未经评估:描述“通常护理”的教育模式,锻炼,体重管理,对于骨科医生建议进行非手术治疗的患者,使用止痛药和其他非手术治疗膝关节骨关节炎(OA)。
UNASSIGNED:我们使用电话问卷记录了骨科医生推荐非手术治疗后3到6年的膝关节OA患者。主要结果,指南一致的非手术治疗,是一种被定义为使用教育的综合衡量标准,锻炼,体重管理,和至少一种推荐的药物。次要结果是一线(教育,锻炼,和体重管理)和指南不一致的治疗(矫形器,阿片类药物,透明质酸,富血小板血浆,和干细胞疗法)。多变量稳健泊松回归评估了参与者特征与指南一致性的使用之间的关联,一线和指南不一致的治疗。
UNASSIGNED:邀请了479人,参加了250人(52%)。参与者为58%的女性,平均年龄为66.2岁。参与者接受了医疗保健专业人员的教育(64%),定期锻炼(74%),使用体重管理(38%),并使用推荐的止痛药(91%)。19%的参与者使用了所有符合指南的非手术治疗。19%的参与者使用一线治疗,42%的人使用指南不一致的治疗方法。六年多了,34%的人进行了另一次咨询,然后进行了关节成形术。年龄较大的参与者不太可能使用任何治疗方法。没有受过高等教育的人不太可能使用一线治疗(RR0.54,95%CI:0.30-0.96),女性使用指南不一致治疗的可能性较小(RR0.62,95%CI:0.47-0.81).
UNASSIGNED:膝关节OA患者的非手术常规治疗与国际临床指南不一致。
UNASSIGNED: Describe \"usual care\" patterns of education, exercise, weight management, pain medication and other nonsurgical treatments for knee osteoarthritis (OA) in people recommended for nonsurgical care by an orthopaedic surgeon.
UNASSIGNED: We used a telephone-administered questionnaire to capture treatments people with knee OA used over the three to six years after an orthopaedic surgeon recommended nonsurgical care. The primary outcome, guideline-consistent nonsurgical treatments, was an aggregate measure defined as using education, exercise, weight management, and at least one recommended medication. Secondary outcomes were first-line (education, exercise, and weight management) and guideline-inconsistent treatments (orthoses, opioids, hyaluronic acid, platelet rich plasma, and stem cell therapy). Multivariable robust Poisson regression assessed the association between participant characteristics and use of guideline-consistent, first-line and guideline-inconsistent treatments.
UNASSIGNED: 479 people were invited and 250 participated (52%). Participants were 58% female with a mean age 66.2 years. Participants received education by a healthcare professional (64%), exercised regularly (74%), used weight management (38%), and used recommended pain medications (91%). All guideline-consistent nonsurgical treatments were used by 19% of participants, 19% of participants used first-line treatments, and 42% used guideline-inconsistent treatments. Over six years, 34% had another consult then underwent arthroplasty. Older participants were less likely to use any treatment. People without post-secondary education were less likely to use first-line treatments (RR 0.54, 95% CI: 0.30-0.96), and females were less likely to use guideline-inconsistent treatments (RR 0.62, 95% CI:0.47-0.81).
UNASSIGNED: Nonsurgical usual care for people with knee OA was not consistent with international clinical guidelines.