Associations of Educational Attainment, Occupation, and Community Poverty With Hip Osteoarthritis

Cleveland, Rebecca J.; Schwartz, Todd A.; Prizer, Lindsay P.; Randolph, Randy; Schoster, Britta; Renner, Jordan B.; Jordan, Joanne M.; Callahan, Leigh F.

doi:10.1002/acr.21920

Cited by 47 publications

(67 citation statements)

References 42 publications

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“…Although many different indicators of socioeconomic status have been published in the literature, only education level as defined by the International Standard Classification of Education can be considered consistent across countries and cultures for international use 36, 38. The working group also identified body mass index, smoking status, and living condition as having a potentially important influence on outcomes and relevant for inclusion in the Standard Set 39.…”

Section: Resultsmentioning

confidence: 99%

Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group

Rolfson

Wissig²,

Maasakkers³

et al. 2016

Arthritis Care & Research

126

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ObjectiveTo define a minimum Standard Set of outcome measures and case‐mix factors for monitoring, comparing, and improving health care for patients with clinically diagnosed hip or knee osteoarthritis (OA), with a focus on defining the outcomes that matter most to patients.MethodsAn international working group of patients, arthroplasty register experts, orthopedic surgeons, primary care physicians, rheumatologists, and physiotherapists representing 10 countries was assembled to review existing literature and practices for assessing outcomes of pharmacologic and nonpharmacologic OA therapies, including surgery. A series of 8 teleconferences, incorporating a modified Delphi process, were held to reach consensus.ResultsThe working group reached consensus on a concise set of outcome measures to evaluate patients’ joint pain, physical functioning, health‐related quality of life, work status, mortality, reoperations, readmissions, and overall satisfaction with treatment result. To support analysis of these outcome measures, pertinent baseline characteristics and risk factor metrics were defined. Annual outcome measurement is recommended for all patients.ConclusionWe have defined a Standard Set of outcome measures for monitoring the care of people with clinically diagnosed hip or knee OA that is appropriate for use across all treatment and care settings. We believe this Standard Set provides meaningful, comparable, and easy to interpret measures ready to implement in clinics and/or registries globally. We view this set as an initial step that, when combined with cost data, will facilitate value‐based health care improvements in the treatment of hip and knee OA.

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Section: Resultsmentioning

confidence: 99%

Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group

Rolfson

Wissig²,

Maasakkers³

et al. 2016

Arthritis Care & Research

126

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“…However, groups incorporating these factors found that education was an independent predictor of OA and surgical outcomes [2,4,10,13,18]. Biases may be introduced if considering the excluded determinants because there may be reverse causation between OA and occupation and/or income.…”

Section: Discussionmentioning

confidence: 99%

“…Biases may be introduced if considering the excluded determinants because there may be reverse causation between OA and occupation and/or income. Low-income jobs tend to be more labor intensive increasing the chances of OA just as severe OA may result in decreased earnings or job loss [4,18]. Of the determinants of socioeconomic status, education occurs earliest in life and is the most constant regardless of disease [4,10].…”

Section: Discussionmentioning

confidence: 99%

“…Education fundamentally influences occupation and income by determining the types of jobs available, the probability of unemployment, and therefore the individual's income [23]. Particularly in health studies, education attainment may be used as a proxy for socioeconomic status [4,10]. Education typically is complete early in life, whereas chronic conditions of aging, like osteoarthritis (OA), tend to present later in life [4].…”

Section: Introductionmentioning

confidence: 99%

“…Particularly in health studies, education attainment may be used as a proxy for socioeconomic status [4,10]. Education typically is complete early in life, whereas chronic conditions of aging, like osteoarthritis (OA), tend to present later in life [4]. Unlike income and occupation, education largely remains stable throughout an adult's lifespan and thus represents a more constant measure of socioeconomic status.…”

Section: Introductionmentioning

confidence: 99%

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Education Attainment is Associated With Patient-reported Outcomes: Findings From the Swedish Hip Arthroplasty Register

Greene

Rolfson

Nemes

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background Age, sex, and medical comorbidities may be associated with differences in patient-reported outcome scores after THA. Highest level of education may be a surrogate for socioeconomic status, but the degree to which this is associated with patient-reported outcomes after THA is not known.Questions/purposes We investigated the national Swedish Hip Arthroplasty Register for the association of education attainment on patient-reported outcomes 1 year after THA; specifically, we evaluated level of education attainment against health-related quality of life (HRQoL), pain reduction, and satisfaction with treatment 1 year after THA. Methods All THAs for osteoarthritis performed from 2005 through 2007 with complete patient-reported outcome measures (representing 49% of the THAs performed for this diagnosis) were selected from the Swedish Hip Arthroplasty Register. These cases were merged with national databases containing education attainment, marital status, and comorbidities (n = 11,464; mean age of patients, 64 years). The patient-reported outcome measure protocol included the HRQoL measure EuroQol five-dimension scale (EQ-5D), a VAS for pain, the Charnley classification survey, and a VAS addressing THA satisfaction. Linear regression analyses determined the association of preoperative patient factors with patient-reported outcomes. Results High education attainment was associated with higher HRQoL (EQ-5D index ß high = 0.03 ± 0.01; EQ VAS ß high = 2.6 ± 0.5) after THA, whereas those with This study was funded by the Swedish Hip Arthroplasty Register,

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Association of Polymyalgia Rheumatica With Socioeconomic Status in Primary Care: A Cross‐Sectional Observational Study

Hayward

Rathod

Müller

et al. 2014

Arthritis Care & Research

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ObjectivePolymyalgia rheumatica (PMR) is an inflammatory musculoskeletal condition predominantly diagnosed and managed in the community. Socioeconomic status (SES) is known to be associated with many inflammatory rheumatologic conditions, but has not been investigated in relation to PMR. This study aimed to investigate the association between PMR and SES at both the area and individual levels.MethodsPatients ages >50 years registered with 8 general practices in North Staffordshire were sent a questionnaire requesting details of their general health, SES, and lifestyle. Individual SES was measured using occupation, educational level, and perceived adequacy of income. Area-level SES was measured using the Index of Multiple Deprivation, derived from respondents' postcodes. Electronic primary care medical records were searched for Read code diagnoses of PMR 2 years before and after the survey.ResultsOf the 13,831 respondents, 141 had a recorded PMR diagnosis in their electronic medical records, a prevalence of 10 per 1,000 patients. No association between PMR and SES was seen at either the individual or area level.ConclusionNo association was found between PMR and SES at either the area or individual level. Unlike several of the inflammatory arthritides that are more common in the more deprived areas, PMR shows no such association. In part this may be due to PMR affecting an older population. Although socioeconomic factors are important for clinicians and researchers to consider, in patients with PMR, further epidemiologic work is needed to fully characterize this disabling disorder.

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Associations of Educational Attainment, Occupation, and Community Poverty With Hip Osteoarthritis

Cited by 47 publications

References 42 publications

Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group

Defining an International Standard Set of Outcome Measures for Patients With Hip or Knee Osteoarthritis: Consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group

Education Attainment is Associated With Patient-reported Outcomes: Findings From the Swedish Hip Arthroplasty Register

Association of Polymyalgia Rheumatica With Socioeconomic Status in Primary Care: A Cross‐Sectional Observational Study

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