Yıl: 2022 Cilt: 28 Sayı: 1 Sayfa Aralığı: 55 - 60 Metin Dili: İngilizce DOI: 10.4274/tod.galenos.2022.73383 İndeks Tarihi: 31-05-2023

Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables

Öz:
Objective: To investigate the relationship of quality of life (QoL) with demographic and clinical variables in osteoarthritis (OA). Materials and Methods: QoL of 156 patients (79.5% female) with the knee, hip, foot, and/or hand OA was assessed by the OAQoL scale. Zero-10 numeric rating scale (NRS) for pain severity, Health Assessment Questionnaire (HAQ) for general physical disability, Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) for knee/hip disability, and the Nottingham Health Profile (NHP) for health status were also completed by patients. Results: Mean age was 56±10 and mean disease duration 7.2±6.4 years. There were moderate-to-strong significant correlations (r=0.50- 0.70) between QoL and HAQ, WOMAC-pain, WOMAC-function, WOMAC-stiffness, NHP-physical mobility, and NHP-energy. QoL was not related to the number of joints affected by osteoarthritis. A linear regression model was performed to determine the factors that together explain the variability in QoL. Potential variables which found statistically significant in univariate linear regression analyses were used in a stepwise regression procedure to select the final multivariate model. The final model included pain (NRS), HAQ, NHP-energy, and NHP-social isolation with an adjusted R2 of 0.645. Conclusion: Pain, physical function, fatigue, and social isolation have been found to be the predictors of QoL in this osteoarthritis patient group, explaining 64.5% of the variance.
Anahtar Kelime:

Osteoartritte Yaşam Kalitesi: Demografik ve Klinik Değişkenlerle İlişkisi

Öz:
Amaç: Osteoartritte (OA) yaşam kalitesinin (QoL) demografik ve klinik değişkenlerle ilişkisini araştırmaktır. Gereç ve Yöntem: Diz, kalça, ayak ve/veya el OA’sı olan 156 hastanın (%79,5’i kadın) yaşam kalitesi OAQoL skalası ile değerlendirildi. Ağrı şiddeti için 0-10 sayısal derecelendirme ölçeği (NRS), genel fiziksel disabilite için Sağlık Değerlendirme Anketi (HAQ), diz/kalça disabilitesi için Western Ontario ve McMaster Üniversiteleri Osteoartrit İndeksi (WOMAC) ve genel sağlık durumu için Nottingham Sağlık Profili (NHP) kullanıldı. Bulgular: Ortalama yaş 56±10 ve ortalama hastalık süresi 7,2±6,4 yıl idi. Yaşam kalitesi ile HAQ, WOMAC-ağrı, WOMAC-fonksiyon, WOMACtutukluk, NHP-fiziksel mobilite ve NHP-enerji arasında orta ila güçlü anlamlı korelasyon (r=0,50-0,70) saptandı. QoL, OA’dan etkilenen eklem sayısı ile ilişkili değildi. QoL’deki değişkenliği birlikte açıklayan faktörleri belirlemek için doğrusal regresyon modeli uygulandı. Tek değişkenli doğrusal regresyon analizlerinde istatistiksel olarak anlamlı bulunan potansiyel faktörler, son çok değişkenli modeli seçmek için aşamalı regresyon prosedüründe kullanıldı. Nihai model, 0,645’lik bir ayarlanmış R2 ile ağrı (NRS), HAQ, NHP-enerji ve NHP-sosyal izolasyonu içeriyordu. Sonuç: Bu OA hasta grubunda ağrı, fiziksel fonksiyon, yorgunluk ve sosyal izolasyon varyansın %64,5’ini açıklayarak yaşam kalitesinin belirleyicileri olarak bulunmuşlardır
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Loeser RF, Goldring SR, Scanzello CR, Goldring MB. Osteoarthritis: a disease of the joint as an organ. Arthritis Rheum 2012;64:1697- 707.
  • 2. Prieto-Alhambra D, Judge A, Javaid MK, Cooper C, Diez-Perez A, Arden NK. Incidence and risk factors for clinically diagnosed knee, hip and hand osteoarthritis: influences of age, gender and osteoarthritis affecting other joints. Ann Rheum Dis 2014;73:1659-64.
  • 3. Neogi T. The epidemiology and impact of pain in osteoarthritis. Osteoarthritis Cartilage 2013;21:1145-53.
  • 4. World Health Organization. Chronic rheumatic conditions [online]. Available from URL: http://www.who.int/chp/topics/ rheumatic/en/index.html [Accessed 2008 Sep 9]
  • 5. Küçükdeveci AA. Functional assessment measures in osteoarthritis. Turkish Journal of Geriatics 2011;14:37-44.
  • 6. McKenna SP. Measuring patient-reported outcomes: moving beyond misplaced common sense to hard science. BMC Med 2011;9:86.
  • 7. Wilburn J, McKenna SP, Kutlay Ş, Bender T, Braun J, CastilloGallego C, et al. Adaptation of the osteoarthritis-specific quality of life scale (the OAQoL) for use in Germany, Hungary, Italy, Spain and Turkey. Rheumatol Int 2017;37:727-34.
  • 8. Altman R, Alarcón G, Appelrouth D, Bloch D, Borenstein D, Brandt K, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum 1991;34:505-14.
  • 9. Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum 1986;29:1039-49.
  • 10. Altman R, Alarcón G, Appelrouth D, Bloch D, Borenstein D, Brandt K, et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheum 1990;33:1601-10.
  • 11. Keenan AM, McKenna SP, Doward LC, Conaghan PG, Emery P, Tennant A. Development and validation of a needs-based quality of life instrument for osteoarthritis. Arthritis Rheum 2008;59:841- 8.
  • 12. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986;27:117-26.
  • 13. Fries JF, Spitz P, Kraines RG, Holman HR. Measurement of patient outcome in arthritis. Arthritis Rheum 1980;23:137-45.
  • 14. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988;15:1833-40.
  • 15. Hunt SM, McKenna SP, McEwen J, Williams J, Papp E. The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med A 1981;15:221-9.
  • 16. Cohen J. Statistical Power Analysis for the Behavioral Sciences. In: Hillsdale NJ, editor. 2nd ed. Lawrence Erlbaum Associates, Publishers; 1988.
  • 17. Dancey CP, Reidy J. Pearson Education. Statistics without Maths for Psychology; 2007.
  • 18. Alkan BM, Fidan F, Tosun A, Ardıçoğlu O. Quality of life and self-reported disability in patients with knee osteoarthritis. Mod Rheumatol 2014;24:166-71.
  • 19. Saffari M, Emami Meybodi MK, Ghanizadeh G, Kohening HG. Determinants of health status among patients with knee or hip osteoarthritis: the role of demographic, clinical and health related quality of life variables. Journal of Musculoskeletal Research 2014;17:1450004.
  • 20. Jakobsson U, Hallberg IR. Quality of life among older adults with osteoarthritis: an explorative study. J Gerontol Nurs 2006;32:51- 60.
  • 21. Bindawas SM, Vennu V, Auais M. Health-related quality of life in older adults with bilateral knee pain and back pain: data from the Osteoarthritis Initiative. Rheumatol Int 2015;35:2095-101.
  • 22. Bindawas SM, Vennu V, Alfhadel S, Al-Otaibi AD, Binnasser AS. Knee pain and health-related quality of life among older patients with different knee osteoarthritis severity in Saudi Arabia. PLoS One 2018;13:e0196150.
  • 23. Katz N. The impact of pain management on quality of life. J Pain Symptom Manage 2002;24(Suppl 1):38-47.
  • 24. Rummans TA, Frost M, Suman VJ, Taylor M, Novotny P, Gendron T, et al Quality of life and pain in patients with recurrent breast and gynecologic cancer. Psychosomatics 1998;39:437-45.
  • 25. Anderson RB, Hollenberg NK, Williams GH. Physical Symptoms Distress Index: a sensitive tool to evaluate the impact of pharmacological agents on quality of life. Arch Intern Med 1999;159:693-700.
  • 26. Montero A, Mulero JF, Tornero C, Guitart J, Serrano M. Pain, disability and health-related quality of life in osteoarthritis-joint matters: an observational, multi-specialty trans-national follow-up study. Clin Rheumatol 2016;35:2293-305.
  • 27. Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi P, Felson DT. Prevalence of symptomatic hand osteoarthritis and its impact on functional status among the elderly: The Framingham Study. Am J Epidemiol 2002;156:1021-7.
  • 28. Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health 1994;84:351-8.
  • 29. Kwok WY, Vliet Vlieland TP, Rosendaal FR, Huizinga TW, Kloppenburg M. Limitations in daily activities are the major determinant of reduced health-related quality of life in patients with hand osteoarthritis. Ann Rheum Dis 2011;70:334-6.
  • 30. Tack BB. Self-reported fatigue in rheumatoid arthritis. A pilot study. Arthritis Care Res 1990;3:154-7.
  • 31. Cross M, Lapsley H, Barcenilla A, Brooks P, March L. Association Between Measures of Fatigue and Health-Related Quality of Life in Rheumatoid Arthritis and Osteoarthritis. Patient 2008;1:97- 104.
  • 32. Power JD, Badley EM, French MR, Wall AJ, Hawker GA. Fatigue in osteoarthritis: a qualitative study. BMC Musculoskelet Disord 2008;9:63.
  • 33. Jakobsson U, Hallberg IR. Quality of life among older adults with osteoarthritis: an explorative study. J Gerontol Nurs 2006;32:51- 60.
  • 34. Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet 2019;393:1745-59.
APA Gunes S, ERDOĞAN b, KUTLAY S, Küçükdeveci A (2022). Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. , 55 - 60. 10.4274/tod.galenos.2022.73383
Chicago Gunes Secilay,ERDOĞAN beyza,KUTLAY SEHIM,Küçükdeveci Ayşe A. Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. (2022): 55 - 60. 10.4274/tod.galenos.2022.73383
MLA Gunes Secilay,ERDOĞAN beyza,KUTLAY SEHIM,Küçükdeveci Ayşe A. Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. , 2022, ss.55 - 60. 10.4274/tod.galenos.2022.73383
AMA Gunes S,ERDOĞAN b,KUTLAY S,Küçükdeveci A Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. . 2022; 55 - 60. 10.4274/tod.galenos.2022.73383
Vancouver Gunes S,ERDOĞAN b,KUTLAY S,Küçükdeveci A Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. . 2022; 55 - 60. 10.4274/tod.galenos.2022.73383
IEEE Gunes S,ERDOĞAN b,KUTLAY S,Küçükdeveci A "Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables." , ss.55 - 60, 2022. 10.4274/tod.galenos.2022.73383
ISNAD Gunes, Secilay vd. "Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables". (2022), 55-60. https://doi.org/10.4274/tod.galenos.2022.73383
APA Gunes S, ERDOĞAN b, KUTLAY S, Küçükdeveci A (2022). Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. Türk Osteoporoz Dergisi, 28(1), 55 - 60. 10.4274/tod.galenos.2022.73383
Chicago Gunes Secilay,ERDOĞAN beyza,KUTLAY SEHIM,Küçükdeveci Ayşe A. Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. Türk Osteoporoz Dergisi 28, no.1 (2022): 55 - 60. 10.4274/tod.galenos.2022.73383
MLA Gunes Secilay,ERDOĞAN beyza,KUTLAY SEHIM,Küçükdeveci Ayşe A. Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. Türk Osteoporoz Dergisi, vol.28, no.1, 2022, ss.55 - 60. 10.4274/tod.galenos.2022.73383
AMA Gunes S,ERDOĞAN b,KUTLAY S,Küçükdeveci A Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. Türk Osteoporoz Dergisi. 2022; 28(1): 55 - 60. 10.4274/tod.galenos.2022.73383
Vancouver Gunes S,ERDOĞAN b,KUTLAY S,Küçükdeveci A Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables. Türk Osteoporoz Dergisi. 2022; 28(1): 55 - 60. 10.4274/tod.galenos.2022.73383
IEEE Gunes S,ERDOĞAN b,KUTLAY S,Küçükdeveci A "Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables." Türk Osteoporoz Dergisi, 28, ss.55 - 60, 2022. 10.4274/tod.galenos.2022.73383
ISNAD Gunes, Secilay vd. "Quality of Life in Osteoarthritis: Relationship with Demographic and Clinical Variables". Türk Osteoporoz Dergisi 28/1 (2022), 55-60. https://doi.org/10.4274/tod.galenos.2022.73383