AB0814 INDIVIDUAL and Social Factor Can Influence the Quality of Life of Knee Oa Patients: A Systematic Review (original) (raw)
Related papers
Are Joint Structure and Function Related to Medial Knee OA Pain? A Pilot Study
Clinical Orthopaedics and Related Research®, 2011
Background Although the severity of knee osteoarthritis (OA) usually is assessed using different measures of joint structure, function, and pain, the relationships between these measures are unclear. Purpose Therefore, we: (1) examined the relationships between the measures of knee structure (flexion-extension range of motion, radiographic tibiofemoral angle, and medial joint space), function (Knee Osteoarthritis Outcome Scores [KOOS], peak adduction angle, and moment), and pain (visual analog scale [VAS]); and (2) identified variables that best predicted knee pain.
Determinants of Quality of Life among Patient with Knee Osteoarthritis
Journal of Epidemiology and Public Health, 2019
Background: Osteoarthritis (OA) ranks second after cardiovascular disease as the cause of physical disability. Nearly 25% of individuals aged 55 years or over have complaints of knee pain and some have proven osteoarthritis. Elderly people with OA suffer from depression, reduced quality of life and economic difficulties. In assessing the quality of life of OA patients can help identify the health care needs of all patients. This study aimed to determine factors affecting quality of life in knee OA patients. Subjects and Method: This was analytic observational study with a cross sectional design. The study was carried out at Dr. Moewardi and UNS Hospital, Surakarta, Central Java. A sample of 180 OA knee patients was selected by consecutive sampling. The dependent variable was quality of life. The independent variables were sex, occupation, body mass index, duration of illness, and pain location. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Quality of life of OA knee patient decreased with female (b=-1.11; 95% CI=-2.32 to 0.08; p= 0.069), overweight/ obesity (b=-1.64; 95% CI=-2.35 to-0.93; p<0.001), duration of chronic illness (b=-0.80; 95% CI=-1.51 to-0.91; p= 0.027), and bilateral pain (b=-0.74; 95% CI=-1.42 to-0.05; p= 0.034). Conclusion: Quality of life of OA knee patient decreases with female, overweight/ obesity, duration of chronic illness, and bilateral pain.
Background: In moderate OA (osteoarthritis) knee there is obvious damage to cartilage and the space between the bones begins to narrow. Patients with moderate OA knee are likely to experience frequent knee pain when walking, running, bending, and kneeling, etc. Also they experience joint stiffness after sitting for long duration or after waking up in the morning. Thus we intend to find out which factors of quality of life affects physical performance in these patients. Methodology: An observational study was conducted in DVVPF?S Vikhe Patil Memorial Hospital and D.V.V.P.F?S OPD of COPT on 22 patients with moderate OA knee patients. These patients were selected according to Kellgren and Lawrence grading criteria. Their quality of life was assessed with the help of WOMAC scale, whereas physical performance was assessed with the help of Time Up and Go (TUG). Result: According to our study which was done on 22 patients with mean age for male being 62.5 and for female being 60.93, we found out that there is a moderately positive correlation of pain (?r? value-0.64, P value-0.0011), stiffness (?r? value-0.59,P value-0.0033) and physical function (?r? value-0.67, P value-0.0006) with physical performance. The total WOMAC score and TUG had a strongly positive correlation (?r? value-0.8239, P value-<0.0001). Thus indicating that patients with moderate OA knee not only had a poor quality of life but also had reduced physical function Conclusion: There is strong positive correlation between quality of life and physical performance. With increase in pain, stiffness and physical function there is increased difficulty in performing physical performance. Thus moderate OA knee affects both quality of life and physical performance.
Arthritis Care & Research, 2016
Objective. To systematically summarize the literature on the course of pain in patients with knee osteoarthritis (OA), prognostic factors that predict deterioration of pain, the course of physical functioning, and prognostic factors that predict deterioration of physical functioning in persons with knee OA. Methods. A search was conducted in PubMed, CINAHL, Embase, Psych-INFO, and SPORTDiscus up to January 2014. A meta-analysis and a qualitative data synthesis were performed. Results. Of the 58 studies included, 39 were of high quality. High heterogeneity across studies (I 2 >90%) and within study populations (reflected by large SDs of change scores) was found. Therefore, the course of pain and physical functioning was interpreted to be indistinct. We found strong evidence for a number of prognostic factors predicting deterioration in pain (e.g., higher knee pain at baseline, bilateral knee symptoms, and depressive symptoms). We also found strong evidence for a number of prognostic factors predicting deterioration in physical functioning (e.g., worsening in radiographic OA, worsening of knee pain, lower knee extension muscle strength, lower walking speed, and higher comorbidity count). Conclusion. Because of high heterogeneity across studies and within study populations, no conclusions can be drawn with regard to the course of pain and physical functioning. These findings support current research efforts to define subgroups or phenotypes within knee OA populations. Strong evidence was found for knee characteristics, clinical factors, and psychosocial factors as prognostics of deterioration of pain and physical functioning.
Pain, Functional Disability and Quality of Life in Knee Osteoarthritis
https://www.ijhsr.org/IJHSR\_Vol.8\_Issue.7\_July2018/IJHSR\_Abstract.025.html, 2018
Background and Purpose: Osteoarthritis is a progressive musculoskeletal condition and a major public health problem which imposes a significant health and economic burden on the society. The aim of the present study was to evaluate pain, functional disability and quality of life in osteoarthritis knee patients. Methodology: A cross-sectional study was conducted in 60 subjects in the age group of 50 to 65 years diagnosed with unilateral osteoarthritis knee on the basis of American College of Rheumatology-Clinical Classification Criteria for Osteoarthritis of the knee. The demographic information of participants, such as, age, gender and dominance were recorded. Pain intensity was measured using visual analogue scale. The Western Ontario and McMaster (WOMAC) index, a disease-specific measure, was used to assess functional disability. Quality of Life was evaluated by the 36-Item Short Form Health Survey questionnaire (SF-36). Results & Conclusion: Of the 60 OA knee patients, 18 (30%) were males and 42 (70%) were females. The mean age of the participants is 56.77 ± 4.78 years. There was a positive correlation between pain and functional disability (r = 0.284, p = 0.02). Also, a positive correlation was observed between WOMAC score and physical component summary (r = 0.593, p = 0.000) and mental component summary (r = 0.593, p = 0.000) of SF-36 score. The study showed that there is a correlation between pain, functional disability and quality of life osteoarthritis knee patients. These components should be included during assessment which will provide a holistic and multimodal approach towards the understanding, planning and enhancement of management of these patients.
What do knee OA patients perceive about their disorder? A qualitative study
Working With Older People, 2021
Purpose-The purpose of this study was to explore patient's perception of their disorder. Design/methodology/approach-This study used a phenomenographical approach within a qualitative research paradigm. A total of 21 patients with knee osteoarthritis (OA) were recruited for the study, and data were collected through open-ended face-to-face interviews. The interviews were transcribed and thematically analyzed. The transcribed verbatim was analyzed for themes. Findings-The themes developed reflected the patients' perceptions about the disease process. Thematic analysis revealed three themes: Knee OA is a degenerative disease, Knee OA is an age-related disease and Knee OA is caused by certain activities of daily living. The patient's information varied and was limited to what had been provided by the health-care practitioner. The knowledge was more biomedical in orientation and was limited and not supported by the evidence. Research limitations/implications-There is a need to provide evidence-based information that the patient must understand. Health-care providers must use a biopsychosocial framework to discuss the disease knowledge with patients. Practical implications-This study helps us in identifying disease perceptions that can be used to design education programs for knee OA patients. It also highlights the need for delivering educational programs to knee OA patients. Originality/value-This study lays a foundation for further research. To the author's best knowledge, this is the first study to explore disease perceptions using a qualitative approach conducted among patients from a lower middle-income country.
Arthritis & Rheumatism, 2006
Objective. To systematically review studies describing the course of functioning in patients with osteoarthritis (OA) of the hip or knee and identifying potential prognostic factors. Methods. A systematic search was performed. Studies involving patients with hip or knee OA, >6 months of follow-up, and outcome measures on functional status or pain were included. Methodologic quality was assessed using a standardized set of 11 criteria; a qualitative data analysis was performed. Results. Approximately 6,500 titles and abstracts were screened and 48 publications were considered for inclusion. Eighteen studies, 4 of which met the high methodologic quality criteria, were included. For hip OA, there was limited evidence that functional status and pain do not change during the first 3 years of follow-up. After 3 years, however, a worsening of functional status and pain was seen. For knee OA, there was conflicting evidence for the first 3 years and limited evidence for worsening of pain and functional status after 3 years. Furthermore, limited evidence was established for negative associations between future functional status and laxity, proprioceptive inaccuracy, age, body mass index, and knee pain intensity. In contrast, greater muscle strength, better mental health, better self-efficacy, social support, and more aerobic exercise were protective factors in the first 3 years. Conclusion. Pain and functional status in hip or knee OA seem to deteriorate slowly, with limited evidence for worsening after 3 years of follow-up. In specific subgroups, prognosis in the first 3 years of follow-up was either worse or better, as both risk factors and protective factors were identified. Prognostic factors included biomechanical factors, psychological factors, clinical factors, and treatment modalities. To strengthen the evidence, further high-quality longitudinal research on hip or knee OA functioning is needed.
Factors Associated with Pain Experience Outcome in Knee Osteoarthritis
Arthritis Care & Research, 2014
Objective. Few strategies to improve pain outcome in knee osteoarthritis (OA) exist in part because how best to evaluate pain over the long term is unclear. Our objectives were to determine the frequency of a good pain experience outcome based on previously formulated OA pain stages and test the hypothesis that less depression and pain catastrophizing and greater self-efficacy and social support are each associated with greater likelihood of a good outcome. Methods. Study participants, all with knee OA, reported pain stage at baseline and 2 years. Baseline assessments utilized the Geriatric Depression Scale, Pain Catastrophizing Scale, Arthritis Self-Efficacy Scale, and Medical Outcomes Study social support survey. Using pain experience stages, good outcome was defined as persistence in or movement to no pain or stage 1 (predictable pain, known trigger) at 2 years. A multivariable logistic regression model was developed to identify independent predictors of a good outcome. Results. Of 212 participants, 136 (64%) had a good pain outcome and 76 (36%) a poor pain outcome. In multivariable analysis, higher self-efficacy was associated with a significantly higher likelihood of good outcome (adjusted odds ratio [OR] 1.14 [95% confidence interval (95% CI) 1.04-1.24]); higher pain catastrophizing was associated with a significantly lower likelihood of good outcome (adjusted OR 0.88 [95% CI 0.83-0.94]). Conclusion. This stage-based measure provides a meaningful and interpretable means to assess pain outcome in knee OA. The odds of a good 2-year outcome in knee OA were lower in persons with greater pain catastrophizing and higher in persons with greater self-efficacy. Targeting these factors may help to improve pain outcome in knee OA.