Effect of Comorbid Knee and Hip Osteoarthritis on Longitudinal Clinical and Health Care Use Outcomes in Older Adults With New Visits for Back Pain

详细信息    查看全文

• 作者：Sean D. Rundell ; DPT ; PhD^a ; ^b ; ^{srundell@uw.edu} ; Adam P. Goode ; DPT ; PhD^c ; Pradeep Suri ; MD ; MS^a ; ^b ; ^d ; Patrick J. Heagerty ; PhD^e ; Bryan A. Comstock ; MS^e ; Janna L. Friedly ; MD^a ; ^b ; Laura S. Gold ; PhD^b ; ^f ; Zoya Bauer ; MD ; PhD^b ; ^f ; Andrew L. Avins ; MD ; MPH^g ; Srdjan S. Nedeljkovic ; MD^h ; David R. Nerenz ; PhDⁱ ; Larry Kessler ; ScD^j ; Jeffrey G. Jarvik ; MD ; MPH^b ; ^f ; ^j ; ^k
• 关键词：Back pain ; Comorbidity ; Osteoarthritis ; Patient outcome assessment ; Rehabilitation
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：98
• 期：1
• 页码：43-50
• 全文大小：239 K
• 卷排序：98

文摘

Older adults with a new visit to primary care for back pain with comorbid knee or hip osteoarthritis have modestly increased back-related disability, pain interference with activity, and lower health-related quality of life over 12 months. Improvement in back-related disability was less among older adults with knee osteoarthritis, therefore influencing the clinical course of back pain in this subgroup. There was no difference in total back-related health care use, but the utilization of specific categories of use (physical therapy and spinal injections) was more common among older adults with comorbid knee osteoarthritis. These findings suggest rehabilitation providers may need to consider tailoring treatment approaches for older adults with back pain who also have knee or hip osteoarthritis because comorbid osteoarthritis was associated with worse outcomes.