Abstract
Introduction: Osteoarthritis (OA) of the knee is the most common type of arthritis of the elderly among Asians. Reports suggest that it affects the quality of life. Hence, this study was undertaken with the objective to know the impact of OA of the knee on 8 domains of health related quality of life (HRQoL) which include: (1) Physical functioning (PF), (2) role limitation due to physical health (RP). (3) Emotional well-being/mental health (MH), (4) role limitation due to emotional problems (RE), (5) energy/vitality, (6) social well-being (short form [SF]), (7) body pain, (8) general health. Materials and Methods: This cross-sectional study was conducted in primary care rural clinics situated on peripheral areas of Mangalore city. Total sample size was calculated to be 77. Patients who met the criteria of modified American Rheumatologic Association Classification for OA of knee were administered a SF-36 questionnaire to measure the HRQoL in the local language version. Mean scores (with its standard deviation) across each domain was calculated. Results: Of 80 patients, 38 were males. OA affected HRQoL. Four out 8 factors had more impact on HRQoL (they are PF, RP, MH, RE). Duration of OA is an important determinant on HRQoL. Patients with newer onset of OA ( 4 years) of OA (Domain, Mean), the emotional impact (MH, 44.67; RE, 45.67) reduced but the physical impact (PF, 47.83; RP, 19.75) persisted/got worse. Conclusion: Osteoarthritis had impact on HRQoL. Duration of OA determines the kind of impact. With the onset of OA emotional/mental support would be needed in addition to the medical treatment. As the disease progresses, they tend to cope with emotional/mental problems even as the physical problems persist/increase.
Highlights
Osteoarthritis (OA) is the most common type of arthritis found worldwide especially in the elderly.[1]
When we take OA of Knee into consideration, we find that there are only two studies that have examined the impact on quality of life among elderly in primary care setting
A study on OA in primary care setting from America has reported significant impact on various aspects of quality of life like physical functioning (PF), emotional behavior, sleep, etc.[7]
Summary
Osteoarthritis (OA) is the most common type of arthritis found worldwide especially in the elderly.[1]. When we take OA of Knee into consideration, we find that there are only two studies that have examined the impact on quality of life among elderly in primary care setting. Et al.: Health-related quality of life in osteoarthritis assess the quality of life among OA patients. This helps in identifying treatment and counseling needs of these patients. There are no reported studies on the impact of OA of the knee in primary care setting from India. The study was conducted with the objective of determining the impact of OA of the knee on healthrelated quality of life (HRQoL) among patients attending primary care clinics in the outskirts of Mangalore city. The objectives were to know the impact of OA on 8 domains of HRQoL
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