nach oben

Erschienen in:

20.04.2020

Health-related quality of life and its influencing factors in Chinese with knee osteoarthritis

verfasst von: Yue Xie, Yong Yu, Jing-Xuan Wang, Xue Yang, Fei Zhao, Jian-Qiao Ma, Zhi-Yu Chen, Fan-rong Liang, Ling Zhao, Ding-jun Cai, Chun-Xia Yang

Erschienen in: Quality of Life Research | Ausgabe 9/2020

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate the health-related quality of life (HRQoL) of knee osteoarthritis (KOA) patients in China, compare their HRQoL with norm population, and examine the associations between the potential influencing factors and HRQoL.

Methods

A cross-sectional study was conducted in 912 KOA patients from 4 provinces between March and November 2017. All participants were diagnosed according to the National Institute for Health and Care Excellence (NICE)’s criterion or the Chinese Medical Association (CMA)’s criterion. Recruited patients were surveyed for HRQoL using the 12-item Short Form (SF-12) and sociodemographic, disease-related factors. We assessed the associations between potential influencing factors and HRQoL using multiple linear regression models.

Results

Among the KOA patients, the mean physical component summary (PCS) of HRQoL was 40.91 ± 11.62, lower than norm (P < 0.001). And the mean mental component summary (MCS) was 50.25 ± 11.99, similar to the norm. Patients who were older (β = − 0.155, P = 0.001), women (β = − 4.589, P < 0.001), had ever been treated (β = − 2.426, P = 0.006), had longer course of KOA (β = − 0.164, P = 0.012), and were in early stage (β = − 2.968, P = 0.001) or progressive/late stage (β = − 7.636, P < 0.001) showed lower scores of PCS. Patients who lived in Hunan (β = 4.988, P < 0.001) and had education levels of junior high school (β = 3.134, P = 0.012) or senior high school and above (β = 3.050, P = 0.010) had better mental status. Those suffered from non-knee pains (β = − 2.308, P = 0.027) and with progressive or late KOA (β = − 4.690, P = 0.016) had lower MCS scores.

Conclusion

KOA patients had worse physical condition. The mental and physical health of patients were affected by different factors. Targeted management measures should be taken to improve their HRQoL.

Hunter, D. J., & Bierma-Zeinstra, S. (2019). Osteoarthritis. Lancet, 393(10182), 1745–1759.PubMed

Prieto-Alhambra, D., Judge, A., Javaid, M. K., Cooper, C., Diez-Perez, A., & Arden, N. K. (2014). Incidence and risk factors for clinically diagnosed knee, hip and hand osteoarthritis: Influences of age, gender and osteoarthritis affecting other joints. Annals of the Rheumatic Diseases, 73(9), 1659–1664.PubMed

Turkiewicz, A., Petersson, I. F., Bjork, J., Hawker, G., Dahlberg, L. E., Lohmander, L. S., et al. (2014). Current and future impact of osteoarthritis on health care: A population-based study with projections to year 2032. Osteoarthritis Cartilage, 22(11), 1826–1832.PubMed

March, L., Smith, E. U., Hoy, D. G., Cross, M. J., Sanchez-Riera, L., Blyth, F., et al. (2014). Burden of disability due to musculoskeletal (MSK) disorders. Best Practice & Research Clinical Rheumatology, 28(3), 353–366.

Hunter, D. J., Schofield, D., & Callander, E. (2014). The individual and socioeconomic impact of osteoarthritis. Nature Reviews Rheumatology, 10(7), 437–441.PubMed

James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., et al. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: A systematic analysis for the global burden of disease study 2017. The Lancet, 392(10159), 1789–1858.

Loeser, R. F. (2010). Age-related changes in the musculoskeletal system and the development of osteoarthritis. Clinics in Geriatric Medicine, 26(3), 371–386.PubMedPubMedCentral

Castell, M. V., van der Pas, S., Otero, A., Siviero, P., Dennison, E., Denkinger, M., et al. (2015). Osteoarthritis and frailty in elderly individuals across six European countries: Results from the European project on osteoarthritis (EPOSA). BMC Musculoskeletal Disorder, 16, 359.

Pereira, D., Peleteiro, B., Araujo, J., Branco, J., Santos, R. A., & Ramos, E. (2011). The effect of osteoarthritis definition on prevalence and incidence estimates: A systematic review. Osteoarthritis Cartilage, 19(11), 1270–1285.PubMed

10.

Kerkhof, H. J., Bierma-Zeinstra, S. M., Arden, N. K., Metrustry, S., Castano-Betancourt, M., Hart, D. J., et al. (2014). Prediction model for knee osteoarthritis incidence, including clinical, genetic and biochemical risk factors. Annals of the Rheumatic Diseases, 73(12), 2116–2121.PubMed

11.

Silverwood, V., Blagojevic-Bucknall, M., Jinks, C., Jordan, J. L., Protheroe, J., & Jordan, K. P. (2015). Current evidence on risk factors for knee osteoarthritis in older adults: A systematic review and meta-analysis. Osteoarthritis Cartilage, 23(4), 507–515.PubMed

12.

Brouwer, G. M., van Tol, A. W., Bergink, A. P., Belo, J. N., Bernsen, R. M., Reijman, M., et al. (2007). Association between valgus and varus alignment and the development and progression of radiographic osteoarthritis of the knee. Arthritis and Rheumatism, 56(4), 1204–1211.PubMed

13.

Runhaar, J., van Middelkoop, M., Reijman, M., Vroegindeweij, D., Oei, E. H., & Bierma-Zeinstra, S. M. (2014). Malalignment: A possible target for prevention of incident knee osteoarthritis in overweight and obese women. Rheumatology (Oxford), 53(9), 1618–1624.

14.

Pereira, D., Severo, M., Santos, R. A., Barros, H., Branco, J., Lucas, R., et al. (2016). Knee and hip radiographic osteoarthritis features: Differences on pain, function and quality of life. Clinical Rheumatology, 35(6), 1555–1564.PubMed

15.

Farr Ii, J., Miller, L. E., & Block, J. E. (2013). Quality of life in patients with knee osteoarthritis: A commentary on nonsurgical and surgical treatments. Open Orthopaedics Journal, 7, 619–623.PubMed

16.

Lee, S., & Kim, S. J. (2017). Prevalence of knee osteoarthritis, risk factors, and quality of life: The Fifth Korean National health And nutrition examination survey. International Journal Rheumatic Disease, 20(7), 809–817.

17.

Askin, A., Ozkan, A., Tosun, A., Demirdal, U. S., & Isnac, F. (2017). Quality of life and functional capacity are adversely affected in osteoarthritis patients with neuropathic pain. Kaohsiung Journal of Medical Sciences, 33(3), 152–158.PubMed

18.

Tormalehto, S., Mononen, M. E., Aarnio, E., Arokoski, J. P. A., Korhonen, R. K., & Martikainen, J. (2018). Health-related quality of life in relation to symptomatic and radiographic definitions of knee osteoarthritis: Data from osteoarthritis initiative (OAI) 4-year follow-up study. Health Qual Life Outcomes, 16(1), 154.PubMedPubMedCentral

19.

Revicki, D. A. (1989). Health-related quality of life in the evaluation of medical therapy for chronic illness. Journal of Family Practice, 29(4), 377–380.PubMed

20.

Hennessy, C. H., Moriarty, D. G., Zack, M. M., Scherr, P. A., & Brackbill, R. (1994). Measuring health-related quality of life for public health surveillance. Public Health Reports, 109(5), 665–672.PubMedPubMedCentral

21.

Pater, J. (1996). Quality of life and pharmacoeconomics in clinical trials: Second edition, by Bert Spilker, Lippincott-Raven Publishers, Philadelphia, 1996, 1259 pages, $149. Controlled Clinical Trials, 17(6), 548–549.

22.

Ethgen, O., Kahler, K. H., Kong, S. X., Reginster, J. Y., & Wolfe, F. (2002). The effect of health related quality of life on reported use of health care resources in patients with osteoarthritis and rheumatoid arthritis: A longitudinal analysis. Journal of Rheumatology, 29(6), 1147–1155.PubMed

23.

Wu, M., Brazier, J. E., Kearns, B., Relton, C., Smith, C., & Cooper, C. L. (2015). Examining the impact of 11 long-standing health conditions on health-related quality of life using the EQ-5D in a general population sample. The European Journal of Health Economics, 16(2), 141–151.PubMed

24.

Kiadaliri, A. A., Lamm, C. J., de Verdier, M. G., Engstrom, G., Turkiewicz, A., Lohmander, L. S., et al. (2016). Association of knee pain and different definitions of knee osteoarthritis with health-related quality of life: A population-based cohort study in southern Sweden. Health Qual Life Outcomes, 14(1), 121.PubMedPubMedCentral

25.

Stewart, A., Hays, R., & Ware, J. (1992). Methods of validating the MOS health measures. London: Duke University Press.

26.

Noerholm, V., Groenvold, M., Watt, T., Bjorner, J. B., Rasmussen, N. A., & Bech, P. (2004). Quality of life in the Danish general population–normative data and validity of WHOQOL-BREF using Rasch and item response theory models. Quality of Life Research, 13(2), 531–540.PubMed

27.

Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233.PubMed

28.

Ware, J., Kosinski, M., Turner-Bowker, D., & Gandeck, M. (2002). User’s manual for the SF-12v2 health survey. Quality Metric Incorporated: Lincoln.

29.

Lam, C. L., Tse, E. Y., & Gandek, B. (2005). Is the standard SF-12 health survey valid and equivalent for a Chinese population? Quality of Life Research, 14(2), 539–547.PubMed

30.

Busija, L., Pausenberger, E., Haines, T. P., Haymes, S., Buchbinder, R., & Osborne, R. H. (2011). Adult measures of general health and health-related quality of life: Medical outcomes study short form 36-Item (SF-36) and short form 12-Item (SF-12) health surveys, nottingham health profile (NHP), sickness impact profile (SIP), medical outcomes study short form 6D (SF-6D), health utilities index mark 3 (HUI3), quality of well-being scale (QWB), and assessment of quality of life (AQoL). Arthritis Care Research (Hoboken), 63(Suppl 11), S383–412.

31.

Younsi, M., & Chakroun, M. (2014). Measuring health-related quality of life: Psychometric evaluation of the Tunisian version of the SF-12 health survey. Quality of Life Research, 23(7), 2047–2054.PubMed

32.

Lacson, E., Jr., Xu, J., Lin, S. F., Dean, S. G., Lazarus, J. M., & Hakim, R. M. (2010). A comparison of SF-36 and SF-12 composite scores and subsequent hospitalization and mortality risks in long-term dialysis patients. Clinical Journal of the American Society of Nephrology, 5(2), 252–260.PubMedPubMedCentral

33.

Cheng, B., & Zhang, J. (2004). Osteoarthritis. Beijing: People's Medical Publishing House.

34.

Kellgren, J. H., & Lawrence, J. S. (1957). Radiological assessment of osteo-arthrosis. Annals of the Rheumatic Diseases, 16(4), 494–502.PubMedPubMedCentral

35.

Li, N. X., Liu, D. P., Liu, C. J., Ren, X. H., & Gao, B. (2010). Assessing quality of life in an urban population in Chengdu using the SF-12. Sichuan Da Xue Xue Bao Yi Xue Ban, 41(6), 1044–1046.PubMed

36.

Bindawas, S. M., Vennu, V., Alfhadel, S., Al-Otaibi, A. D., & Binnasser, A. S. (2018). Knee pain and health-related quality of life among older patients with different knee osteoarthritis severity in Saudi Arabia. PLoS ONE, 13(5), e0196150.PubMedPubMedCentral

37.

Ettinger, W. H., Davis, M. A., Neuhaus, J. M., & Mallon, K. P. (1994). Long-term physical functioning in persons with knee osteoarthritis from NHANES. I: Effects of comorbid medical conditions. Journal of Clinical Epidemiology, 47(7), 809–815.PubMed

38.

Zhang, W., Doherty, M., Leeb, B. F., Alekseeva, L., Arden, N. K., Bijlsma, J. W., et al. (2009). EULAR evidence-based recommendations for the diagnosis of hand osteoarthritis: Report of a task force of ESCISIT. Annals of the Rheumatic Diseases, 68(1), 8–17.PubMed

39.

Felson, D. T., & Nevitt, M. C. (1998). The effects of estrogen on osteoarthritis. Current Opinion in Rheumatology, 10(3), 269–272.PubMed

40.

Parazzini, F. (2003). Menopausal status, hormone replacement therapy use and risk of self-reported physician-diagnosed osteoarthritis in women attending menopause clinics in Italy. Maturitas, 46(3), 207–212.PubMed

41.

Felson, D. T., Lawrence, R. C., Dieppe, P. A., Hirsch, R., Helmick, C. G., Jordan, J. M., et al. (2000). Osteoarthritis: New insights. Part 1: The disease and its risk factors. Annals of Internal Medicine, 133(8), 635–646.PubMed

42.

Chang, S. R., Yang, C. F., & Chen, K. H. (2019). Relationships between body image, sexual dysfunction, and health-related quality of life among middle-aged women: A cross-sectional study. Maturitas, 126, 45–50.PubMed

43.

Karacam, Z., & Seker, S. E. (2007). Factors associated with menopausal symptoms and their relationship with the quality of life among Turkish women. Maturitas, 58(1), 75–82.PubMed

44.

Ornat, L., Martinez-Dearth, R., Munoz, A., Franco, P., Alonso, B., Tajada, M., et al. (2013). Sexual function, satisfaction with life and menopausal symptoms in middle-aged women. Maturitas, 75(3), 261–269.PubMed

45.

Hess, R., Thurston, R. C., Hays, R. D., Chang, C. C., Dillon, S. N., Ness, R. B., et al. (2012). The impact of menopause on health-related quality of life: Results from the STRIDE longitudinal study. Quality of Life Research, 21(3), 535–544.PubMed

46.

Cheng, M. H., Lee, S. J., Wang, S. J., Wang, P. H., & Fuh, J. L. (2007). Does menopausal transition affect the quality of life? A longitudinal study of middle-aged women in Kinmen. Menopause, 14(5), 885–890.PubMed

47.

Li, S., Ho, S. C., & Sham, A. (2016). Relationship between menopause status, attitude toward menopause, and quality of life in Chinese midlife women in Hong Kong. Menopause, 23(1), 67–73.PubMed

48.

Skevington, S. M., Sartorius, N., & Amir, M. (2004). Developing methods for assessing quality of life in different cultural settings. The history of the WHOQOL instruments. Social Psychiatry and Psychiatric Epidemiology, 39(1), 1–8.PubMed

49.

Bates, T. (2001). Human cognitive abilities in theory and practice. Intelligence, 29, 273–274.

50.

Stern, Y., Gurland, B., Tatemichi, T. K., Tang, M. X., Wilder, D., & Mayeux, R. (1994). Influence of education and occupation on the incidence of Alzheimer's disease. JAMA, 271(13), 1004–1010.PubMed

51.

Huang, W., & Zhou, Y. (2013). Effects of education on cognition at older ages: Evidence from China's great famine. Social Science and Medicine, 98, 54–62.PubMed

52.

Farrar, J. T. (2019). Pain interference on quality of life is not just about physical function. Pain Medicine, 20(2), 211–212.PubMed

53.

Mantyselka, P., Kumpusalo, E., Ahonen, R., Kumpusalo, A., Kauhanen, J., Viinamaki, H., et al. (2001). Pain as a reason to visit the doctor: A study in Finnish primary health care. Pain, 89(2–3), 175–180.PubMed

54.

Jeong, H., Baek, S. Y., Kim, S. W., Eun, Y. H., Kim, I. Y., Lee, J., et al. (2017). Comorbidities and health-related quality of life in Koreans with knee osteoarthritis: Data from the Korean national health and nutrition examination survey (KNHANES). PLoS ONE, 12(10), e0186141.PubMedPubMedCentral

Titel: Health-related quality of life and its influencing factors in Chinese with knee osteoarthritis
verfasst von: Yue Xie
Yong Yu
Jing-Xuan Wang
Xue Yang
Fei Zhao
Jian-Qiao Ma
Zhi-Yu Chen
Fan-rong Liang
Ling Zhao
Ding-jun Cai
Chun-Xia Yang
Publikationsdatum: 20.04.2020
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 9/2020
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02502-9

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Health-related quality of life and its influencing factors in Chinese with knee osteoarthritis

Abstract

Purpose

Methods

Results

Conclusion

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2020

Developmental differences in health-related quality of life in adolescent and young adult cancer survivors

Development of algorithms to estimate EQ-5D and derive health utilities from WHOQOL-HIV Bref: a mapping study

Does the EQ-5D-5L benefit from extension with a cognitive domain: Testing a multi-criteria psychometric strategy in trauma patients

The association of socio-economic status, dental anxiety, and behavioral and clinical variables with adolescents’ oral health-related quality of life

Development of a Patient-Reported Outcomes Measurement Information System (PROMIS®) short form for measuring physical function in geriatric rehabilitation patients

Trends and predictors of multidimensional health-related quality of life after living donor kidney transplantation