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FRI0569-PC Pain, physical function and life quality evaluation in patients diagnosed of knee or hip ostroarthritis attended on the primary health care center of ciudades in getafe
  1. R. Parada López1,
  2. E. Conde Senovilla1,
  3. J. Calatrava Sanchez1,
  4. D. de la Rosa Ruiz1,
  5. A. Bordell Sanchez1,
  6. R. L. Osorio Prudencio1
  1. 1C.S Ciudades (Getafe), Getafe (Madrid), Spain

Abstract

Background Osteoarthritis (OA) is a well-known chronic degenerative pathology of multi-factorial etiology with an important impact on patients’ physical function. Studies such as EPISER and ArtroPro have related a keen drop on patients’ health-related quality of life with OA. OMERACT, OARSI and EULAR experts have recommended the introduction of surveys which measure health-related quality of life, the degree of pain and physical function (SF-12, WOMAC) for a patient’s global evaluation. To standardize the use of such tools in everyday-practice allows assessing the global impact of this pathology over the patient’s quality of life.

Objectives Describe the degree of pain, physical function and health-related quality of life in patients diagnosed of hip or/and knee OA.

Methods A descriptive, transversal study was conducted in which patients diagnosed of knee or/and hip OA and registered attending the primary health consult. Heath-related quality of life was measured using SF-12 and WOMAC questionnaires; pain degree with the visual analgesic scale; and pharmacologic adhesion with the Morinsky Green scale.

Results Out of 93 patients included in the study, 23 met exclusion criteria and 9 did not attend the consult. Age average of the 61 remaining patients was 67.83 years (49-84 years), 56.42% of which presented unilateral knee AO; while 70% presented bilateral hip affection. The most frequent clinical findings in knee OA were pain (75.61%), crepitus(75.61%) and stiffness (60.98%); while in hip OA was pain (80%), especially with internal rotation (60%). Most frequent analgesic treatment wasacetaminophen(58.54%), NSAIDs (43.9%) and mild opioids (26.83%). 31.71% practiced physical activities; 12.20% received health education and 12.20% was on diet. Hypertension (68.29%), anxiety/ depression (43.9%) and obesity (36.59%) were the most frequent comorbities found. EVA average resulted in 5.9 (DS 27.52). The most affected areas on the SF-12 v2 survey were physical activities (32.32%), general health (30.49%), physical role (41.46%) and social role (47,80%). On the WOMAC scale, pain average was 7.37 (DS 3.83), stiffness 2.61 (DS 2.06) and functional capacity 24.83 (DS 15.21). Appropriate treatment adherence was found on 41.46% of the patients.

Conclusions A considerable decrease in OA patient’s life quality, including the physical and social spheres, is observed, with a substantial adding-up effect if there is more than one joint affected. However, the quality and amount of information found on the selected patients’ clinical history was not adequate. There is a need for standardization of the diagnostic criteria and of the degree of affection regarding the OA.

References

  1. KM Jordan, et al:EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT).AnnRheumDis2003,62:1145-55.

  2. 6-P.G.Conaghan, et al.Summary and recommendations of the OARSI FDA osteoarthritis Assessment of Structural Change Working Group. Osteoarthritis and Cartilage19(2011)606e610.

  3. Vilagut G, et al.[Interpretation of SF-36 and SF-12 questionnaires in Spain: physical and mental components].MedClin(Barc).2008;130:726—35.

Acknowledgements Alejandro Tejedor Varilla

Juan Carlos Hermosa Hernan

Disclosure of Interest None Declared

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