THU0486 The Predictor for Disease Specific-Quality of Life in Patients with HIP and Knee Osteoarthritis: Mental Health

Abstract

BackgroundEnhancing quality of life (QoL) in older adults with physical limitations is a significant challenge for healthcare providers. One of the first steps to improving quality of life in older adults with osteoarthritis (OA) is developing a better understanding of the set of factors that coexist and influence QoL.ObjectivesTo determine the predictors of disease-specific QoL in a sample of knee and hip OA in a tertiary care hospital and to evaluate physical activity, mental health, social functioning and social support components of OA-specific-QoL questionnaire in addition to score of pain, ESR, CRP, x-ray, and co-morbid conditions.MethodsA cross-sectional, methodological exploration from an inpatient sample (N=100) of adults (mean age: 64.51±8.78, 83 female) with OA of the knee (N=78) and hip (N=22) according to the ACR- clinic and radiograhic knee OA or hip OA classification criteria was performed. Clinical, laboratory and radiographic datas were analysed using SPSS15.0. The osteoarthritis knee and hip quality of life questionnaire (OAKHQOL) consisting of 43 items in five dimensions and three independent items were fullfilled by patients (1).ResultsMeans of pain-VAS scores at rest and movement were moderately high (5.14 and 6.64). Twenty patients were in stage I, 36 patients were stage II, 30 patients were in stage III and remaining 14 patients were in stage IV OA according to the Kellgren-Lawrence system. All of the patients were overweight or obese. Related comorbidities were common such as 48 hypertensive, and 33 diabetic.Lineer regression analyses showed that mental health (R2=0.668, p=.000), pain (R2=0.591, p=.000), and vehichle-transfer difficulties (R2=0.572, p=.000) were the most important predictors for OA-specific-QOL.ConclusionsThe findings of this study provide a foundation or targeted interventions to improve QoL and the importance of mental health older adults with OA of the knee and hip. The individual problem solving including both mental and physical approaches may help these patients to improve OA-specific-QoL. Mental health and cognitive approaches should be incorporated to OA management.ReferencesRat AC, Coste J, Pouchot J, Baumann M, Spitz E, Retel-Rude N, Le Quintrec JS, Dumont-Fischer D, Guillemin F. OAKHQOL: a new instrument to measure quality of life in knee and hip osteoarthritis. J Clin Epidemiol. 2005 Jan;58(1):47-55.Disclosure of InterestNone declared

Evaluation of osteoarthritis knee and hip quality of life (OAKHQoL): adaptation and validation of the questionnaire in the Hungarian population

“… 26 – 29 The OAKHQoL disease-specific questionnaire has been translated into different languages and has proved to be a successful instrument for measuring quality of life in the case of knee and hip OA patients. 30 – 36 …”

“…[26][27][28][29] The OAKHQoL disease-specific questionnaire has been translated into different languages and has proved to be a successful instrument for measuring quality of life in the case of knee and hip OA patients. [30][31][32][33][34][35][36] The aim of this study was to develop a cross-cultural adaptation of the OAKHQoL questionnaire, set to the Hungarian population and to validate the adapted Hungarian version (named OAKHQoL-HUN) in terms of its psychometric properties of validity and reliability.…”

Importance of patient reported outcome measurements in the development and regulation of treatment strategies of chronic disorders

“…The "Osteoarthritis Knee and Hip Quality of Life questionnaire (hereinafter: OAKHQoL), developed by French researchers, is multidimensional and covers all the dimensions which are highlighted for patients affected by lower limb OA [92,93,94,95]. The OAKHQoL disease specific questionnaire has been translated into different languages and proved to be a successful instrument for measuring quality of life in the case of knee and hip OA patients [96,97,98,99,100,101,102].…”