Joint and soft tissue injections: a survey of general practitioners

W G Liddell, C R Carmichael, N J McHugh

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objectives. To determine the type of joint and soft tissue injections carried out by general practitioners (GPs) in the Bath area and factors affecting activity.
Methods. A questionnaire was sent to 360 GPs requesting information on injections carried out during the previous 12 months, referral pathways for injection, barriers to injecting and training.

Results. We received 251 replies. The commonest injections were for tennis elbow, glenohumeral joint, knee, supraspinatus tendonitis and carpal tunnel. The majority of GPs (66.4%) carry out most injections themselves, 26.3% refer to a colleague and 7.3% refer to secondary care. Over half (51%) of all the injections are carried out by 15.6% of the GPs. Factors associated with higher levels of injection activity were: male gender, partnership, more than 10 years’ experience, a special interest in rheumatology or orthopaedics and working in a rural or mixed practice. The most important barriers to carrying out injections were lack of practical training, lack of confidence and inability to maintain skills. Most GPs have been trained on models.

Conclusions. Most GPs carry out some joint and soft tissue injections, but limit themselves to knees, shoulders and elbows. A small highly active group receive referrals from colleagues. Gender and specialist training strongly influence activity. Many, especially female and part-time, GPs find it hard to maintain their skills and confidence. Training targeted at this group, based in practices and using models and other tools, is likely to increase the number of patients receiving timely injections in general practice.
Original languageEnglish
Pages (from-to)1043-1046
Number of pages4
JournalRheumatology
Volume44
Issue number8
DOIs
Publication statusPublished - 8 Aug 2005

Fingerprint

General Practitioners
Joints
Injections
Knee
Referral and Consultation
Tennis Elbow
Surveys and Questionnaires
Elbow Joint
Secondary Care
Tendinopathy
Shoulder Joint
Rotator Cuff
Rheumatology
Elbow
Wrist
Baths
General Practice
Orthopedics

Cite this

Joint and soft tissue injections : a survey of general practitioners. / Liddell, W G; Carmichael, C R; McHugh, N J.

In: Rheumatology, Vol. 44, No. 8, 08.08.2005, p. 1043-1046.

Research output: Contribution to journalArticle

Liddell, W G ; Carmichael, C R ; McHugh, N J. / Joint and soft tissue injections : a survey of general practitioners. In: Rheumatology. 2005 ; Vol. 44, No. 8. pp. 1043-1046.
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abstract = "Objectives. To determine the type of joint and soft tissue injections carried out by general practitioners (GPs) in the Bath area and factors affecting activity. Methods. A questionnaire was sent to 360 GPs requesting information on injections carried out during the previous 12 months, referral pathways for injection, barriers to injecting and training. Results. We received 251 replies. The commonest injections were for tennis elbow, glenohumeral joint, knee, supraspinatus tendonitis and carpal tunnel. The majority of GPs (66.4{\%}) carry out most injections themselves, 26.3{\%} refer to a colleague and 7.3{\%} refer to secondary care. Over half (51{\%}) of all the injections are carried out by 15.6{\%} of the GPs. Factors associated with higher levels of injection activity were: male gender, partnership, more than 10 years’ experience, a special interest in rheumatology or orthopaedics and working in a rural or mixed practice. The most important barriers to carrying out injections were lack of practical training, lack of confidence and inability to maintain skills. Most GPs have been trained on models. Conclusions. Most GPs carry out some joint and soft tissue injections, but limit themselves to knees, shoulders and elbows. A small highly active group receive referrals from colleagues. Gender and specialist training strongly influence activity. Many, especially female and part-time, GPs find it hard to maintain their skills and confidence. Training targeted at this group, based in practices and using models and other tools, is likely to increase the number of patients receiving timely injections in general practice.",
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