FRI0569-PC Pain, physical function and life quality evaluation in patients diagnosed of knee or hip ostroarthritis attended on the primary health care center of ciudades in getafe
Authors: R. Parada López, E. Conde Senovilla, J. Calatrava Sanchez, D. de la Rosa Ruiz, A. Bordell Sanchez, R. L. Osorio Prudencio
Journal: Annals of the Rheumatic Diseases (2013)

<h3>Background</h3> Osteoarthritis (OA) is a well-known chronic degenerative pathology of multi-factorial etiology with an important impact on patients' physical function. Studies such as EPISER and ArtroPro have related a keen drop on patients' health-related quality of life with OA. OMERACT, OARSI and EULAR experts have recommended the introduction of surveys which measure health-related quality of life, the degree of pain and physical function (SF-12, WOMAC) for a patient's global evaluation. To standardize the use of such tools in everyday-practice allows assessing the global impact of this pathology over the patient's quality of life. <h3>Objectives</h3> Describe the degree of pain, physical function and health-related quality of life in patients diagnosed of hip or/and knee OA. <h3>Methods</h3> A descriptive, transversal study was conducted in which patients diagnosed of knee or/and hip OA and registered attending the primary health consult. Heath-related quality of life was measured using SF-12 and WOMAC questionnaires; pain degree with the visual analgesic scale; and pharmacologic adhesion with the Morinsky Green scale. <h3>Results</h3> Out of 93 patients included in the study, 23 met exclusion criteria and 9 did not attend the consult. Age average of the 61 remaining patients was 67.83 years (49-84 years), 56.42% of which presented unilateral knee AO; while 70% presented bilateral hip affection. The most frequent clinical findings in knee OA were pain (75.61%), crepitus(75.61%) and stiffness (60.98%); while in hip OA was pain (80%), especially with internal rotation (60%). Most frequent analgesic treatment wasacetaminophen(58.54%), NSAIDs (43.9%) and mild opioids (26.83%). 31.71% practiced physical activities; 12.20% received health education and 12.20% was on diet. Hypertension (68.29%), anxiety/ depression (43.9%) and obesity (36.59%) were the most frequent comorbities found. EVA average resulted in 5.9 (DS 27.52). The most affected areas on the SF-12 v2 survey were physical activities (32.32%), general health (30.49%), physical role (41.46%) and social role (47,80%). On the WOMAC scale, pain average was 7.37 (DS 3.83), stiffness 2.61 (DS 2.06) and functional capacity 24.83 (DS 15.21). Appropriate treatment adherence was found on 41.46% of the patients. <h3>Conclusions</h3> A considerable decrease in OA patient's life quality, including the physical and social spheres, is observed, with a substantial adding-up effect if there is more than one joint affected. However, the quality and amount of information found on the selected patients' clinical history was not adequate. There is a need for standardization of the diagnostic criteria and of the degree of affection regarding the OA. <h3>References</h3> KM Jordan, et al:<b>EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT)</b>.<i>AnnRheumDis</i>2003,<b>62</b>:1145-55. 6-P.G.Conaghan, et al.Summary and recommendations of the OARSI FDA osteoarthritis Assessment of Structural Change Working Group. Osteoarthritis and Cartilage19(2011)606e610. Vilagut G, et al.[Interpretation of SF-36 and SF-12 questionnaires in Spain: physical and mental components].MedClin(Barc).2008;130:726—35. <h3>Acknowledgements</h3> Alejandro Tejedor Varilla Juan Carlos Hermosa Hernan <h3>Disclosure of Interest</h3> None Declared