RT Journal Article
SR Electronic
T1 Use of recommended non-surgical knee osteoarthritis management in patients prior to totalv knee arthroplasty: a cross-sectional study
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP jrheum.190467
DO 10.3899/jrheum.190467
A1 Lauren K.  King
A1 Deborah A.  Marshall
A1 Peter Faris
A1 Linda Woodhouse
A1 C. Allyson  Jones
A1 Tom Noseworthy
A1 Eric Bohm
A1 Michael Dunbar
A1 Gillian A.  Hawker
YR 2019
UL http://www.jrheum.org/content/early/2019/11/08/jrheum.190467.abstract
AB Objective Our aim was to assess prior use of core recommended non-surgical treatment among patients with knee osteoarthritis (OA) scheduled for total knee arthroplasty (TKA); and, to assess potential patient-level correlates of underuse, if found. Methods This was a cross-sectional study of patients undergoing TKA for primary knee OA at two provincial central intake hip and knee clinics in Alberta, Canada. Standardized questionnaires assessed socio-demographic characteristics, social support, coexisting medical conditions, OA symptoms and coping, and previous non-surgical management. Multivariable logistic regression was used to assess the patient-level variables independently associated with receipt of recommended non-surgical knee OA treatment, defined as prior use of pharmacotherapy for pain, rehabilitation strategies (exercise or physiotherapy), and weight loss if overweight or obese (body mass index ≥25 kg/m2). Results 1,273 patients were included: mean age 66.9 years [SD 8.7]; 39.9% male; 44.1% had less than post-secondary education. Recommended non-surgical knee OA treatment had been used by 59.7% of patients. In multivariable modeling, the odds of having received recommended non-surgical knee OA treatment was significantly and independently lower among individuals who were older (OR 0.96 [95%CI 0.95–0.98]), male (OR 0.41 [0.31–0.53]), and who lacked post-secondary education (OR 0.67 [0.52–0.87]). Conclusion In a large cross-sectional analysis of knee OA patients scheduled for TKA, 40% of individuals reported having not received core recommended non-surgical treatments. Older individuals, men and those with less education had lower odds of having used recommended non-surgical OA treatments.