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| Name | Class |
|---|---|
| Conseil National de l'Ordre des Masseur Kinésithérapeutes (CNOMK) | UNKNOWN |
| GIRCI Auvergne Rhone-Alpes | OTHER |
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New recommendations regarding care pathways for the management of shoulder pain syndromes have recently been published. We aim to analyze and compare the existing care pathways and identify the most appropriate approaches for different patient profiles.
Our primary objective is to compare pain levels and shoulder function one year after your initial consultation with your general practitioner for this episode. We also seek to assess which healthcare professionals you consult for your shoulder management, the treatments you receive (e.g., analgesics), and any imaging studies you undergo (if prescribed).
We will send you notifications to remind you of the survey completion schedule and provide the link to access the questionnaire.
Participation in this study requires your commitment and adherence to the timeline, as missing data may compromise the analysis of results.
Non-participation in the study will not affect your current medical care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Primary care non-traumatic shoulder pain | Patients will be enrolled if they receive care in France for non-traumatic shoulder disorder, that is related to the rotator cuff. |
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| Measure | Description | Time Frame |
|---|---|---|
| Shoulder Pain And Disability Index (SPADI) | The SPADI is a patient reported outcome measure assessing pain and function in the shoulder. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Total number of different healthcare pathways and their description | Number and nature of different healthcare pathways that patients go through after having had a first general practitioner consultation for a first or new episode of non-traumatic rotator cuff related shoulder pain. E.g. : "surgical pathway", rheumatology pathway", "conservative pathway". | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Patients will be recruited from the French general population
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thomas LATHIERE, PT, PhDc | Contact | +33457041225 | thomas.lathiere@univ-grenoble-alpes.fr | |
| Beatrice GENOUX, MSc | Contact | bgenoux@chu-grenoble.fr |
| Name | Affiliation | Role |
|---|---|---|
| Thomas LATHIERE, PT, PhDc | Grenoble Alpes University Hospital | Principal Investigator |
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| Number and proportion of patient in each healthcare pathway | Number and proportion of patient in each healthcare pathway that patients go through after having had a first general practitioner consultation for a first or new episode of non-traumatic rotator cuff related shoulder pain. | 1 year |
| Delay for the first secondary care consultation | Delay between the GP referall and the consultation with a physiotherapist or a surgeon. | 1 year |
| Number and nature of adverse event | Number and nature of adverse event in each pathway | 1 year |
| Shoulder Pain And Disability Index (SPADI) | Pain and function shoulder PROM | baseline, 2 weeks, 2, 4, 6 and 9 months |
| Pain Self-Efficacy Questionnaire-Fr | PROM assessing pain self-efficacy | baseline, 6 and 12 months |
| Patient belief in the efficacy of rehabilitation | Multiple choice question : "You believe that shoulder rehabilitation: 'allows for full recovery,' 'allows for partial recovery,' or 'does not allow for recovery.'" | Baseline, 6 and 12 months |
| Visual Analog Pain Scale | Self administered pain assessment | 1 year |
| Tampa Scale of Kinesiophobia 11-item | PROM assessing kinesiophobia | Baseline and 6 and 12 months |
| Fear and Avoidance Belief Questionnaire (FABQ) | PROM assessing fear and avoidance beliefs | baseline and 6 months |
| EQ5D-5L | PROM assessing quality of life | Baseline, 2, 4, 6, 9, 12 months |
| Direct costs | Healthcare ressource consumption (Patient healthcare provider consultations, imaging, prescribed drugs, surgeries). | 2, 4, 6, 12 months |
| Indirect costs | Sick leaves | 2, 4, 6 and 12 months |
| Referrals | Number and types of referrals to other healthcare professionals | 2, 4, 6, 9 and 12 months |
| Patient satisfaction | Please respond to the statements below by circling the answer that best reflects your opinion regarding the care you received. (5 points likert scale for each item : Not at all satisfied - Not satisfied - Neutral - Satisfied - Completely satisfied and a Not Concerned option). The dimensions assessed are :
| 1 year |
| Patient preferences and motivation regarding a surgical or conservative pathway | Semi-guided interviews with patients from each identified pathway at different points in time. | baseline, 2, 4, 6, 9 and 12 months |
| Dominant upper limb and involved upper limb | Dominant upper limb: left, right, or neither Affected upper limb: left, right, or both | Baseline |
| Quick DASH | The sort version of the "disability of the arm, the shoulder and the hand" patient reported outcome measure. | At baseline and 12 months |
| PASS | Patient Acceptable Symptom State : "Taking into account all the activities you have during your daily life, your level of pain, and also your functional impairment, do you consider that your current state is satisfactory?" - Dichotomic answer. | 12 months |
| Anchor-based MCID | Patients are asked : "Since the last questionnaire, my shoulder pain and function has :
| Baseline, 2, 4, 6, 9 and 12 months |