Abstract

with those with single site joint pain. Cox-regression was used to obtain RR adjusting for age, gender, BMI and social deprivation. Results: Of 15 083 (53%) respondents, average age was 63.9 years (11.2sd) and 54% were female. There were 11 928 participants with joint pain, of which 4677 (39%) reported consulting a GP and 888 (7.4%) a PN. The crude RR (95% CI) for consulting with multisite vs single site joint pain was 1.89 (1.77, 2.00) and 2.61 (2.19, 3.17) for GP and PN consultations respectively. When adjusted for potential confounders the RR reduced to 1.76 (1.63, 1.89) and 2.45 (2.01, 2.97). The AR of consulting with multisite compared with single site joint pain was 21.6% (19.7%, 23.2%) and 5.5% (4.6%, 6.3%) for GP and PN consultations respectively. Conclusion: This study highlights the increased prevalence of consultations with a GP or PN attributable to multisite peripheral joint pain. The findings indicate that if all joint pain in the study population had been restricted to a single site there would have been 21.6% fewer people consulting their GP and 5.5% fewer people consulting a PN with peripheral joint pain in primary care in the last 12 months. The management of peripheral joint pain should consider strategies for the prevention or delay of the onset of multisite joint pain, such as developing the skills of GPs and PNs, which could in turn potentially reduce the burden of consultations for older adults with peripheral joint pain. Disclosure statement: The authors have declared no conflicts of interest.

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