Inadequate pain relief among patients with primary knee osteoarthritis
Despite the widespread treatments for osteoarthritis (OA), data on treatment patterns, adequacy of pain relief, and quality of life are limited. The prospective multinational Survey of Osteoarthritis Real World Therapies (SORT) was designed to investigate these aspects. To analyze the characteristic...
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| Veröffentlicht in: | Revista Brasileira de Reumatologia 2017-05, Vol.57 (3), p.229-237 |
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| creator | Laires, Pedro A. Laíns, Jorge Miranda, Luís C. Cernadas, Rui Rajagopalan, Srini Taylor, Stephanie D. Silva, José C. |
| description | Despite the widespread treatments for osteoarthritis (OA), data on treatment patterns, adequacy of pain relief, and quality of life are limited. The prospective multinational Survey of Osteoarthritis Real World Therapies (SORT) was designed to investigate these aspects.
To analyze the characteristics and the patient reported outcomes of the Portuguese dataset of SORT at the start of observation.
Patients ≥50 years with primary knee OA who were receiving oral or topical analgesics were eligible. Patients were enrolled from seven healthcare centers in Portugal between January and December 2011. Pain and function were evaluated using the Brief Pain Inventory (BPI) and WOMAC. Quality of life was assessed using the 12-Item Short Form Health Survey (SF-12). Inadequate pain relief (IPR) was defined as a score >4/10 on item 5 of the BPI.
Overall, 197 patients were analyzed. The median age was 67.0 years and 78.2% were female. Mean duration of knee OA was 6.2 years. IPR was reported by 51.3% of patients. Female gender (adjusted odds ratio – OR 2.15 [95%CI 1.1, 4.5]), diabetes (OR 3.1 [95%CI 1.3, 7.7]) and depression (OR 2.24 [95%CI 1.2, 4.3]) were associated with higher risk of IPR. Patients with IPR reported worst outcomes in all dimensions of WOMAC (p |
| doi_str_mv | 10.1016/j.rbre.2016.11.005 |
| format | Article |
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To analyze the characteristics and the patient reported outcomes of the Portuguese dataset of SORT at the start of observation.
Patients ≥50 years with primary knee OA who were receiving oral or topical analgesics were eligible. Patients were enrolled from seven healthcare centers in Portugal between January and December 2011. Pain and function were evaluated using the Brief Pain Inventory (BPI) and WOMAC. Quality of life was assessed using the 12-Item Short Form Health Survey (SF-12). Inadequate pain relief (IPR) was defined as a score >4/10 on item 5 of the BPI.
Overall, 197 patients were analyzed. The median age was 67.0 years and 78.2% were female. Mean duration of knee OA was 6.2 years. IPR was reported by 51.3% of patients. Female gender (adjusted odds ratio – OR 2.15 [95%CI 1.1, 4.5]), diabetes (OR 3.1 [95%CI 1.3, 7.7]) and depression (OR 2.24 [95%CI 1.2, 4.3]) were associated with higher risk of IPR. Patients with IPR reported worst outcomes in all dimensions of WOMAC (p<0.001) and in all eight domains and summary components of SF-12 (p<0.001).
Our findings indicate that improvements are needed in the management of pain in knee OA in order to achieve better outcomes in terms of pain relief, function and quality of life.
Apesar dos tratamentos muito difundidos para a osteoartrite (OA), dados sobre os padrões de tratamento, a adequação do alívio da dor e a qualidade de vida são limitados. O estudo multinacional prospectivo Survey of Osteoarthritis Real World Therapies (SORT) foi projetado para investigar esses aspectos.
Analisar as características e os desfechos relatados pelo paciente do conjunto de dados português do Sort no início da observação.
Consideraram-se elegíveis os pacientes com 50 anos ou mais com OA de joelho primária que recebiam analgésicos orais ou tópicos. Os pacientes foram recrutados de sete centros de saúde de Portugal entre janeiro e dezembro de 2011. A dor e a função foram avaliadas pelo Brief Pain Inventory (BPI) e pelo WOMAC. A qualidade de vida foi avaliada com o 12-item Short Form Health Survey (SF-12). O alívio inadequado da dor (AID) foi definido como uma pontuação>4/10 no item 5 do BPI.
Foram analisados 197 pacientes. A idade média foi de 67 anos e 78,2% eram do sexo feminino. A duração média da OA de joelho foi de 6,2 anos. O AID foi relatado por 51,3% dos pacientes. O sexo feminino (odds ratio ajustado - OR 2,15 [IC 95% 1,1-4,5]), o diabetes (OR=3,1 [IC 95% 1,3-7,7]) e a depressão (OR 2,24 [IC 95% 1,2-4,3]) estiveram associados a um maior risco de AID. Os pacientes com AID relataram piores desfechos em todas as dimensões do Womac (p<0,001) e em todos os oito domínios e nos dois componentes sumários do SF-12 (p<0,001).
Os resultados do presente estudo indicam que é necessário melhorar o manejo da dor na OA de joelho a fim de alcançar melhores desfechos em termos de alívio da dor, função e qualidade de vida.</description><identifier>ISSN: 2255-5021</identifier><identifier>ISSN: 1809-4570</identifier><identifier>EISSN: 2255-5021</identifier><identifier>DOI: 10.1016/j.rbre.2016.11.005</identifier><identifier>PMID: 28535895</identifier><language>eng</language><publisher>Brazil: Elsevier Editora Ltda</publisher><subject>Aged ; Aged, 80 and over ; Alívio inadequado da dor ; Analgesics - therapeutic use ; Cross-Sectional Studies ; Desfechos relatados pelo paciente ; Disability ; Female ; Humans ; Inadequate pain relief ; Incapacidade ; Knee osteoarthritis ; Male ; Middle Aged ; Osteoarthritis, Knee - diagnosis ; Osteoarthritis, Knee - drug therapy ; Osteoartrite de joelho ; Pain Measurement ; Patient Reported Outcome Measures ; Patient reported outcomes ; Portugal ; Prospective Studies ; Qualidade de vida ; Quality of Life ; Treatment Outcome</subject><ispartof>Revista Brasileira de Reumatologia, 2017-05, Vol.57 (3), p.229-237</ispartof><rights>2016 Elsevier Editora Ltda.</rights><rights>Copyright © 2016 Elsevier Editora Ltda. All rights reserved.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3505-ca1aa8dbb6579546293c023dda0e3d93e3f37d2c16797ac212e68a2e5e05877a3</citedby><cites>FETCH-LOGICAL-c3505-ca1aa8dbb6579546293c023dda0e3d93e3f37d2c16797ac212e68a2e5e05877a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28535895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Laires, Pedro A.</creatorcontrib><creatorcontrib>Laíns, Jorge</creatorcontrib><creatorcontrib>Miranda, Luís C.</creatorcontrib><creatorcontrib>Cernadas, Rui</creatorcontrib><creatorcontrib>Rajagopalan, Srini</creatorcontrib><creatorcontrib>Taylor, Stephanie D.</creatorcontrib><creatorcontrib>Silva, José C.</creatorcontrib><title>Inadequate pain relief among patients with primary knee osteoarthritis</title><title>Revista Brasileira de Reumatologia</title><addtitle>Rev Bras Reumatol Engl Ed</addtitle><description>Despite the widespread treatments for osteoarthritis (OA), data on treatment patterns, adequacy of pain relief, and quality of life are limited. The prospective multinational Survey of Osteoarthritis Real World Therapies (SORT) was designed to investigate these aspects.
To analyze the characteristics and the patient reported outcomes of the Portuguese dataset of SORT at the start of observation.
Patients ≥50 years with primary knee OA who were receiving oral or topical analgesics were eligible. Patients were enrolled from seven healthcare centers in Portugal between January and December 2011. Pain and function were evaluated using the Brief Pain Inventory (BPI) and WOMAC. Quality of life was assessed using the 12-Item Short Form Health Survey (SF-12). Inadequate pain relief (IPR) was defined as a score >4/10 on item 5 of the BPI.
Overall, 197 patients were analyzed. The median age was 67.0 years and 78.2% were female. Mean duration of knee OA was 6.2 years. IPR was reported by 51.3% of patients. Female gender (adjusted odds ratio – OR 2.15 [95%CI 1.1, 4.5]), diabetes (OR 3.1 [95%CI 1.3, 7.7]) and depression (OR 2.24 [95%CI 1.2, 4.3]) were associated with higher risk of IPR. Patients with IPR reported worst outcomes in all dimensions of WOMAC (p<0.001) and in all eight domains and summary components of SF-12 (p<0.001).
Our findings indicate that improvements are needed in the management of pain in knee OA in order to achieve better outcomes in terms of pain relief, function and quality of life.
Apesar dos tratamentos muito difundidos para a osteoartrite (OA), dados sobre os padrões de tratamento, a adequação do alívio da dor e a qualidade de vida são limitados. O estudo multinacional prospectivo Survey of Osteoarthritis Real World Therapies (SORT) foi projetado para investigar esses aspectos.
Analisar as características e os desfechos relatados pelo paciente do conjunto de dados português do Sort no início da observação.
Consideraram-se elegíveis os pacientes com 50 anos ou mais com OA de joelho primária que recebiam analgésicos orais ou tópicos. Os pacientes foram recrutados de sete centros de saúde de Portugal entre janeiro e dezembro de 2011. A dor e a função foram avaliadas pelo Brief Pain Inventory (BPI) e pelo WOMAC. A qualidade de vida foi avaliada com o 12-item Short Form Health Survey (SF-12). O alívio inadequado da dor (AID) foi definido como uma pontuação>4/10 no item 5 do BPI.
Foram analisados 197 pacientes. A idade média foi de 67 anos e 78,2% eram do sexo feminino. A duração média da OA de joelho foi de 6,2 anos. O AID foi relatado por 51,3% dos pacientes. O sexo feminino (odds ratio ajustado - OR 2,15 [IC 95% 1,1-4,5]), o diabetes (OR=3,1 [IC 95% 1,3-7,7]) e a depressão (OR 2,24 [IC 95% 1,2-4,3]) estiveram associados a um maior risco de AID. Os pacientes com AID relataram piores desfechos em todas as dimensões do Womac (p<0,001) e em todos os oito domínios e nos dois componentes sumários do SF-12 (p<0,001).
Os resultados do presente estudo indicam que é necessário melhorar o manejo da dor na OA de joelho a fim de alcançar melhores desfechos em termos de alívio da dor, função e qualidade de vida.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alívio inadequado da dor</subject><subject>Analgesics - therapeutic use</subject><subject>Cross-Sectional Studies</subject><subject>Desfechos relatados pelo paciente</subject><subject>Disability</subject><subject>Female</subject><subject>Humans</subject><subject>Inadequate pain relief</subject><subject>Incapacidade</subject><subject>Knee osteoarthritis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteoarthritis, Knee - diagnosis</subject><subject>Osteoarthritis, Knee - drug therapy</subject><subject>Osteoartrite de joelho</subject><subject>Pain Measurement</subject><subject>Patient Reported Outcome Measures</subject><subject>Patient reported outcomes</subject><subject>Portugal</subject><subject>Prospective Studies</subject><subject>Qualidade de vida</subject><subject>Quality of Life</subject><subject>Treatment Outcome</subject><issn>2255-5021</issn><issn>1809-4570</issn><issn>2255-5021</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>DOA</sourceid><recordid>eNp9kU9PGzEQxS1UBCjwBThUe-wlW_-J17bUS4VKGwmpl3K2Zu3ZxGGzDrbTim-PQ1LUU08ejd78PPMeIbeMtoyy7vOmTX3Clte6ZaylVJ6RK86lnEvK2Yd_6ktyk_OGUsrUgnNBL8gl11JIbeQVuV9O4PF5DwWbHYSpSTgGHBrYxmlVOyXgVHLzJ5R1s0thC-mleZoQm5gLRkhlnUIJ-ZqcDzBmvDm9M_J4_-3X3Y_5w8_vy7uvD3MnJJVzBwxA-77vpDJy0XEjHOXCe6AovBEoBqE8d6xTRoHjjGOngaNEKrVSIGZkeeT6CBt7WshGCPatEdPK1p2CG9EO2vSd9xQ1HxbadL3wAyrWC-a0l3hgfTqydik-7zEXuw3Z4TjChHGfLTPVPKqVMFXKj1KXYs4Jh_evGbWHOOzGHuKwhzgsY7bGUYc-nvj7fov-feSv-VXw5SjA6tjvgMlmV-126ENCV-pJ4X_8V7dum1A</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Laires, Pedro A.</creator><creator>Laíns, Jorge</creator><creator>Miranda, Luís C.</creator><creator>Cernadas, Rui</creator><creator>Rajagopalan, Srini</creator><creator>Taylor, Stephanie D.</creator><creator>Silva, José C.</creator><general>Elsevier Editora Ltda</general><general>Sociedade Brasileira de Reumatologia</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>201705</creationdate><title>Inadequate pain relief among patients with primary knee osteoarthritis</title><author>Laires, Pedro A. ; Laíns, Jorge ; Miranda, Luís C. ; Cernadas, Rui ; Rajagopalan, Srini ; Taylor, Stephanie D. ; Silva, José C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3505-ca1aa8dbb6579546293c023dda0e3d93e3f37d2c16797ac212e68a2e5e05877a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alívio inadequado da dor</topic><topic>Analgesics - therapeutic use</topic><topic>Cross-Sectional Studies</topic><topic>Desfechos relatados pelo paciente</topic><topic>Disability</topic><topic>Female</topic><topic>Humans</topic><topic>Inadequate pain relief</topic><topic>Incapacidade</topic><topic>Knee osteoarthritis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteoarthritis, Knee - diagnosis</topic><topic>Osteoarthritis, Knee - drug therapy</topic><topic>Osteoartrite de joelho</topic><topic>Pain Measurement</topic><topic>Patient Reported Outcome Measures</topic><topic>Patient reported outcomes</topic><topic>Portugal</topic><topic>Prospective Studies</topic><topic>Qualidade de vida</topic><topic>Quality of Life</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Laires, Pedro A.</creatorcontrib><creatorcontrib>Laíns, Jorge</creatorcontrib><creatorcontrib>Miranda, Luís C.</creatorcontrib><creatorcontrib>Cernadas, Rui</creatorcontrib><creatorcontrib>Rajagopalan, Srini</creatorcontrib><creatorcontrib>Taylor, Stephanie D.</creatorcontrib><creatorcontrib>Silva, José C.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista Brasileira de Reumatologia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Laires, Pedro A.</au><au>Laíns, Jorge</au><au>Miranda, Luís C.</au><au>Cernadas, Rui</au><au>Rajagopalan, Srini</au><au>Taylor, Stephanie D.</au><au>Silva, José C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inadequate pain relief among patients with primary knee osteoarthritis</atitle><jtitle>Revista Brasileira de Reumatologia</jtitle><addtitle>Rev Bras Reumatol Engl Ed</addtitle><date>2017-05</date><risdate>2017</risdate><volume>57</volume><issue>3</issue><spage>229</spage><epage>237</epage><pages>229-237</pages><issn>2255-5021</issn><issn>1809-4570</issn><eissn>2255-5021</eissn><abstract>Despite the widespread treatments for osteoarthritis (OA), data on treatment patterns, adequacy of pain relief, and quality of life are limited. The prospective multinational Survey of Osteoarthritis Real World Therapies (SORT) was designed to investigate these aspects.
To analyze the characteristics and the patient reported outcomes of the Portuguese dataset of SORT at the start of observation.
Patients ≥50 years with primary knee OA who were receiving oral or topical analgesics were eligible. Patients were enrolled from seven healthcare centers in Portugal between January and December 2011. Pain and function were evaluated using the Brief Pain Inventory (BPI) and WOMAC. Quality of life was assessed using the 12-Item Short Form Health Survey (SF-12). Inadequate pain relief (IPR) was defined as a score >4/10 on item 5 of the BPI.
Overall, 197 patients were analyzed. The median age was 67.0 years and 78.2% were female. Mean duration of knee OA was 6.2 years. IPR was reported by 51.3% of patients. Female gender (adjusted odds ratio – OR 2.15 [95%CI 1.1, 4.5]), diabetes (OR 3.1 [95%CI 1.3, 7.7]) and depression (OR 2.24 [95%CI 1.2, 4.3]) were associated with higher risk of IPR. Patients with IPR reported worst outcomes in all dimensions of WOMAC (p<0.001) and in all eight domains and summary components of SF-12 (p<0.001).
Our findings indicate that improvements are needed in the management of pain in knee OA in order to achieve better outcomes in terms of pain relief, function and quality of life.
Apesar dos tratamentos muito difundidos para a osteoartrite (OA), dados sobre os padrões de tratamento, a adequação do alívio da dor e a qualidade de vida são limitados. O estudo multinacional prospectivo Survey of Osteoarthritis Real World Therapies (SORT) foi projetado para investigar esses aspectos.
Analisar as características e os desfechos relatados pelo paciente do conjunto de dados português do Sort no início da observação.
Consideraram-se elegíveis os pacientes com 50 anos ou mais com OA de joelho primária que recebiam analgésicos orais ou tópicos. Os pacientes foram recrutados de sete centros de saúde de Portugal entre janeiro e dezembro de 2011. A dor e a função foram avaliadas pelo Brief Pain Inventory (BPI) e pelo WOMAC. A qualidade de vida foi avaliada com o 12-item Short Form Health Survey (SF-12). O alívio inadequado da dor (AID) foi definido como uma pontuação>4/10 no item 5 do BPI.
Foram analisados 197 pacientes. A idade média foi de 67 anos e 78,2% eram do sexo feminino. A duração média da OA de joelho foi de 6,2 anos. O AID foi relatado por 51,3% dos pacientes. O sexo feminino (odds ratio ajustado - OR 2,15 [IC 95% 1,1-4,5]), o diabetes (OR=3,1 [IC 95% 1,3-7,7]) e a depressão (OR 2,24 [IC 95% 1,2-4,3]) estiveram associados a um maior risco de AID. Os pacientes com AID relataram piores desfechos em todas as dimensões do Womac (p<0,001) e em todos os oito domínios e nos dois componentes sumários do SF-12 (p<0,001).
Os resultados do presente estudo indicam que é necessário melhorar o manejo da dor na OA de joelho a fim de alcançar melhores desfechos em termos de alívio da dor, função e qualidade de vida.</abstract><cop>Brazil</cop><pub>Elsevier Editora Ltda</pub><pmid>28535895</pmid><doi>10.1016/j.rbre.2016.11.005</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Revista Brasileira de Reumatologia, 2017-05, Vol.57 (3), p.229-237 |
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| subjects | Aged Aged, 80 and over Alívio inadequado da dor Analgesics - therapeutic use Cross-Sectional Studies Desfechos relatados pelo paciente Disability Female Humans Inadequate pain relief Incapacidade Knee osteoarthritis Male Middle Aged Osteoarthritis, Knee - diagnosis Osteoarthritis, Knee - drug therapy Osteoartrite de joelho Pain Measurement Patient Reported Outcome Measures Patient reported outcomes Portugal Prospective Studies Qualidade de vida Quality of Life Treatment Outcome |
| title | Inadequate pain relief among patients with primary knee osteoarthritis |
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