Health-related quality of-life and costs in patients with osteoarthritis on waiting list for total knee replacement

被引:41
|
作者
Nunez, M.
Nunez, E.
Segur, J. M.
Macule, F.
Sanchez, A.
Hernandez, Ma V.
Vilalta, C.
机构
[1] Hosp Clin Barcelona, Dept Rheumatol, IDIBAPS, E-08036 Barcelona, Spain
[2] Inst Catala Salut, Hlth Serv, Barcelona 08024, Spain
[3] Hosp Clin Barcelona, IDIBAPS, Dept Orthopaed Surg, E-08036 Barcelona, Spain
[4] Univ Barcelona, Dept Biostat, E-08007 Barcelona, Spain
关键词
quality of life; costs; osteoarthritis; waiting list;
D O I
10.1016/j.joca.2006.07.011
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objectives: To determine: (1) health-related quality of life (HRQL) in patients with severe osteoarthritis (OA) on a waiting list (WL) for total knee replacement (TKR) and to compare it with general Spanish reference population values (RPVs); (2) the influence of sociodemographic and clinical variables on HRQL dimensions and (3) the use and cost of resources related to knee OA. Methods: Cross-sectional study. HRQL was measured by Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Medical Outcomes Study 36 Item Short Form Health Survey (SF-36) questionnaires. Sociodemographic and disease characteristics, body mass index, pharmacological treatment and the cost and use of economic resources related to knee OA during the 6-months previous to baseline were recorded. Relationships were analyzed using linear regression models. Results: One hundred consecutive outpatients (71 female, mean age 71 +/- 6.89 years, mean disease duration 11.84 +/- 10.52 years) were included. Patients showed worse HRQL measured by SF-36 than the reference population, mainly in physical function, physical role and bodily pain dimensions (P < 0.05). A low number of visits to physicians were recorded (mean 0.62 +/- 1.-04). Total mean direct medical costs were 200.24 (sic) (95%CI 167.08-233.40) and total mean direct non-medical costs were 1234.87 (sic) (95%CI 812.74-1657.00). Conclusions: The HRQL of patients on a WL is worse than that of the reference population. The main costs of these patients were on non-medical resources, mainly due to functional limitations and loss of autonomy. The results suggest little compliance with knee OA management guidelines. (C) 2006 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:258 / 265
页数:8
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