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- W1955082530 abstract "Abstract Rationale, aims and objectives The diagnostic work‐up of patients with shoulder pain in general practice is complex. General practitioners' ( GP s) guidelines advise a pragmatic diagnostic work‐up in which additional imaging has a limited role. However, diagnostic ultrasounds are increasingly ordered by GP s, which seems to reflect complexity in management of shoulder pain. This study aimed to explore GP s' perspectives on the diagnostic work‐up of patients with shoulder pain. Method This study has a qualitative exploratory design with an inductive approach and was carried out in D utch general practice. The study population consisted of 18 D utch GP s who were sampled purposefully with a spread in clinical experience and ordering diagnostic ultrasound. Data were gathered by means of semi‐structured interviews and analysed following principles of the constant comparative method. Results Three main categories with subcategories emerged that captured the diagnostic work‐up of shoulder pain: variety in diagnostic classifications [(non‐)specific diagnosis and interdisciplinary differences], establishing strategies for diagnostic work‐up (use of existing tools and motives to deviate from existing tools), and strategies dealing with diagnostic uncertainties (accepting diagnostic uncertainties, diagnostic imaging tests, and interdisciplinary consultation and referral). Conclusions Despite the availability of evidence‐based shoulder guidelines, GP s experience uncertainties during diagnostic work‐up and apply different strategies when dealing with these uncertainties. At some point, GP s as well as patients seem to have a need for a specific diagnosis. Currently, there appears to be little agreement if, or in which phase of shoulder pain, diagnostic ultrasound is useful or indicated." @default.
- W1955082530 created "2016-06-24" @default.
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- W1955082530 date "2014-03-04" @default.
- W1955082530 modified "2023-10-03" @default.
- W1955082530 title "GPs' perspectives on the diagnostic work-up in patients with shoulder pain: a qualitative study" @default.
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- W1955082530 doi "https://doi.org/10.1111/jep.12114" @default.
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