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AB0874 Implementation of the Eular 2003 Recommendations Knee Osteoarthritis in a Tunisian Population
  1. L. Metoui1,
  2. R. Dhahri1,
  3. N. Boussetta1,
  4. F. Laajili1,
  5. N. Ben Abdelhafidh1,
  6. B. Louzir1,
  7. I. Gharsallah1,
  8. S. Othmeni1,
  9. I. Ksibi2,
  10. R. Maaouia2,
  11. A. Aouadi2,
  12. H. Rahali2
  1. 1Internal Medicine
  2. 2Physical and Rehabilitation Medicine, Principal Military Hospital of instructions, TUNIS, Tunisia

Abstract

Objectives This study aimed to investigate EULAR 2003 recommandation application on a sample of 60 (KOA) patients.

Methods Retrospective longitudinal study done on the department of Physical and Rehabilitation Medicine of the Principal Military Hospital of Tunis between January 2011 and December 2012, about 60 patients with knee OA. These patients were divided into two groups of 30 cases: patients aged 65 years and over (SA) and young adults 30 to 55 years (SJ).

Results All patients received therapeutic management combiningpharmacologic and nonpharmacologic.

This treatment was individualized, taking into account: clean Knee risk factors (obesity, mechanical, physical activity), general risk factors (age, comorbidity, polypharmacy), the intensity of pain and disability that it entails, to the presence of inflammatory signs (particularly effusions)? of the location and the degree of structural reached.

The above-mentioned elements have been identified in interrogation and the initial review of our patients, further management was judged on these factors.

However, the treatment received and appreciation of weight reduction have not mentioned in their records. All patients received an educational program focusing on the economy joint, the need for weight loss and self-rehabilitation. this program was initiated concomitantly with functional rehabilitation sessions.

The use of assistive devices were limited to 13.3% of our patients, all of elderly. Weight loss could not be assessed (default data). Paracetamol is the most prescribed treatment in our series: 53.3% of our patients received paracetamol alone or in combination. The Topical NSAIDs are prescribed in 63.3% of patients in which 60.5% are of older group In 5 cases of patients with peptic ulcer documented, there has been use of

Anti of H2 as gastric coverage during short periods of NSAID prescription.

Analgesics II were used in 5 cases. The AASALs were used in 10 cases, especially in young patients. Infiltration of chondroprotectors using hyaluronic acid were found in 4 cases. Intra articular corticosteroid injections were performed in 8 patients. These findings were not influenced by age.

Conclusions Application of recommadations depends greatly on socio-economic conditions of countries and their social security systems. In our study, several recommendations were insufficiently met. A study on a larger population should investigate the factors influencing the implementation of these recommendations and the opinion of various stakeholders (physicians, patients and physiotherapists)

Disclosure of Interest None declared

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