ABSTRACT
OBJECTIVE: As in other chronic problems, the approach of the patient with osteoarthritis tends to a shared decision-making model, in which the patient's point of view must be considered in the choice of treatment. The objetive was to evaluate treatment satisfaction in patients with osteoarthritis and to verify if there are differences between different pharmacological options, as well as to determine if there is any association with functional status and clinical and sociodemographic characteristics. METHODS: A cross-sectional observational study was conducted in a sample of 487 patients selected by consecutive sampling. The main variable was the level of satisfaction with the treatment (ARTS questionnaire). The functional status of the patients was assessed using the WOMAC scale. Other variables considered were: treatment characteristics, therapeutic adherence, adverse events, and clinical and sociodemographic variables. RESULTS: In the ARTS questionnaire the patients, in a range between 28 and 87, obtained an average score of 65.3 (SD: 9.9). The score was not significantly different in consumers of 1, 2 or more drugs. Among those who consumed only one drug, there were no differences between the different drug types. In the functional state, an average score of 30.2 points (SD: 20.8) was obtained and a weak negative correlation was observed with the level of satisfaction (r = -0.252; p=0.001). Multiple linear regression showed a higher score on the ARTS scale (p=0.05) in patients with lower WOMAC score, older age and absence of adverse events. CONCLUSIONS: In patients with osteoarthritis, a moderate level of satisfaction with pharmacological treatment is observed, conditioned by their functional status, their sociodemographic characteristics and the presence of adverse events. In general, satisfaction does not depend on either the characteristics of the treatment or the number of drugs consumed.
OBJETIVO: Al igual que en otros problemas crónicos, en el abordaje del paciente con artrosis se tiende a un modelo de toma de decisiones compartidas, en el que el punto de vista del paciente debe ser considerado en la elección del tratamiento. El objetivo de este trabajo fue evaluar la satisfacción con el tratamiento en pacientes diagnosticados de osteoartrosis y comprobar si existen diferencias entre diferentes opciones farmacológicas, así como determinar si existe asociación con el estado funcional y las características clínicas y sociodemográficas. METODOS: Se realizó un estudio observacional transversal en una muestra de 487 pacientes seleccionados mediante muestreo consecutivo. La variable principal fue el nivel de satisfacción con el tratamiento (cuestionario ARTS). El estado funcional de los pacientes fue evaluado mediante la escala WOMAC. Otras variables fueron: características del tratamiento, adherencia terapéutica, eventos adversos, y variables clínicas y sociodemográficas. RESULTADOS: En el cuestionario ARTS los pacientes, en un rango entre 28 y 87, obtuvieron una puntuación media de 65,3 (DE: 9,9). La puntuación no fue significativamente diferente en consumidores de 1, 2 o más fármacos. Entre quienes consumían un solo fármaco, no hubo diferencias entre los diferentes tipos de fármacos. En el estado funcional se obtuvo una puntuación media de 30,2 puntos (DE: 20,8) y se observó una débil correlación negativa con el nivel de satisfacción (r= - 0,252; p=0,001). Mediante regresión lineal múltiple, se observó mayor puntuación en la escala ARTS (p=0,05) en pacientes con menor puntuación en la escala WOMAC, mayor edad y ausencia de eventos adversos. CONCLUSIONES: En pacientes con osteoartritis se observa un nivel moderado de satisfacción con el tratamiento farmacológico, condicionado por su situación funcional, sus características sociodemográficas y por la presencia de eventos adversos. En general, la satisfacción no depende ni de las características del tratamiento ni del número de fármacos consumidos.
Subject(s)
Analgesics/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Osteoarthritis/drug therapy , Patient Satisfaction/statistics & numerical data , Primary Health Care , Adult , Aged , Aged, 80 and over , Cross-Sectional Studies , Decision Making , Drug Therapy, Combination , Female , Health Status Indicators , Humans , Linear Models , Male , Middle Aged , Osteoarthritis/diagnosis , Osteoarthritis/psychology , Patient Participation , SpainABSTRACT
OBJECTIVE: To describe the functional status and self-rated health of patients with osteoarthritis (OA) in Primary Care, and checking their relationship with the level of physical activity and sociodemographic characteristics. DESIGN: Study of prevalence and cross association. SETTING: Primary Care Clinics. PARTICIPANTS: Adult patients with a diagnosis of OA in any joint in their clinical records. Out of a total of 487 selected, 346 (71.0%) took part in the study. MAIN MEASUREMENTS: Functional capacity (WOMAC scale), self-rated quality of life (EuroQol- 5D questionnaire), physical activity (IPAQ questionnaire), number of affected joints, pain level, and sociodemographic characteristics. RESULTS: A mean score of 30.2 (SD: 20.8; CI 95% CI: 28.0 to 32.4) was obtained on the WOMAC scale, with pain, stiffness, and functional capacity scores of 6.5 (SD: 4.8), 1.9 (SD: 2.0), and 21.7 (SD: 15.7), respectively. The score showed a linear trend (P<.001) compared to the level of physical activity, being 41.1 (SD: 19.9) in inactive subjects, 24.3 (SD: 18.7) in subjects with moderate activity, and 22.3 (SD: 19.8) in subjects with intense activity. In the multiple linear regression, the score on the WOMAC scale, as well as that obtained in self-rated health status, maintained their association with physical activity level after adjusting for sociodemographic variables and the number of affected joints. CONCLUSIONS: In patients with OA, pain and functional capacity are the most affected dimensions. Functional status and self-rated health status are higher in active patients, regardless of the number of joints affected and their demographic characteristics.
