title: [Periarticular Corticosteroid Injection in the Therapeutic Approach of Musculoskeletal Disease in General Practice: A systematic Review].
abstract: BACKGROUND
  Periarticular corticosteroid injection utilization by General Practitioners treating musculoskeletal disease in primary health care system is internationally acknowledged. This article aims at analyzing this evidence and contributing to the discussion of a potential development of the technique in Portugal.
  
  
  METHODS
  Qualitative analysis of randomized control trials, cost-effectiveness studies, cross-sectional studies, retrospective cohort studies and observational studies, using PRISMA model.
  
  
  METHODS
  PubMed, Cochrane Library and Essential Evidence Plus.
  
  
  METHODS
  corticosteroid injection mention in the treatment of musculoskeletal disease and an element that indicates primary health care context.
  
  
  RESULTS
  Nine randomized control trials, three cost-effectiveness studies, three cross-sectional studies, three descriptive studies and one retrospective cohort study were reviewed. Most success parameters of corticosteroid injections performed by general practitioners showed short term efficacy; at long term they did not outstand other therapeutic options. The balance between the economic burden ascribed to this technique utilization in primary health care context and gain in subject's quality of life is favorable. The eleven studies assessing security registered only minor side effects and no serious ones.
  
  
  CONCLUSIONS
  The periarticular corticosteroid injection technique performance places it as a therapeutic option treating musculoskeletal disease in Portuguese primary health care. Nevertheless further evidence is required to support its efficacy and safety parameters, namely at national level.
  
  
  CONCLUSIONS
  Corticosteroid injection utilization in primary health care constitutes an effective and safe option, with the potential to improve primary health care service rendering in an economically sustainable way.
authors.affiliation: Unidade de Saúde Familiar Descobertas. Agrupamentos de Centros de Saúde Lisboa Ocidental de Oeiras. Oeiras. Portugal.
authors.forename: Irene
authors.initials: I
authors.lastname: Trindade
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D058006:General Practice; D006801:Humans; D009140:Musculoskeletal Diseases / Q000188:drug therapy*; D011174:Portugal; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies
chemical_list: D000305:Adrenal Cortex Hormones