Abstract:
OBJECTIVE:To compare prospectively the effect of manual treatment such as manipulation, specific mobilization, muscle stretching, auto-traction, and cortisone injections with standardized conventional but optimized activating treatment by primary health care teams. DESIGN:Prospective controlled multicentre trial with four months' follow-up. SETTING:Kopparberg County, Sweden. Six primary health care or occupational health care centres, representing a catchment area of 56000 residents participated. PARTICIPANTS:101 outpatients with acute or subacute low-back pain were, during the period February 1988 to April 1989, randomly allocated to one of two treatment groups. MAIN OUTCOME MEASURE:Quality of life was assessed at baseline and at four months by means of visual analogue scales (VAS). The occurrence of 27 different symptoms of a psychosomatic character was surveyed initially and at four months by questions answered by "yes" or "no" in a questionnaire. RESULTS:There were significant differences concerning quality of life and presence of general symptoms in favour of the group receiving manual treatment with steroid injections. CONCLUSION:Manual treatment with steroid injections was superior to conventional treatment in minimizing mental and somatic symptoms and increasing quality of life, in parallel with other measures of improvement.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Blomberg S,Svärdsudd K,Tibblin Gdoi
10.3109/02813439308994908subject
Has Abstractpub_date
1993-06-01 00:00:00pages
83-90issue
2eissn
0281-3432issn
1502-7724journal_volume
11pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract:OBJECTIVE:To explore patients' views about what they would or would not like to read on the computer screen, and how this might be managed. DESIGN:A qualitative study using semi-structured interviews with patients who had recently consulted, and who were representative of the age-sex structure of our practice populati...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439709035024
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To test the reliability and validity of morbidity data recorded by general practitioners (family physicians) on structured recording forms in active data collection systems. DESIGN:The consulting general practitioner recorded the problems managed at 347 video-taped doctor-patient contacts. Two observers inde...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/028134398750003412
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVE:To explore experiences and consequences of the process of being diagnosed with fibromyalgia. DESIGN:Qualitative focus-group study. SETTING:Two local self-help groups. SUBJECTS:Eleven women diagnosed with fibromyalgia. MAIN OUTCOME MEASURES:Descriptions of experiences and consequences of the process of bei...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430701706568
更新日期:2007-12-01 00:00:00
abstract::The mortality from ischaemic heart disease is higher in predominantly rural northern and western Sweden than in the more urban eastern and southern districts. This study was performed in a small semirural area in mid-Sweden with lower mortality from ischaemic heart disease in middle-aged men and higher mortality in mi...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439109018515
更新日期:1991-09-01 00:00:00
abstract::Descriptions of twenty different clinical situations, most of which included cancer related symptoms and signs, were assessed by 329 patients. The patients showed a satisfactory level of alertness in response to the clinical situations. Lumps and bumps and visible bleeding gave the quickest response. An inverse relati...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438709013987
更新日期:1987-05-01 00:00:00
abstract::Objective: Investigating the state of generalism in medicine from the outlook of general practice. Line of argument: General practice developed when its pioneers, in continuing relationships, learnt to know their patients through the variety of medical situations. From the 50s, there is an increasing literature on the...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1639909
更新日期:2019-09-01 00:00:00
abstract::A substantial proportion of GPs' patients are women who suffer from "unexplained" pain conditions, often from the musculoskeletal system. Few medical findings are revealed, although the symptoms lead to extensive suffering and disability. Two experienced Swedish GPs, Katarina Hamberg and Eva E Johansson, took their ow...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750002945
更新日期:1998-12-01 00:00:00
abstract::Background: Despite the potential benefits of physician-staffed Helicopter Emergency Medical Service (HEMS), many dispatches to primary HEMS missions in Norway are cancelled before patient encounter. Information is sparse regarding the health consequences when medically indicated HEMS missions are cancelled and the pa...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1608056
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To explore the negative predictive value (NPV), positive predictive value (PPV), sensitivity, and specificity of natriuretic peptides, cut-off levels, and the impact of gender and age in elderly patients with systolic heart failure (HF). DESIGN:Cross-sectional exploratory study. SETTING:One primary healthca...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813430903345074
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVE:To assess the effect on referral rate when GPs are given a better opportunity to send their patients to specialists for consultation. DESIGN:Intervention study with a control group. SETTING AND SUBJECTS:A 34-month experiment in the City of Turku. The experimental group consisted of 10 GPs working in municip...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134301750235295
更新日期:2001-06-01 00:00:00
abstract::During the waiting time for upper gastrointestinal endoscopy 165 patients with dyspepsia completed a questionnaire and a diary for daily measurements of the symptoms pain, heartburn, and global complaints. 23 patients (14%) had peptic ulcer disease (PUD), 18 oesophagitis (11%), and the rest were labelled nonulcer dysp...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439308994902
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE:To examine the asso...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1499590
更新日期:2018-09-01 00:00:00
abstract::Ten study populations sampled from a total of 86 communities in a rural Ethiopian area, have been registered and followed for a period of four years. A baseline census revealed a median age of 15 years, a literacy rate of 24%, poor housing and environmental conditions, and low utilization of the existing health care f...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439209014061
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVE:Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of pat...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1499514
更新日期:2018-09-01 00:00:00
abstract::OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Bleking...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2011.562363
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To study predicting value of pain symptoms in detecting depression among adolescents. DESIGN:A population-based classroom survey of 14-16-year-old adolescents. SETTING:Secondary schools in two regions of Finland (Vaasa and Pirkanmaa). SUBJECTS:Every secondary school in these two regions was asked to partic...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To study the effects of applying an emergency department (ED) triage system, combined with extensive publicity in local media about the "right" use of emergency services, on the division of work between ED nurses and general practitioners (GPs). DESIGN:An observational and quasi-experimental study based on b...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2015.1041825
更新日期:2015-06-01 00:00:00
abstract::The purpose of the present investigation was to describe dental health behaviour in an adult Danish population and to study whether oral hygiene habits and consumption of sweets were affected by living conditions. The study group comprised 749 persons in the age group 25-44 years (82% of the original sample) and data ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609013971
更新日期:1986-02-01 00:00:00
abstract::Longitudinal analyses of heavy users of prescription drugs were carried out in a geographically defined population in mideastern Sweden. During the period 1976-1983 the individual stability in heavy use of prescription drugs was analysed in heavy users identified in 1975. Mortality of heavy and nonheavy users during t...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438909087232
更新日期:1989-10-01 00:00:00
abstract::This study aimed at describing patterns of abuse of elderly persons living in their homes as experienced by district nurses in a county of Sweden. 12% of the district nurses (n = 153) reported 30 cases. Those abused were 78.7 years old (mean) and half of them had disturbed memory and mental state and were mostly isola...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439308994912
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVE:For general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The a...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2016.1160634
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS:Linked register data for all inhabitants in Norway with ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.982368
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:Consultation time has a serious impact on physicians' work and patient satisfaction. No systematic study of consultation time in general practice in Slovenia has yet been carried out. The aim of the present study was to measure consultation time, to identify the factors influencing it, and to study the influe...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430701760789
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:To reduce the country's sick leave rate, Norwegian politicians have suggested independent medical evaluations (IMEs) for sick-listed workers. IME was tested in a large, randomized controlled trial in one Norwegian county (Evaluation of IME in Norway, or 'the NIME trial'). The current study´s aim was to explore ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,随机对照试验
doi:10.1080/02813432.2018.1459168
更新日期:2018-06-01 00:00:00
abstract::Objective: It is generally expected that the growth of the older population will lead to an increase in the use of health care services. The aim was to examine the changes in the number of visits made to general practitioners (GP) by the older age groups, and whether such changes were associated with changes in mortal...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1684426
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as "psychiatric cases" by their general practitioner (GP) were likely...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2010.501235
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To analyse associations between symptoms and bacteriuria in uncomplicated lower urinary tract infection in women (LUTIW) and to evaluate outcome of therapy with three different regimens of pivmecillinam or placebo. DESIGN:Prospective, multicentre, randomized, double-blind, and placebo-controlled therapy stud...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/02813430601183074
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:To assess the effect of workplace-oriented dietary intervention on serum lipids. DESIGN:A cohort study. Screening for blood lipids and subsequent dietary intervention performed at a ferro-alloy factory where all the workers have at least one meal per working day served by the factory kitchen. SETTING:Employ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439409003682
更新日期:1994-06-01 00:00:00
abstract::The school health records of 302 persons from the village of Röros, Norway, were scrutinized concerning the notes made by the author when performing a routine school health examination of all the subjects, then aged 16, in the years 1970-73. The notes concerning assessment of posture, findings on muscle palpation, sub...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013957
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the safety and cost-effectiveness of point-of-care troponin T testing (POCT-TnT) for the management of patients with chest pain in primary care. DESIGN:Prospective observational study with follow-up. SETTING:Three primary health care (PHC) centres using POCT-TnT and four PHC centres not using PO...
journal_title:Scandinavian journal of primary health care
pub_type: 临床试验,杂志文章,多中心研究
doi:10.3109/02813432.2014.984901
更新日期:2014-12-01 00:00:00