DOS 2018

DOS Kongressen 2018 · 181 Shoulder Impingement: Improving the quality of treatment in the primary sector. Ahmed Halloum, Haubjerg Qvist Andreas, Rasmeussen Deutch Søren Ortopædkirurgisk afd., Regionshospitalet Viborg; Ortopædkirurgisk afd., Aalborg Universitetshospital; Ortopædkirurgisk afd., Regionshospitalet Rander Background: In 2013, the Danish Health Authority released national guidelines describing the treatment of impingement patients in the primary sector, along with guidelines for specialist referral. Despite this, we see a growing number of patients referred without initial relevant treatment in the primary sector. Purpose / Aim of Study: To improve the quality of treatment in the primary sector by informing the general practitioners (GP) about the existence of the national guidelines. Materials and Methods: We conducted a pre and post interventional study. In April 2017 a letter was sent to all GPs in our service area informing about the National treatment Guidelines. In the period of September to November 2016 and June to November 2017 journals were reviewed to determine the quality of treatment in primary care. Patients were divided into three groups of three months: Pre-intervention (PI), early post intervention (EPI) and late post inter- vention (LPI). Relevant primary care treatment was defined as minimum three months of relevant physiotherapy and corticosteroid treatment. Treatment in the outpatient clinic was used as a surrogate marker for the quality of treatment in primary care. Findings / Results: 260 patients (135 F, 125 M) with at mean age of 56 years were included in the study. In the PI group 22 patients (20 %) were offered sur- gery versus 20 patients (33 %) in the EPI group and 20 patients (22 %) in the LPI group. There was no significant difference before and after our intervention (PI vs. EPI: p=0,068 and PI vs. LPI: p=0,73) Conclusions: Our intervention did not improve the quality of treatment of im- pingement patients in the primary sector. Raising awareness of the National Guidelines is difficult on a single hospital level, and may require national effort. 122.