Investigação da ansiedade, depressão e qualidade de vida em pacientes portadores de osteoartrite no joelho: um estudo comparativo

Ferreira, Alyne Hevellen; Godoy, Patricia; Oliveira, Nara Rejane Cruz de; Diniz, Roger Amorim Santos; Diniz, Ricardo E.A.S.; Padovani, Ricardo da Costa; Silva, Regina Cláudia Barbosa da

doi:10.1016/j.rbr.2015.03.001

Cited by 39 publications

(23 citation statements)

References 7 publications

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“…Leite et al reported that OA patients showed a high frequency of metabolic syndrome and depression, which impact both pain and physical function [ 17 ]. In addition, higher rates of depression and anxiety cause lower quality of life in patients with OA [ 18 ]. Therefore, it is crucial to identify and manage disabilities and pain in patients with OA in routine practice, which will enhance patient quality of life.…”

Section: Introductionmentioning

confidence: 99%

Comorbidities and health-related quality of life in Koreans with knee osteoarthritis: Data from the Korean National Health and Nutrition Examination Survey (KNHANES)

et al. 2017

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ObjectivesThis study aimed to evaluate the association of knee osteoarthritis (OA) with comorbidities and health-related quality of life (HRQOL).MethodsA total of 8,907 (weighted n = 13,687,058) participants aged ≥50 years who had undergone knee radiography were selected from the 2010–2012 Korea National Health and Nutrition Examination Survey. OA was classified into four subgroups based on the presence or absence of pain and radiographic OA (ROA): non-OA (Pain-/ROA-), pain only (Pain+/ROA-), ROA only (Pain-/ROA+), and painful ROA (Pain+/ROA+). ROA was defined as Kellgren–Lawrence grade ≥ 2. HRQOL measurements including EuroQOL visual analogue scale (EQ-VAS) scores and the five dimensions and summary index of the EuroQOL-5 dimension (EQ-5D index) were also analyzed. Multivariable logistic regression and linear regression analyses were performed.ResultsAfter adjustment for socioeconomic and lifestyle characteristics, cardiovascular disease, malignancy, and other comorbidities were not significantly associated with OA. Pain only and painful ROA were each significantly associated with limitations in physical activity (odds ratio (OR) 2.66, 95% CI 2.07–3.44, p < 0.001 and OR 2.83, 95% CI 2.25–3.58, p < 0.001, respectively), lower EQ-VAS (β-coefficient = -10.95, p < 0.001 and β-coefficient = -9.75, p < 0.001, respectively), and EQ-5D index (β-coefficient = -0.10, p < 0.001 and β-coefficient = -0.13, p < 0.001) compared with the non-OA group, whereas ROA only was not associated with limitations in physical activity or lower HRQOL score.ConclusionsComorbidities were not significantly associated with knee OA after adjustment. Knee OA was associated with physical activity and HRQOL. Painful knee OA, with or without ROA, was more strongly associated with decreased physical activity and lower quality of life than ROA without pain.

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Section: Introductionmentioning

confidence: 99%

Comorbidities and health-related quality of life in Koreans with knee osteoarthritis: Data from the Korean National Health and Nutrition Examination Survey (KNHANES)

et al. 2017

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“…Atualmente, estima-se que a população acima dos 60 anos seja em torno de 19,6 milhões de habitantes (10,2% da população total) e projeções futuras indicam que, em 2020, o Brasil será o sexto país no mundo em número de idosos, ultrapassando a casa dos 30 milhões de pessoas 20 . Com o aumento de indivíduos idosos, cresce também a ocorrência do número de doenças crônicas associadas ao envelhecimento, como é o caso da OA uma doença que afeta as articulações comprometendo a cartilagem hialina e o osso subcondral 21,22 .…”

Section: Discussionunclassified

Efeitos da cinesioterapia na osteoartrite de joelho em idosos: revisão sistemática

et al. 2018

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Introdução : a osteoartrite é uma doença articular inflamatória e degenerativa que acomete principalmente os joelhos, sobretudo em idosos. Objetivo: verificar os efeitos da cinesioterapia na osteoartrite de joelho em idosos. Métodos: realizou-se uma revisão sistemática nas bases de dados SciELO, LILACS, Cochrane Library e MEDLINE, onde cruzaram-se os descritores “Osteoartrite”, “Fisioterapia”, “Exercício”, “Terapia por exercício” e “Idoso”, nas línguas portuguesa, inglesa e espanhola, considerando-se os artigos originais publicados entre 2010 e 2016. Resultados: encontraram-se 594 artigos. Inicialmente 62 artigos potencialmente relevantes foram selecionados para o estudo. Após uma análise qualitativa cri - teriosa, selecionaram-se 06 artigos completos que preencheram os critérios de inclusão exigidos, cujos mesmos foram analisados por meio da Escala PEDro. Conclusão: a cinesioterapia (aquecimento, alongamento dos músculos posteriores da coxa e fortalecimento dos músculos anteriores da coxa), com frequência de duas vezes por semana, em um período de seis a 12 semanas, parece ser benéfica para melhorar o desempenho muscular, funcionalidade, diminuir a dor e rigidez em idosos com osteoartrite de joelho, sem a necessidade de recursos adicionais.

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“…Immediate postoperative pain impairs mobility and reduces the patient's ability to cooperate with rehabilitation treatment [ 33 ]. When experiencing postoperative pain, the patient's difficulty in activities of daily living, physical dependence and motion restriction of the operated limb increase their anxiety and discouragement, which can be a complicating factor in the rehabilitation process and may also increase the patient's perception of pain [ 34 ]. Alternatively, the use of opioid analgesics for pain control after surgery is recommended; however, a systematic review determined that they are associated with several undesirable side effects, including nausea, vomiting, hypotension, urinary retention, delirium and increased infection rates, which consequently generate an increase in the length of hospital stay and an additional financial cost to the procedure [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Application of Tranexamic Acid in Total Knee Arthroplasty – Prospective Randomized Trial

Guerreiro¹,

Badaro²,

Balbino³

et al. 2017

TOORTHJ

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Background:The use of tranexamic acid (TXA) in total knee arthroplasty (TKA) has shown good results. Bleeding may cause local complications consequently greater pain and reduced function postoperatively. No study has related the use of TXA to these facts.Objective:The aim was to evaluate the effects of TXA haemoglobin, Western Ontario and McMaster Universities Index (WOMAC), pain intensity and flexion gain after TKA.Methods:43 patients were randomized and then underwent TKA. TXA was applied to 22 of these patients before closure of the joint capsule. Haemoglobin measurements (mg/dL) were taken preoperatively and 24 and 48 hours after surgery. The WOMAC questionnaire and pain visual analogue scale (VAS) were applied, and flexion gain was measured up to the second postoperative month. Statistical analysis compared the results to determine whether there were differences between the groups for each of the evaluated times.Results:There were differences in favour of the drug 48 hours postoperatively for the haemoglobin variable (p = 0.01), in pain evaluation, 24 and 48 hours, postoperatively (p < 0.01) and in flexion gain, 24 hours after surgery (p = 0.03). There were no significant differences between the groups in the haemoglobin evaluation 24 hours postoperatively, in pain assessment 7 days, 21 days and 2 months, postoperatively, in flexion gain 48 hours, 7 days, 21 days and 2 months, postoperatively and in WOMAC after 2 months.Conclusion:In addition to reducing bleeding, topical TXA improved pain and increased flexion gain in the first hours after TKA.Trial Registration:RBR-9b4qgq

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Investigação da ansiedade, depressão e qualidade de vida em pacientes portadores de osteoartrite no joelho: um estudo comparativo

Abstract: We believe that the treatment of patients with OA should consider the combination of pharmacotherapy, psychotherapy, counseling and family support, in order to achieve a better quality of life.

Cited by 39 publications

References 7 publications

Comorbidities and health-related quality of life in Koreans with knee osteoarthritis: Data from the Korean National Health and Nutrition Examination Survey (KNHANES)

Comorbidities and health-related quality of life in Koreans with knee osteoarthritis: Data from the Korean National Health and Nutrition Examination Survey (KNHANES)

Efeitos da cinesioterapia na osteoartrite de joelho em idosos: revisão sistemática

Application of Tranexamic Acid in Total Knee Arthroplasty – Prospective Randomized Trial

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