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Master Thesis

Le syndrome fémoro-patellaire en médecine de ville : technique du patient standardisé

Abstract : CONTEXT: Anterior knee-pain is, after the back-pain, the main reason for consultation regarding musculoskeletal disorders. Currently, in France, there is no consensus about this syndrome definition, pathology or treatment. According to other countries recommendations, an efficient management relies on knee-x-ray and physiotherapy. METHOD: Descriptive study using the simulated-standardized-patient method. Evaluation of a randomized sample of 30 general practitioners (GPs) in 15 Parisian boroughs and 15 cities in Val de Marne, visited by a 28 year-old patient with a knee pain suffered for the last 10 months. Economic analysis to assess this pathologyeconomic impact. RESULTS: 73 % of the GPS prescribed knee x-ray, 57% a knee MRI, 40 % prescribed non-steroidal anti-inflammatory drugs and only 10% physiotherapy. The cost of the GP’s strategies varied between 46,61 et 260,27euros. CONCLUSION: Even if our study is not representative, due to the small sample, we find out that diagnostic management and therapeutic measures to be very random, which leads to an additional cost for society. Official recommendations and improvement in the formation seem essential
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01231011
Contributor : Université Paris Descartes - Scd <>
Submitted on : Thursday, November 19, 2015 - 2:21:01 PM
Last modification on : Friday, October 23, 2020 - 4:38:42 PM
Long-term archiving on: : Friday, April 28, 2017 - 3:09:24 PM

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  • HAL Id : dumas-01231011, version 1

Citation

Delphine Neyens. Le syndrome fémoro-patellaire en médecine de ville : technique du patient standardisé. Médecine humaine et pathologie. 2015. ⟨dumas-01231011⟩

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