Global oa management begins with quality of life assessment in knee oa patients: a systematic review

Abstract

Purpose: Globally, osteoarthritis (OA) is the third most rapidly rising condition associated with disability. Science holds the key to finding better treatments and one day a cure. Still it is essential we learn what's important to patients from the patients themselves in order to optimize implementation of better healthcare options for most effective global management of OA. Integrated people-centred health services, as defined by the World Health Organization, implies putting the comprehensive needs of people and communities, not only diseases, at the centre of health systems, and empowering people to have a more active role in their own health. Based on this definition, the International Osteoarthritis Task Force, an initiative of the Osteoarthritis Foundation International (Barcelona, Spain) and the Arthritis Foundation (Atlanta, United States) with participation from member organizations in additional countries created the Global Osteoarthritis (OA) Patient Perception Survey GOAPPS)-the first global survey of its kind to directly compare quality of life & patient perceptions of care in the same OA patient survey across languages and cultures. The goal of the survey was to help all stakeholders in OA healthcare develop a better understanding of patients' perceptions and how they may differ between cultures by collecting data on adult OA patient perceptions regarding their OA care. The survey will also collect data on patient demographics, OA symptomology, and impact of OA on daily functioning and quality of life. Understanding patients' needs and perceptions of care is the first step in optimizing global OA management. Methods: Observational, cross-sectional study involving data collection through an online survey. Survey administration in each country was managed by a local Survey Coordinator who collaborated with local organizations to promote access to the registration webpage through social media promotions and by distributing brochures and other promotional materials. The original version of the survey was composed in English; the local Survey Coordinator oversaw translation into the predominant local language. Using the Limited Data Set, we used descriptive statistics to characterize responses to questions on patient perceptions regarding their OA care. The Task Force used data collected on patient demographics, OA symptomology, and impact of OA on daily functioning and quality of life to (1) segment patient perception data and (2) conduct preliminary investigation into the relationship between patient perceptions of their OA care, OA symptoms and impacts, and osteoarthritis-related QoL. Responses were collected in each participating country. The final questionnaire was divided into 4 sections. The first includes questions to measure clinical characteristics of the patient and the relationship with physicians and treatment. This was followed by a section on personal perception of attention, treatment and information received. In the last session patients were asked to evaluate their quality of life. Inc...

Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review

“…This study was coordinated by patient organizations and previously promoted at the 2019 OARSI Annual Meeting advocating for routine assessment and on-going evaluation of QoL with implementation of a single agreed upon QoL measure [78]. Future KOA QoL research should combine efforts globally and focus on consistent quantitative and qualitative measures for more meaningful impact and interpretation.…”

Factors Associated With Clinical and Radiographic Severity in People With Osteoarthritis: A Cross-Sectional Population-Based Study

“…As previously described, anxiety is associated with worse pain and physical function trajectories ( 51 ). Moreover, previous research indicates that education is an important social determinant for several chronic diseases, including OA, and is related to lifestyle factors, a lack of preventive measures, low access to healthcare services, and low literacy levels ( 42 , 52 ). Psychosocial variables such as a low level of self-efficacy, catastrophising, and pain sensitisation are also associated with poorer clinical outcomes ( 41 ).…”

An Evaluation of the Quality of Life in Patients with Knee Osteoarthritis: Adhunik Sadar Hospital, Chapinawabgonj, Bangladesh

“…In this study, we found the age group >60 years old had the highest prevalence of knee OA (41.2%) with male to female ratio 1:1.8. Similar studies reported most knee OA patients were female [5,6,8,10] with the age more than 60 years [5,9,10]. Maharani EP et al reported female gender was one of the risk factors for OA (OR 2.14, p=0.043) [11].…”

“…The prevalence of OA is quite high among the elderly as stated from the American College of Rheumatology (ACR) 1986 clinical diagnosis criteria which is age over 50 years. Knee OA has negative impact on Quality of life [5,6]. The EQ-5D instruments have been shown to be valid and reliable instruments for evaluating Quality of life in patients with knee OA [7].…”