Swipe om te navigeren naar een ander artikel
For the EPOSA research group.
Osteoarthritis (OA) has been shown to be associated with decreased physical function, which may impact upon a person’s self-rated health (SRH). Only a few studies have examined the association between OA and SRH in the general population, but to date none have used a clinical definition of OA. The objectives are: (1) To examine the cross-sectional association between clinical OA and fair-to-poor SRH in the general population; (2) To examine whether this association differs between countries; (3) To examine whether physical function is a mediator in the association between clinical OA and SRH.
Baseline data of the European Project on OSteoArthritis (EPOSA) were used, which includes pre-harmonized data from six European cohort studies (n = 2709). Clinical OA was defined according to the American College of Rheumatology criteria. SRH was assessed using one question: How is your health in general? Physical function was assessed using the Western Ontario and McMaster Universities OA Index and Australian/Canadian OA Hand Index.
The prevalence of fair-to-poor SRH ranged from 19.8 % in the United Kingdom to 63.5 % in Italy. Although country differences in the strength of the associations were observed, clinical OA of the hip, knee and hand were significantly associated with fair-to-poor SRH in five out of six European countries. In most countries and at most sites, the association between clinical OA and fair-to-poor SRH was partly or fully mediated by physical function.
Clinical OA at different sites was related to fair-to-poor SRH in the general population. Most associations were (partly) mediated by physical functioning, indicating that deteriorating physical function in patients with OA should be a point of attention in patient care.
Bijlsma, J. W., & Knahr, K. (2007). Strategies for the prevention and management of osteoarthritis of the hip and knee. Best Practice & Research Clinical Rheumatology, 21, 59–76. CrossRef
van der Pas, S., Castell, M. V., Cooper, C., Denkinger, M., Dennison, E. M., Edwards, M. H., et al. (2013). European project on osteoarthritis: Design of a six-cohort study on the personal and societal burden of osteoarthritis in an older European population. BMC Musculoskeletal Disordorders, 14, 138. CrossRef
Halford, C., Wallman, T., Welin, L., Rosengren, A., Bardel, A., Johansson, S., et al. (2012). Effects of self-rated health on sick leave, disability pension, hospital admissions and mortality. A population-based longitudinal study of nearly 15,000 observations among Swedish women and men. BMC Public Health, 12, 1103. CrossRefPubMedPubMedCentral
Perruccio, A. V., Davis, A. M., Hogg-Johnson, S., & Badley, E. M. (2011). Importance of self-rated health and mental well-being in predicting health outcomes following total joint replacement surgery for osteoarthritis. Arthritis Care & Research (Hoboken), 63, 973–981. CrossRef
Riddle, D. L., & Dumenci, L. (2013). Self-rated health and symptomatic knee osteoarthritis over three years: Data from a multicenter observational cohort study. Arthritis Care & Research (Hoboken), 65, 169–176. CrossRef
Perruccio, A. V., Power, J. D., & Badley, E. M. (2005). Arthritis onset and worsening self-rated health: A longitudinal evaluation of the role of pain and activity limitations. Arthritis & Rheumatology, 53, 571–577. CrossRef
Bollegala, D., Perruccio, A. V., & Badley, E. M. (2011). Combined impact of concomitant arthritis and back problems on health status: Results from a nationally representative health survey. Arthritis Care & Research (Hoboken), 63, 1584–1591. CrossRef
Canizares, M., & Badley, E. M. (2012). Comparison of health-related outcomes for arthritis, chronic joint symptoms, and sporadic joint symptoms: A population-based study. Arthritis Care & Research (Hoboken), 64, 1708–1714. CrossRef
Alvarez-Galvez, J., Rodero-Cosano, M. L., Motrico, E., Salinas-Perez, J. A., Garcia-Alonso, C., & Salvador-Carulla, L. (2013). The impact of socio-economic status on self-rated health: Study of 29 countries using European social surveys (2002–2008). International Journal of Environmental Research and Public Health, 10, 747–761. CrossRefPubMedPubMedCentral
Bardage, C., Pluijm, S. M. F., Pedersen, N. L., Deeg, D. J. H., Jylha, M., Noale, M., et al. (2005). Self-rated health among older adults: A cross-national comparison. European Journal of Ageing, 2, 149–158. CrossRef
Bellamy, N. (2009) WOMAC Osteoarthritis Index: User guide IX.
Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., & Stitt, L. W. (1988). Validation study of WOMAC: A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. The Journal of Rheumatology, 15, 1833–1840. PubMed
Bellamy, N. (2006). AUSCAN Hand Osteoarthritis Index: User guide III.
World Health Organization. (1996). Health interview surveys: towards international harmonization of methods and instruments. Copenhagen: WHO Regional Office for Europe.
Galenkamp, H., Braam, A. W., Huisman, M., & Deeg, D. J. (2011). Somatic multimorbidity and self-rated health in the older population. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 66, 380–386. CrossRef
MacKinnon, D. P., & Dwyer, J. H. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17, 144–158. CrossRef
Canty, A., & Ripley, B. D. (2012). Boot: Bootstrap R (S- Plus) functions. R package version, 1.3-7.
Wendt, C. (2009). Mapping European healthcare systems: A comparative analysis of financing, service provision and access to healthcare. Journal of European Social Research, 19, 432–445.
- Impact of clinical osteoarthritis of the hip, knee and hand on self-rated health in six European countries: the European Project on OSteoArthritis
N. M. van Schoor
M. V. Castell
E. M. Dennison
M. H. Edwards
N. L. Pedersen
L. A. Schaap
J. J. M. Rijnhart
S. van der Pas
D. J. H. Deeg
- Springer International Publishing