Health care practices in symptomatic knee and hip osteoarthritis patients: The KHOALA cohort
Authors' conclusion
High pain levels were associated mainly with a high probability of consulting an OS, whereas mental health status was a major predictive factor of other health care professional consultations.
Study context
- Population
- Patients with symptomatic knee or hip OA confirmed by a physician and radiographic evidence, KHOALA cohort
- Participants
- 878 patients
- Outcome
- Health care use trajectories and associated baseline factors
- Follow-up
- 10 years
Methodological detailsmulticentre, longitudinal, latent class growth analysis, logistic regression
- Multicentre
- Longitudinal
- Latent class growth analysis
- Logistic regression
Main finding
As reported in the abstract
Impaired mental health and moderate- and high-probability trajectories of consulting a primary care physician (PCP), a physical therapist and a rheumatologist, ORs
0.7 [0.6-0.9] to 0.9 [0.8-0.96]
High pain levels and high probability of consulting an orthopaedic surgeon, OR
0.8
0.7–0.9
Rheumatologist consultations in large cities, OR
2.3
1.3–4.1
Orthopaedic surgeon consultations and high level of education, OR
3.6
1.3–7.4
Observational data: associations, not effects.
Original publication
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