence rates in these areas. |
| first_indexed | 2024-03-12T11:25:43Z |
| format | Article |
| id | doaj.art-f636bc91269b4dbe85cb1b5947b0c66f |
| institution | Directory Open Access Journal |
| issn | 0281-3432 1502-7724 |
| language | English |
| last_indexed | 2024-03-12T11:25:43Z |
| publishDate | 2023-07-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Scandinavian Journal of Primary Health Care |
| spelling | doaj.art-f636bc91269b4dbe85cb1b5947b0c66f2023-09-01T09:47:49ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242023-07-0141324725610.1080/02813432.2023.2231028Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary careCecilie Dahl0Eyvind Ohm1Siri Marie Solbakken2Nudrat Anwar3Kristin Holvik4Christian Madsen5Frede Frihagen6Åshild Bjørnerem7Frida Igland Nissen8Lene B. Solberg9Tone Kristin Omsland10Department of Community Medicine and Global Health, University of Oslo, Institute of Health and Society, Oslo, NorwayDepartment of Health and Inequality, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Physical Health and Ageing, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Community Medicine and Global Health, University of Oslo, Institute of Health and Society, Oslo, NorwayDepartment of Physical Health and Ageing, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Health and Inequality, Norwegian Institute of Public Health, Oslo, NorwayDepartment of Orthopedic Surgery, Østfold Hospital Trust, Grålum, NorwayDepartment of Clinical Medicine, UiT - The Arctic University of Norway, Tromsø, NorwayDepartment of Clinical Medicine, UiT - The Arctic University of Norway, Tromsø, NorwayDivision of Orthopedic Surgery, Oslo University Hospital, Oslo, NorwayDepartment of Community Medicine and Global Health, University of Oslo, Institute of Health and Society, Oslo, NorwayAbstractObjective Norway has a high incidence of forearm fractures, however, the incidence rates based on secondary care registers can be underestimated, as some fractures are treated exclusively in primary care. We estimated the proportion of forearm fracture diagnoses registered exclusively in primary care and assessed the agreement between diagnosis for forearm fractures in primary and secondary care.Design Quality assurance study combining nationwide data from 2008 to 2019 on forearm fractures registered in primary care (Norwegian Control and Payment of Health Reimbursement) and secondary care (the Norwegian Patient Registry).Setting and patients Forearm fracture diagnoses in patients aged ≥20 treated in primary care (n = 83,357) were combined with injury diagnoses for in- and outpatients in secondary care (n = 3,294,336).Main outcome measures Proportion of forearm fractures registered exclusively in primary care, and corresponding injury diagnoses for those registered in both primary and secondary care.Results Of 189,105 forearm fracture registrations in primary and secondary care, 13,948 (7.4%) were registered exclusively in primary care. The proportion ranged from 4.9% to 13.5% on average between counties, but was higher in some municipalities (>30%). Of 66,747 primary care forearm fractures registered with a diagnosis in secondary care, 62% were incident forearm fractures, 28% follow-up controls, and 10% other fractures or non-fracture injuries.Conclusion An overall small proportion of forearm fractures were registered only in primary care, but it was larger in some areas of Norway. Failing to include fractures exclusively treated in primary care could underestimate the incidence rates in these areas.https://www.tandfonline.com/doi/10.1080/02813432.2023.2231028Forearm fracturesprimary caresecondary careincidenceNorway |
| spellingShingle | Cecilie Dahl Eyvind Ohm Siri Marie Solbakken Nudrat Anwar Kristin Holvik Christian Madsen Frede Frihagen Åshild Bjørnerem Frida Igland Nissen Lene B. Solberg Tone Kristin Omsland Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care Scandinavian Journal of Primary Health Care Forearm fractures primary care secondary care incidence Norway |
| title | Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care |
| title_full | Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care |
| title_fullStr | Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care |
| title_full_unstemmed | Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care |
| title_short | Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care |
| title_sort | forearm fractures are we counting them all an attempt to identify and include the missing fractures treated in primary care |
| topic | Forearm fractures primary care secondary care incidence Norway |
| url | https://www.tandfonline.com/doi/10.1080/02813432.2023.2231028 |
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