膝关节骨性关节炎患者与无症状患者的生活质量对比。

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2023-12-01 Epub Date: 2023-09-02 DOI:10.1002/msc.1814
Karen Obara, Jefferson R Cardoso, Bianca M Reis, Marcos A Matos, Marcio M Kawano
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引用次数: 0

摘要

背景:骨关节炎(OA)以关节退化为特征,是导致老年残疾的主要原因。骨关节炎给患者带来痛苦和生活质量(QoL)下降,造成个人负担:比较 OA 患者与无症状患者的 QoL,以确定 OA 对患者的实际影响:方法:对 140 名确诊为 OA 的患者进行横断面研究。另外还招募了 51 名性别和年龄相匹配的无症状患者,这些患者至少在过去 6 个月中没有膝关节 OA 的临床症状或下肢骨关节症状。膝关节 OA 根据 Ahlbäck 分类法(1968 年)进行放射学分层。QoL 采用 SF-36 问卷(医学结果研究 36 项短式健康调查)进行测量。参与者被分为 "骨关节炎 "组(OG)和 "无症状 "组(AG):结果:骨关节炎组的体重和体重指数高于无症状组。在 SF-36 各项指标中,OG 组的 QoL 感知比 AG 组差。在对 OA 退化等级进行比较时,Ahlbäck 4 级和 5 级(重度)组的 QoL 感知比 1 级、2 级和 3 级(中度)组差。结果表明,OA等级、年龄和体重指数是影响生活质量的重要独立预测因素:结论:与无症状者相比,膝关节 OA 患者的生活质量感知较差。得分最低的领域是身体功能和功能限制。生活质量受体重指数、年龄、性别和骨关节炎等级的影响。
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Quality of life in individuals with knee osteoarthritis versus asymptomatic individuals.

Background: Osteoarthritis (OA) is characterised by joint degeneration and represents the leading cause of disability in old age. OA entails a personal burden, with suffering and reduced quality of life (QoL).

Objective: To compare the QoL of individuals with OA to that of asymptomatic individuals in order to determine the actual impact of OA on the affected population.

Method: Cross-sectional study with a sample of 140 patients diagnosed with OA. Another 51 sex- and age-matched asymptomatic individuals with no clinical signs of knee OA or lower limb osteoarticular symptoms for at least the preceding six months were recruited. Knee OA was stratified radiologically according to the Ahlbäck classification (1968). QoL was measured using the SF-36 questionnaire (Medical Outcomes Study 36-Item Short-Form Health Survey). The participants were assigned to "osteoarthritis" (OG) or "asymptomatic" (AG) groups.

Results: The OG presented greater body mass and BMI than the AG. Perceived QoL was worse for the OG than the AG across SF-36 domains. In the comparison of the grades of OA degeneration, the group with Ahlbäck grades 4 and 5 (severe) perceived their QoL as poorer than those with grades 1, 2, and 3 (moderate). The grade of OA, older age, and BMI were shown to be strong independent predictors of poor perceived quality of life.

Conclusion: Individuals with knee OA showed worse perceived QoL compared with asymptomatic individuals. The domains with the lowest scores were physical functioning and functional limitation. Quality of life was influenced by BMI, age, sex, and grade of osteoarthritis.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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