Should people who have joint symptoms, but no diagnosis of arthritis from a doctor, be included in surveillance efforts?

Bolen, Julie; Helmick, Charles G.; Sacks, Jeffrey J.; Gizlice, Ziya; Potter, Catima

doi:10.1002/acr.20313

Cited by 15 publications

(25 citation statements)

References 7 publications

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“…Our analyses may also underestimate the prevalence of doctor-diagnosed arthritis and OA, given the additional participants who reported positive x-rays but did not report having been told they had arthritis or OA. We excluded this group from our analyses, in line with previous recommendations [57]. …”

Section: Discussionmentioning

confidence: 99%

Obesity and increased burden of hip and knee joint disease in Australia: Results from a national survey

Ackerman

Osborne

2012

BMC Musculoskelet Disord

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BackgroundResearch involving more representative samples is needed to extend our understanding of the broader impact of obesity in hip or knee joint disease (arthritis and OA) beyond clinical settings. Although population-based research has been conducted in the United States, how these findings translate to other countries is unclear. Using a national approach, this study explored associations between obesity and the burden of hip and knee joint disease in Australia (in terms of prevalence, pain, stiffness, function, Health-Related Quality of Life (HRQoL) and disease severity).MethodsA random sample of 5000 Australians (≥39 years) from the federal electoral roll was invited to complete a mailed questionnaire to identify doctor-diagnosed hip arthritis, hip OA, knee arthritis and knee OA and evaluate the burden of these conditions. Validated questionnaires included the WOMAC Index, Assessment of Quality of Life instrument and Multi-Attribute Prioritisation Tool. Body Mass Index (BMI) was classified into underweight/normal weight (≤24.99 kg/m2), overweight (25–29.99) or obese (≥30). Multiple logistic regression was used to estimate odds of arthritis and OA, with demographic and socioeconomic variables included in the models. Associations between BMI and other variables were investigated using analysis of covariance, with adjustment for age and sex.ResultsData were available from 1,157 participants (23%). Overweight participants had increased odds of knee arthritis (adjusted OR (AOR) 1.87, 95%CI 1.14-3.07) and knee OA (AOR 2.11, 95%CI 1.07-4.15). Obesity was associated with higher prevalence of hip arthritis (AOR 2.18, 95%CI 1.17-4.06), knee arthritis (AOR 5.47, 95%CI 3.35-8.95) and knee OA (AOR 7.35, 95%CI 3.85-14.02). Of those with arthritis or OA, obese individuals reported more pain (for hip arthritis, hip OA and knee OA), greater stiffness (for hip arthritis, knee arthritis and knee OA), worse function (all diagnoses), lower HRQoL (for hip arthritis and hip OA) and greater disease severity (all diagnoses).ConclusionsThis national study has demonstrated that the odds of arthritis and OA was up to 7 times higher for obese individuals, compared with those classified as underweight/normal weight. Concurrent obesity and joint disease had a marked impact on several key aspects of wellbeing, highlighting the need for public health interventions.

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Section: Discussionmentioning

confidence: 99%

Obesity and increased burden of hip and knee joint disease in Australia: Results from a national survey

Ackerman

Osborne

2012

BMC Musculoskelet Disord

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“…These inquiries may also be a critical step in managing other chronic conditions such as heart disease and diabetes. For example, physical inactivity is higher among people with diabetes, 49 heart disease, 49 and obesity 54 who also have arthritis, suggesting that arthritis symptoms such as pain are barriers to physical activity.…”

Section: Discussionmentioning

confidence: 98%

“…49 As the largest occupational group in health care delivery, nurses can be a force in changing how OA is perceived and managed on health care's front lines.…”

Section: Discussionmentioning

confidence: 99%

“…People with arthri tis often worry that exercise will exacerbate joint symptoms, but although there can be an initial in crease, it is short-lived and benefi ts are evident within days to weeks of starting an exercise program. 49 Another evidence-based self-management strategy that can complement usual clinical care is the psychoeducational classes developed by nurse Kate Lorig. 55,56 Self-management education classes for people with arthritis include the Arthritis Foundation's Self-Help Program 57 and the Chronic Disease Self-Management Program (known as Living Well with Chronic Conditions in many states).…”

Section: Discussionmentioning

confidence: 99%

“…Indirect evidence suggests that a substantial number of people with chronic joint symptoms self-treat and do not ask their health care providers about their symptoms; much of this probably occurs among people with mild or early arthritis. 49 Getting such people to see a provider is an objective of Healthy People 2020, the federal effort to improve the health of the nation (see http://1.usa.gov/tJlyur).…”

Section: Discussionmentioning

confidence: 99%

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The Impact of Osteoarthritis in the United States

Murphy

Helmick

2012

Orthopaedic Nursing

Self Cite

198

120

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Arthritis, of which osteoarthritis (OA) is the most common type, is the most frequent cause of disability among adults in the United States. The authors reviewed the epidemiologic literature to identify studies that describe the population-based burden of OA-that is, the burden in all adults in the community. They found that 27 million adults-more than 10% of the U.S. adult population-had clinical OA in 2005, and in 2009 OA was the fourth most common cause of hospitalization. OA is the leading indication for joint replacement surgery; 905,000 knee and hip replacements were performed in 2009 at a cost of $42.3 billion. Obesity is a strong risk factor for OA of the knee and hip. Nurses can improve the quality of life of people with OA by raising awareness among their patients and peers of the substantial OA burden and the strategies, such as physical activity, that can reduce it.

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Comparison of health‐related outcomes for arthritis, chronic joint symptoms, and sporadic joint symptoms: A population‐based study

Cañizares¹,

Badley²

2012

Arthritis Care & Research

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Objective. To examine predictors and health outcomes for individuals reporting arthritis, chronic joint symptoms (CJS), or sporadic joint symptoms (SJS) compared to those without arthritis or joint symptoms. Methods. Data from the 2008 Canadian Community Health Survey (n ‫؍‬ 63,134, ages >15 years) were used for the analyses. Respondents not reporting arthritis as a long-term chronic health condition diagnosed by a health professional were asked about joint symptoms, excluding the back and neck, over the past 12 months and whether these symptoms were present on most days in the past month (CJS) or not (SJS). Log Poisson regression was used to estimate prevalence ratios (PRs) for reporting arthritis, CJS, and SJS, and for reporting health outcomes (physical activity, pain that limits activity, activity limitation, poor/fair self-rated health, and poor/fair self-rated mental health) and health service use (visits to primary care physicians, specialists, physiotherapists, and chiropractors, and overnight hospital stays). Results. Arthritis was reported by 16.0% of the population, CJS by 10.1%, and SJS by 11.6%. Individuals with arthritis were older than those with CJS or SJS. Women reported arthritis and CJS more often. After adjusting for age, sex, socioeconomic status, lifestyle factors, and comorbidities, PRs of all outcomes were higher for the arthritis and CJS groups than the SJS group, with no significant differences in PRs for the arthritis and CJS groups, except for pain that limits activity. Conclusion. CJS were reported by 10% of the adult population. Similarities in outcomes to arthritis suggest that CJS have a substantial impact in the population, and that arthritis management advice is likely needed for this group.

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Should people who have joint symptoms, but no diagnosis of arthritis from a doctor, be included in surveillance efforts?

Cited by 15 publications

References 7 publications

Obesity and increased burden of hip and knee joint disease in Australia: Results from a national survey

Obesity and increased burden of hip and knee joint disease in Australia: Results from a national survey

The Impact of Osteoarthritis in the United States

Comparison of health‐related outcomes for arthritis, chronic joint symptoms, and sporadic joint symptoms: A population‐based study

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