Consistency of knee pain: correlates and association with function
Consistency of knee pain: correlates and association with function
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DOI：
10.1016/j.joca.2010.08.001
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发表时间：
2010-10-01
影响因子：
7
通讯作者：
Felson, D. T.
中科院分区：
文献类型：
--
作者：
Neogi, T.;Nevitt, M. C.;Felson, D. T.
目的：膝关节疼痛波动的程度和相关因素尚不清楚。我们评估了膝关节疼痛的患病率、相关性以及与功能一致性的关联性。 设计：多中心骨关节炎 (MOST) 研究的参与者，一群患有膝骨关节炎 (OA) 或具有高风险的膝关节骨关节炎 (OA) 的个体，在两个时间点进行了基线膝关节 X 光检查、问卷调查和关于频繁膝关节疼痛 (FKnP)（过去 30 天大部分时间疼痛）的问题：电话筛查和后来的诊所就诊。我们计算了不一致的膝关节疼痛（仅在一个时间点对 FKnP 问题做出肯定回答）和一致的膝关节疼痛（在两个时间点对 FKnP 问题做出了肯定回答）的患病率。我们评估了 FKnP 一致性与许多社会人口统计学因素、疼痛严重程度和功能的关联。结果：共有 2940 名参与者拥有完整的数据（5867 个膝盖）[平均年龄 62，平均体重指数 (BMI) 30.7，60% 女性]。其中，2977 个膝盖有疼痛，其中 43% 的膝盖疼痛不一致，57% 的膝盖疼痛持续。患有放射学 OA [比值比 (OR) 0.46] 抑郁症状 (OR 0.73) 和广泛疼痛 (OR 0.68) 的患者（所有 P
Objective: The extent and factors associated with knee pain fluctuation are not well-known. We evaluated the prevalence, correlates, and association with function of consistency of knee pain.Design: Participants of the Multicenter Osteoarthritis (MOST) Study, a cohort of individuals with or at high risk of knee osteoarthritis (OA) had baseline knee X-rays, questionnaires, and a question about frequent knee pain (FKnP) (pain on most of the past 30 days) at two time points: a telephone screen and a later clinic visit. We computed the prevalence of inconsistent knee pain (positive answer to FKnP question at only one time point) and consistent knee pain (positive answer to FKnP question at both time points). We evaluated the association of consistency of FKnP with a number of sociodemographic factors, pain severity, and function.Results: There were 2940 participants with complete data (5867 knees) [mean age 62, mean body mass index (BMI) 30.7, 60% female]. Of those, 2977 knees had pain, with 43% having inconsistent and 57% having consistent knee pain. Those with radiographic OA [odds ratio (OR) 0.46] depressive symptoms (OR 0.73), and widespread pain (OR 0.68) (all P