Treatment-seeking Behavior of Knee Osteoarthritis Patients in Northern India

Abstract

Introduction: Knee osteoarthritis (KOA) is a chronic condition leading to pain, stiffness, and long-term disability. In the search of relief from symptoms, KOA patients visit various health agencies. This study was conducted to assess the treatment-seeking behavior of KOA patients in northern India. Materials and methods: One hundred twenty-three KOA patients, who attended the outpatient department (OPD) of orthopedics of a premier institute of northern India during 2012-2014, were enrolled in the study. They were diagnosed KOA cases as per Kellgren-Lawrence radiological criteria by an orthopedic surgeon. Results: Patients (58%) had sought treatment from other agencies before visiting the tertiary care hospital. Ninety eight (79%) had not visited any other health agency but had tried home remedies. Relatives (43%) were the most common source of referral for treatment. The consultation lag varied from 1 month to 3 years. Poor adherence to therapy results in worsening of their condition over time. Moreover, asking a patient who has not been accustomed to exercise, to do so involves a significant behavior change. Apart from this, good dialog in clinics has a major influence on the doctor and patient satisfaction. In the current study, 10% of the patients expressed their dissatisfaction regarding consultation. It is also a major determinant of treatment compliance. Conclusion: Many factors affect the doctor-patient relationship, e.g., accessibility of doctors and their courtesy level help patients feel important and respected. Good hospitals adopt these strategies to keenly promote a patient-centered culture for better results.