QUALITY OF LIFE OF PATIENTS WITH SEVERE KNEE OSTEOARTHRITIS IN HUNGARY: CROSS-SECTIONAL STUDY

Authors

  • Huda ALFATAFTA Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary https://orcid.org/0000-0002-2063-329X
  • Mahmoud ALFATAFTA Orthotics and Prosthetics Department, Rehabilitation Sciences School, University of Jordan, Amman, Jordan https://orcid.org/0000-0003-2511-1658
  • Faten AMER Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary https://orcid.org/0000-0002-5214-3797
  • Sahar HAMMOUD Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary https://orcid.org/0000-0003-4682-9001
  • Lu ZHANG Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
  • Bálint MOLICS Institute of Physiotherapy and Sport Science, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
  • Imre BONCZ Institute for Health Insurance, Faculty of Health Sciences, University of Pecs, Pécs, Hungary; National Laboratory for Human Reproduction, University of Pécs, Pécs, Hungary https://orcid.org/0000-0003-3699-6236

DOI:

https://doi.org/10.24193/subbeag.67(2).09

Keywords:

knee osteoarthritis, pain, quality of life, function.

Abstract

Introduction: Knee osteoarthritis (OA) is a chronic musculoskeletal disease that is associated with mortality, disability, and low quality of life. In Hungary, the number of patients diagnosed with severe knee osteoarthritis is dramatically increasing yearly. Objective: This study aims to assess the quality of life among patients with severe knee osteoarthritis who undergo knee replacement surgery after one month to assess their quality of life (QoL). Material and Method: Ten patients (6 female, 4 male, 70±4 years, 30.7±3.4 kg/m2) with severe knee osteoarthritis were included from an orthopedic clinic in Pécs, Hungary. The SF-36 questionnaire (Hungarian version) was used to assess QoL of the patients one month prior to knee replacement surgery. Results: The participants with severe knee OA reported allow overall average of pain (40.95%), role limitations due to physical health (42.5%), and role limitations due to emotional problems (46.7%) that reduced their QoL. In addition, there are significant differences between women and men in some domains. Women had significantly lower physical functioning and role limitations due to emotional problems than men, by 42.8% (p=0.03) and 73.3% (P=0.005), respectively. Moreover, women had a higher feeling of pain than men; however, the differences was insignificant. Conclusions: Patients with severe knee osteoarthritis have low quality of life and severe pain during daily activities. Furthermore, women with severe knee OA had significantly higher pain and lower quality of life than men due to their emotional status. Further studies with large sample sizes are needed.

Received 2022 June 30; Revised 2022 July 15; Accepted 2022 July 21; Available online 2022 June 30; Available print 2022 August 30.

References

Alkan, B. M., Fidan, F., Tosun, A., & Ardıçoğlu, Ö. (2014). Quality of life and self-reported disability in patients with knee osteoarthritis. Modern rheumatology, 24(1), 166-171.

Batsis, J. A., Zbehlik, A. J., Barre, L. K., Mackenzie, T. A., & Bartels, S. J. (2014). The impact of waist circumference on function and physical activity in older adults: longitudinal observational data from the osteoarthritis initiative. Nutrition journal, 13(1), 1-13.

Berger, M. J., Kean, C. O., Goela, A., & Doherty, T. J. (2012). Disease severity and knee extensor force in knee osteoarthritis: data from the Osteoarthritis Initiative. Arthritis care & research, 64(5), 729-734.

Biggs, P. R., Whatling, G. M., Wilson, C., Metcalfe, A. J., & Holt, C. A. (2019). Which osteoarthritic gait features recover following total knee replacement surgery? PLoS One, 14(1), e0203417. doi:10.1371/journal.pone.0203417

Brazier, J. E., Harper, R., Jones, N., O’cathain, A., Thomas, K., Usherwood, T., & Westlake, L. (1992). Validating the SF-36 health survey questionnaire: new outcome measure for primary care. British medical journal, 305(6846), 160-164.

Busa, M., Gunther, T., Mazzag, K., Vizsy, M., Boncz, I., & Molics, B. (2019). PMS6 Quality of Life of Patients Who Underwent Implantation of Knee Endoprosthesis. Value in Health, 22, S694-S695.

Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., & Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29, 100587.

Dieppe, P., Lim, K., & Lohmander, S. (2011). Who should have knee joint replacement surgery for osteoarthritis? Int J Rheum Dis, 14(2), 175-180. doi:10.1111/j.1756-185X.2011.01611.x

Escobar, A., Garcia Perez, L., Herrera-Espineira, C., Aizpuru, F., Sarasqueta, C., Gonzalez Saenz de Tejada, M., . . . Bilbao, A. (2017). Total knee replacement: Are there any baseline factors that have influence in patient reported outcomes? J Eval Clin Pract, 23(6), 1232-1239. doi:10.1111/jep.12765

Felson, D. T. (2006). Osteoarthritis of the knee. New England Journal of Medicine, 354(8), 841-848.

Felson, D. T., Anderson, J. J., Naimark, A., Walker, A. M., & Meenan, R. F. (1988). Obesity and knee osteoarthritis: the Framingham Study. Annals of internal medicine, 109(1), 18-24.

Felson, D. T., Lawrence, R. C., Dieppe, P. A., Hirsch, R., Helmick, C. G., Jordan, J. M., . . . Zhang, Y. (2000). Osteoarthritis: new insights. Part 1: the disease and its risk factors. Annals of internal medicine, 133(8), 635-646.

Ferket, B. S., Feldman, Z., Zhou, J., Oei, E. H., Bierma-Zeinstra, S. M., & Mazumdar, M. (2017). Impact of total knee replacement practice: cost effectiveness analysis of data from the Osteoarthritis Initiative. BMJ, 356, j1131. doi:10.1136/bmj.j1131

Hall, M., Bennell, K., Wrigley, T., Metcalf, B. R., Campbell, P., Kasza, J., . . . Hinman, R. S. (2017). The knee adduction moment and knee osteoarthritis symptoms: relationships according to radiographic disease severity. Osteoarthritis and Cartilage, 25(1), 34-41.

Hannan, M. T., Felson, D. T., & Pincus, T. (2000). Analysis of the discordance between radiographic changes and knee pain in osteoarthritis of the knee. The Journal of rheumatology, 27(6), 1513-1517.

Hayes, V., Morris, J., Wolfe, C., & Morgan, M. (1995). The SF-36 health survey questionnaire: is it suitable for use with older adults? Age and ageing, 24(2), 120-125.

Horváth, G., Koroknai, G., Ács, B., Than, P., Bellyei, Á., & Illés, T. (2010). Prevalence of knee osteoarthritis in Hungary. Study conducted in a representative Hungarian population. Orvosi Hetilap, 151(4), 140-143.

Horváth, G., Koroknai, G., Ács, B., Than, P., Bellyei, Á., & Illés, T. (2011). Prevalence of radiographic primary hip and knee osteoarthritis in a representative Central European population. International orthopaedics, 35(7), 971-975.

Keefe, F. J., Affleck, G., France, C. R., Emery, C. F., Waters, S., Caldwell, D. S., . . . Wilson, K. (2004). Gender differences in pain, coping, and mood in individuals having osteoarthritic knee pain: a within-day analysis. Pain, 110(3), 571-577.

Ko, Y., Lo, N. N., Yeo, S. J., Yang, K. Y., Yeo, W., Chong, H. C., & Thumboo, J. (2013). Comparison of the responsiveness of the SF-36, the Oxford Knee Score, and the Knee Society Clinical Rating System in patients undergoing total knee replacement. Qual Life Res, 22(9), 2455-2459. doi:10.1007/s11136-013-0376-y

Kohn, M. D., Sassoon, A. A., & Fernando, N. D. (2016). Classifications in brief: Kellgren-Lawrence classification of osteoarthritis. Clinical Orthopaedics and Related Research®, 474(8), 1886-1893.

Mahir, L., Belhaj, K., Zahi, S., Azanmasso, H., Lmidmani, F., & El Fatimi, A. (2016). Impact of knee osteoarthritis on the quality of life. Annals of physical and rehabilitation medicine, 59, e159.

Midgley, J. (2021). Osteoarthritis and obesity; conservative management, multi-morbidity, surgery and the implications of restricted access to knee or hip replacement: a literature review. Int J Orthop Trauma Nurs, 40, 100840. doi:10.1016/j.ijotn.2020.100840

Muhammad, A., Azam, M. J., & Salam, A. (2018). Impact On Quality Of Life In Patients With Knee Osteaoarthritis In Faisalabad. Journal of University Medical & Dental College, 9(3), 49-52.

Muraki, S., Akune, T., Oka, H., Ishimoto, Y., Nagata, K., Yoshida, M., . . . Yoshimura, N. (2012). Incidence and risk factors for radiographic knee osteoarthritis and knee pain in Japanese men and women: A longitudinal population‐based cohort study. Arthritis & Rheumatism, 64(5), 1447-1456.

Nunez, M., Lozano, L., Nunez, E., Segur, J. M., Sastre, S., Macule, F., . . . Suso, S. (2009). Total knee replacement and health-related quality of life: factors influencing long-term outcomes. Arthritis Rheum, 61(8), 1062-1069. doi:10.1002/art.24644

Rathbun, A. M., Yau, M. S., Shardell, M., Stuart, E. A., & Hochberg, M. C. (2017). Depressive symptoms and structural disease progression in knee osteoarthritis: data from the Osteoarthritis Initiative. Clinical rheumatology, 36(1), 155-163.

Saeed, A., Zulfiqar, T., Kaleem, M., Hafeez, M., & Ghauri, M. W. (2021). Health related quality of life in patients with grade III knee osteoarthritis. Rawal Medical Journal, 46(3), 580-580.

Tonelli, S. M., Rakel, B. A., Cooper, N. A., Angstom, W. L., & Sluka, K. A. (2011). Women with knee osteoarthritis have more pain and poorer function than men, but similar physical activity prior to total knee replacement. Biol Sex Differ, 2, 12. doi:10.1186/2042-6410-2-12

Ware Jr, J. E. (2000). SF-36 health survey update. Spine, 25(24), 3130-3139.

Downloads

Published

2022-06-30

How to Cite

ALFATAFTA, H., ALFATAFTA, M., AMER, F., HAMMOUD, S., ZHANG, L., MOLICS, B., & BONCZ, I. (2022). QUALITY OF LIFE OF PATIENTS WITH SEVERE KNEE OSTEOARTHRITIS IN HUNGARY: CROSS-SECTIONAL STUDY. Studia Universitatis Babeș-Bolyai Educatio Artis Gymnasticae, 67(2), 5–15. https://doi.org/10.24193/subbeag.67(2).09

Issue

Section

Articles

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 6 7 8 9 > >> 

You may also start an advanced similarity search for this article.