Impact and therapy of osteoarthritis: the Arthritis Care OA Nation 2012 survey
Impact and therapy of osteoarthritis: the Arthritis Care OA Nation 2012 survey
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DOI：
10.1007/s10067-014-2692-1
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发表时间：
2015-09-01
影响因子：
3.4
通讯作者：
Birrell, Fraser
中科院分区：
文献类型：
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作者：
Conaghan, Philip G.;Porcheret, Mark;Birrell, Fraser
骨关节炎（OA）是全球增长最快的致残原因。本研究的目的是了解OA对个体的影响，并探讨当前的治疗策略。在英国范围内进行了一项在线调查，调查对象是自报患有OA的人，包括52个问题，探讨OA的影响、诊断和治疗、卫生专业人员的作用和自我管理。共邀请了4443人，2001名受访者（49%的受访者，56%的女性，平均年龄65岁）。52%的人表示OA对他们的生活有很大的影响。15%的受访者平均比计划提前7.8年退休。在咨询全科医生时，只有一半的人报告讨论过疼痛；较少的报告讨论他们的恐惧（21%）或管理目标（15%）。近一半（48%）的人报告说，直到疼痛常常无法忍受时才寻求医疗帮助。常用的是口服镇痛药（62%）、局部治疗（47%）、物理治疗（38%）和类固醇注射（28%）。大多数人（71%）报告说，尽管服用了所有处方药物，但仍有不同程度的持续疼痛。虽然64%的人知道增加锻炼很重要，但只有36%的人采取了行动；增加锻炼的人中有87%认为锻炼有益。超过一半的人对未来的行动能力（60%）、保持独立性（52%）和应对日常活动（51%）感到担忧。OA对个体的经济影响显著，尤其是对就业的影响。目前的治疗策略仍然让大多数人感到痛苦，对未来充满恐惧。有相当大的机会改进OA协商的整体性质，特别是在提供资料和促进自我管理战略方面。
Osteoarthritis (OA) is the fastest growing cause of disability worldwide. The aim of this study was to understand the impact of OA on individuals and to explore current treatment strategies. An online UK-wide survey of people with self-reported OA was conducted, composed of 52 questions exploring the impact of OA, diagnosis and treatment, the role of health professionals and self-management. Four thousand forty-three people were invited with 2,001 respondents (49 % response, 56 % women; mean age 65 years). Fifty-two percent reported that OA had a large impact on their lives. Fifteen percent of respondents had taken early retirement on average 7.8 years earlier than planned. In consultations with general practitioners, only half reported a discussion on pain; fewer reported discussing their fears (21 %) or management goals (15 %). Nearly half (48 %) reported not seeking medical help until pain was frequently unbearable. Oral analgesics (62 %), topical therapies (47 %), physiotherapy (38 %) and steroid injections (28 %) were commonly used. The majority (71 %) reported varying degrees of persistent pain despite taking all prescribed medication. Although 64 % knew that increasing exercise was important, only 36 % acted on this knowledge; 87 % who increased exercise found it beneficial. Over half had future concerns related to mobility (60 %), maintaining independence (52 %) and coping with everyday activities (51 %). OA had significant individual economic impact especially on employment. Current treatment strategies still leave most people in pain with significant fears for the future. There is considerable opportunity to improve the holistic nature of OA consultations especially in provision of information and promotion of self-management strategies.