Does the Symptoms of Osteoarthritis Affect the Health-Related Quality of Life: A Cross-Sectional Study

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DOI: 10.21522/TIJPH.2013.13.02.Art048

Authors : Zahraa S. Thabit, Ali K. Mohialdeen

Abstract:

Background and aim: Osteoarthritis which is a common age-related condition of the joint and evidence of its impact on quality of life is emerged. The aim of this study to assess the quality of life among patients with symptomatic osteoarthritis. Methods: A cross-sectional study design was performed among patients with osteoarthritis. A sample of 306 participants age 45 years and older were included in this study diagnosed according to the American College of Rheumatologists’ criteria. WHOQOL-BREF scale was used to assess QoL while the signs and symptoms of the osteoarthritis was evaluated by using a part of KOOS scale.  Results: The mean 50.04±8.23 and the disease was more common in female 249 (81.4%). The stiffness was the highest indicated symptom of either moderate in 150 (40.5%) or sever in 159 (43.0%). The rarely ability of knee extension in 49 (46.6%) and rarely knee bending in 124 (33.5%). Significant difference of both oedema and crepitus with physical and psychological domains p≤0.05 while stiffness, morning stiffness, rest stiffness, frequency of pain, and difficulty of knee were significantly different with three domains (physical domain, psychological domain and environmental domain). Conclusion: Patients with symptomatic OA as pain, crepitus, stiffness especially in morning, in rest, and night stiffness, are associated with decrease the QOL.

References:

[1]. Shalhoub, M., Anaya, M., Deek, S., Zaben, A. H., Abdalla, M. A., Jaber, M. M., Zyoud, S. E. H., 2022, The impact of pain on quality of life in patients with osteoarthritis: a cross-sectional study from Palestine. BMC musculoskeletal disorders, 23(1), 248. Doi:10.1186/s12891-022-05207-x.

[2]. Hunter, D. J., March, L., Chew, M., 2020, Osteoarthritis in 2020 and beyond: a Lancet Commission. The Lancet, 396(10264), 1711-1712. Doi:10.1016/S0140-6736(20)32230-3.

[3]. Wojcieszek, A., Kurowska, A., Majda, A., Liszka, H., Gądek, A. 2022. The impact of chronic pain, stiffness and difficulties in performing daily activities on the quality of life of older patients with knee osteoarthritis. International journal of environmental research and public health, 19(24), 16815.  Doi:10.3390/ijerph192416815.

[4]. Neogi, T., 2013, The epidemiology and impact of pain in osteoarthritis. Osteoarthritis and cartilage, 21(9), 1145-1153. Doi:10.1016/j.joca.2013.03.018.

[5]. Ferrans, C. E., Zerwic, J. J., Wilbur, J. E., Larson, J. L., 2005, Conceptual model of health‐related quality of life. Journal of nursing scholarship, 37(4), 336-342. Doi:10.1111/j.1547-5069.2005.00058.x.

[6]. Chen, W., Sun, L., He, X., Li, Z., Ji, C., Li, F., Bai, G., 2023, Health-related quality of life of children with Williams syndrome and caregivers in China. Frontiers in Public Health, 11, 1177317. Doi:10.3389/fpubh.2023.1177317.

[7]. Van Leeuwen, K. M., Van Loon, M. S., Van Nes, F. A., Bosmans, J. E., 2021, What does quality of life mean to older adults?. Care and Capability, 14(3), 27. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407786/pdf/pone.0213263.pdf

[8]. Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., 2019, A systematic review of quality of life research in medicine and health sciences. Quality of life Research, 28, 2641-2650. Doi:10.1007/s11136-019-02214-9.

[9]. Chen, Y. T., Murphy, S. L., 2021, Associations of Coexisting Pain and Fatigue Severity with Physical Performance and Quality of Life Among Middle-Aged and Older Individuals with Chronic Knee Pain: Secondary Analysis of a Randomized Clinical Trial. Pain Medicine, 22(11), 2575-2583. Doi:10.1093/pm/pnab115.

[10]. Kawano, M. M., Araújo, I. L. A., Castro, M. C., Matos, M. A., 2015, Assessment of quality of life in patients with knee osteoarthritis. Acta ortopedica brasileira, 23, 307-310. Doi:10.1590/1413-785220152306150596.

[11]. Giles, L., 2016, Assessment and rehabilitation of quadriceps atrophy in individuals with patellofemoral pain (Doctoral dissertation, La Trobe).

[12]. Erol Aksekili, M. A., Fidan, F., Alkan, B. M., Alemdar, A., Aksekili, H., Ardıçoğlu, Ö., 2016, Quality of Life in Knee Osteoarthritis; Correlation with Clinical Measures and the Knee Injury and Osteoarthritis Outcome Score. Acta Medica Anatolia, 4(1). Doi:10.5505/actamedica.2016.41636.

[13]. World Health Organization, 1996. WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, December 1996 (No. WHOQOL-BREF). World Health Organization. Available from: http://apps.who.int/iris/bitstream/handle/10665/63529/WHOQOL-BREF.pdf?sequence=1&isAllowed=y

[14]. Thabit, Z., Al-Qazaz, H., 2022, Health-related quality of life among patients with osteoarthritis: A review of literature. Iraqi Journal of Pharmacy, 19(1), 112-124.

[15]. Zheng, H., Chen, C., 2015, Body mass index and risk of knee osteoarthritis: systematic review and meta-analysis of prospective studies. BMJ open, 5(12), e007568. Doi:10.1136/ bmjopen-2014-007568.

[16]. Thabit, Z., Al-Qazaz, H., 2023, Health-related quality of life among patients with osteoarthritis: a cross-sectional study. Georgian Medical News, (334), 65-70.

[17]. Szilagyi, I. A., Waarsing, J. H., Schiphof, D., Van Meurs, J. B., Bierma-Zeinstra, S. M., 2022, Towards sex-specific osteoarthritis risk models: evaluation of risk factors for knee osteoarthritis in males and females. Rheumatology, 61(2), 648-657. Doi:10.1093/rheumatology/keab378.

[18]. Bazazan, A., Rasoulzadeh, Y., Dianat, I., Safaiyan, A., Mombeini, Z., Shiravand, E., 2014, Demographic factors and their relation to fatigue and mental disorders in 12-hour petrochemical shift workers. Health promotion perspectives, 4(2), 165. Doi:10.5681/hpp.2014.022. 

[19]. Rabenda, V., Manette, C., Lemmens, R., Mariani, A. M., Struvay, N., Reginster, J. Y., 2006, Direct and indirect costs attributable to osteoarthritis in active subjects. The Journal of rheumatology, 33(6), 1152-1158.

[20]. Lee, J. Y., Han, K., Park, Y. G., Park, S. H., 2021, Effects of education, income, and occupation on prevalence and symptoms of knee osteoarthritis. Scientific Reports, 11(1), 13983. Doi:10.1038/s41598-021-93394-3.

[21]. Shakoor, M. A., Haque, N., Khan, A. A., Moyeenuzzaman M. The healer presentation of the patients with osteoarthritis of the knee joint-a study of 54 cases. The Healer, 10(1), 2003. 

[22]. Marks, R., 2014, Perceived health status of women with knee osteoarthritis: a cross-sectional study of the relationships of age, body mass, pain and walking limitations. The Open Orthopaedics Journal, 8, 255. Doi: 10.2174/1874325001408010255. 

[23]. Stamm, T. A., Pieber, K., Crevenna, R., Dorner, T. E., 2016, Impairment in the activities of daily living in older adults with and without osteoporosis, osteoarthritis and chronic back pain: a secondary analysis of population-based health survey data. BMC musculoskeletal disorders, 17, 1-10. Doi:10.1186/s12891-016-0994-y.

[24]. Oboirien, M., Agbo, S. P., Ajiboye, L. O., 2018, Risk Factors in the Development of Knee Osteoarthritis. International Journal of orthopaedics, 5(2), 905-909.

[25]. Cook, C., Pietrobon, R., Hegedus, E., 2007, Osteoarthritis and the impact on quality of life health indicators. Rheumatology international, 27, 315-321. Doi:10.1007/s00296-006-0269-2.

[26]. Magni, A., Agostoni, P., Bonezzi, C., Massazza, G., Menè, P., Savarino, V., Fornasari, D., 2021, Management of osteoarthritis: expert opinion on NSAIDs. Pain and therapy, 10(2), 783-808. Doi:10.1007/s40122-021-00260-1.

[27]. Gurudut, P., Jaiswal, R., 2022, Comparative Effect of Graded Motor Imagery and Progressive Muscle Relaxation on Mobility and Function in Patients with Knee Osteoarthritis: A Pilot Study. Alternative Therapies in Health and Medicine, 28(3). 

[28]. Mathur, D. M. K., Saharan, D. A. K., Taneja, D. D., 2018, Comparison between passive joint mobilization and manual therapy knee protocol on pain, function and quality of life in patient with chronic osteoarthritis of knee. International Journal of Development Research, 8(01), 18195-18202.

[29]. Dixon, S. J., Hinman, R. S., Creaby, M. W., Kemp, G., Crossley, K. M., 2010, Knee joint stiffness during walking in knee osteoarthritis. Arthritis Care and Research: Official Journal of the American College of Rheumatology, 62(1), 38-44. doi:10.1002/acr.20012.

[30]. Yang, K. A., Raijmakers, N. J. H., Verbout, A. J., Dhert, W. J. A., Saris, D. B. F., 2007, Validation of the short-form WOMAC function scale for the evaluation of osteoarthritis of the knee. The Journal of Bone and Joint Surgery British Volume, 89(1), 50-56.

[31]. Yu, H., Huang, T., Lu, W. W., Tong, L., Chen, D., 2022, Osteoarthritis pain. International Journal of Molecular Sciences, 23(9), 4642. Doi:10.3390/ijms23094642.

[32]. Cohen, S. P., Vase, L., Hooten, W. M., 2021, Chronic pain: an update on burden, best practices, and new advances. The Lancet, 397(10289), 2082-2097. Doi:10.1016/S0140-6736(21)00393-7.

[33]. Song, J., Chang, A. H., Chang, R. W., Lee, J., Pinto, D., Hawker, G., Dunlop, D. D., 2018, Relationship of knee pain to time in moderate and light physical activities: data from osteoarthritis initiative. In Seminars in arthritis and rheumatism, 47(5), 683-688). https://doi.org/10.1016/j.semarthrit.2017.10.005.

[34]. Martin, C. K., Church, T. S., Thompson, A. M., Earnest, C. P., Blair, S. N., 2009, Exercise dose and quality of life: a randomized controlled trial. Archives of internal medicine, 169(3), 269-278. Doi:10.1001/archinternmed.2008.545.

[35]. Özcan, S., Yurten, H., 2023, Difficulties Experienced by Patients with Knee Osteoarthritis during the Conservative Treatment Process: A Qualitative Study. Journal of Clinical Medicine, 12(20), 6523. Doi:10.3390/jcm12206523.