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Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care.

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Title: Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care.
Authors: Dahl, Cecilie (AUTHOR), Ohm, Eyvind (AUTHOR), Solbakken, Siri Marie (AUTHOR), Anwar, Nudrat (AUTHOR), Holvik, Kristin (AUTHOR), Madsen, Christian (AUTHOR), Frihagen, Frede (AUTHOR), Bjørnerem, Åshild (AUTHOR), Igland Nissen, Frida (AUTHOR), Solberg, Lene B. (AUTHOR), Omsland, Tone Kristin (AUTHOR)
Source: Scandinavian Journal of Primary Health Care. Sep2023, Vol. 41 Issue 3, p247-256. 10p.
Subjects: Research, Primary health care, Forearm injuries, Descriptive statistics, Research funding, Statistical correlation, Secondary care (Medicine), Bone fractures, Trauma registries, Human beings
Geographic Terms: Norway
Abstract: 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. 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). 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). Proportion of forearm fractures registered exclusively in primary care, and corresponding injury diagnoses for those registered in both primary and secondary care. 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. 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. Norwegian forearm fracture incidence based on secondary care may be underestimated by not including fractures treated exclusively in primary care. The mean proportion of forearm fractures exclusively handled in primary care is 7% and varies from 5% to 14% between counties. Fractures treated in primary care can be considered for more accurate national incidence rates. Correct fracture diagnosis needs further investigation. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care.
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Primary+Health+Care%22">Scandinavian Journal of Primary Health Care</searchLink>. Sep2023, Vol. 41 Issue 3, p247-256. 10p.
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  Data: 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. 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). 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). Proportion of forearm fractures registered exclusively in primary care, and corresponding injury diagnoses for those registered in both primary and secondary care. 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. 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. Norwegian forearm fracture incidence based on secondary care may be underestimated by not including fractures treated exclusively in primary care. The mean proportion of forearm fractures exclusively handled in primary care is 7% and varies from 5% to 14% between counties. Fractures treated in primary care can be considered for more accurate national incidence rates. Correct fracture diagnosis needs further investigation. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02813432.2023.2231028
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 10
        StartPage: 247
    Subjects:
      – SubjectFull: Research
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Forearm injuries
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Statistical correlation
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      – SubjectFull: Secondary care (Medicine)
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      – SubjectFull: Bone fractures
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      – SubjectFull: Human beings
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      – SubjectFull: Norway
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      – TitleFull: Forearm fractures – are we counting them all? An attempt to identify and include the missing fractures treated in primary care.
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              M: 09
              Text: Sep2023
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