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.
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Acknowledgements Alejandro Tejedor Varilla
Juan Carlos Hermosa Hernan
Disclosure of Interest None Declared
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