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.
Study Type
OBSERVATIONAL
Enrollment
160
Shoulder Pain And Disability Index (SPADI)
The SPADI is a patient reported outcome measure assessing pain and function in the shoulder.
Time frame: 1 year
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".
Time frame: 1 year
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.
Time frame: 1 year
Delay for the first secondary care consultation
Delay between the GP referall and the consultation with a physiotherapist or a surgeon.
Time frame: 1 year
Number and nature of adverse event
Number and nature of adverse event in each pathway
Time frame: 1 year
Shoulder Pain And Disability Index (SPADI)
Pain and function shoulder PROM
Time frame: baseline, 2 weeks, 2, 4, 6 and 9 months
Pain Self-Efficacy Questionnaire-Fr
PROM assessing pain self-efficacy
Time frame: 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.'"
Time frame: Baseline, 6 and 12 months
Visual Analog Pain Scale
Self administered pain assessment
Time frame: 1 year
Tampa Scale of Kinesiophobia 11-item
PROM assessing kinesiophobia
Time frame: Baseline and 6 and 12 months
Fear and Avoidance Belief Questionnaire (FABQ)
PROM assessing fear and avoidance beliefs
Time frame: baseline and 6 months
EQ5D-5L
PROM assessing quality of life
Time frame: Baseline, 2, 4, 6, 9, 12 months
Direct costs
Healthcare ressource consumption (Patient healthcare provider consultations, imaging, prescribed drugs, surgeries).
Time frame: 2, 4, 6, 12 months
Indirect costs
Sick leaves
Time frame: 2, 4, 6 and 12 months
Referrals
Number and types of referrals to other healthcare professionals
Time frame: 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. Respect for my values, preferences, and needs 2. Coordination and integration of the care I received 3. Information, communication, and education about my condition 4. Physical comfort during care 5. Emotional support, relief of my fears and anxiety 6. Involvement of my family and close relatives in my care 7. Transition and continuity of care 8. Accessibility of care
Time frame: 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.
Time frame: 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
Time frame: Baseline
Quick DASH
The sort version of the "disability of the arm, the shoulder and the hand" patient reported outcome measure.
Time frame: 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.
Time frame: 12 months
Anchor-based MCID
Patients are asked : "Since the last questionnaire, my shoulder pain and function has : * Significantly improved * Improved, but not really changed * Neither improved nor deteriorated * Worsened, but not really changed * Significantly worsened"
Time frame: Baseline, 2, 4, 6, 9 and 12 months
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