Gender Differences In Health Care Utilization Among People With Osteoarthritis Before Surgical Intervention
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 2
Abstract
Background: Women have higher prevalence of knee osteoarthritis (OA) and experience greater functional disability than men.This study aimed at assessing the differences in health care utilization for knee OA between male and female subjects. Materials and Methods:The study was conducted at the Department of Orthopaedics in a tertiary care hospital at Puducherry during April 2016 by retrospective analysis of past records of out-patients attending to the hospital with complaints of non-traumatic knee joint pain during the period of May 2013 to March 2016.A detailed analysis of differences between treatment modalities opted by males and females respectively before any surgery was advised to them or due to denial of consent to surgical management by them was compared and contrasted. Results:A significant majority of females with osteoarthritis of knee joint (96.2%, n= 640) opted for medical management than physiotherapy (39.8%) and Intra-articular therapies (16.5%) when compared to males [OR=3.2, CI: 1.9, 5.6]. A significantly higher number (61.3%, n= 530) of males opted physiotherapy as a management modality [p<0.001]. Conclusion:Women preferred less physically demanding interventions like medical pain management when compared to men who preferred physiotherapy, exercises and invasive procedures for management of OA knee. This study thus clearly identified the lack of motivation for physical therapy among women who are at risk of faster progression to mobility limitations.
Authors and Affiliations
Balasubramanium R, Vijay Bhaskar Reddy K, Arun Daniel J
Serum Procalcitonin Levels Effectiveness For Differentiating Infectious From Non-Infectious Causes Of Fever After Surgery- An Original Study
Aims And Objectives:To study the effectiveness of serum procalcitonin levels for differentiating infectious from non-infectious causes of fever after surgery. Material And Methods: The study was conducted on 400 patients...
Comparison of intertrochanteric fracture fixation with dynamic hip screw versus proximal femoral nailing
This study is conducted to compare DHS and PFN in treatment of intertrochanteric fractures. The purpose of this study is to analyze and compare the advantages and result of both devices with respect to operation time, bl...
Minimally Invasive Percutaneous Osteosynthesis [MIPPO] For Proximal And Distal Metaphyseal Fractures Of Tibia
Subcutaneous nature of tibia and its precarious blood supply make fractures of tibia more complicated. Minimally invasive percutaneous osteosynthesis[MIPPO] for proximal and distal metaphyseal fractures of tibiaā€¯appear t...
The Operative Management Of Pseudomeningo- Coele, A Study Of Ten Cases, Determination Of Their Causes And Management Outcomes
Pseudomeningocoele is a rare entity that follows a dural injury during spine surgery. The dural fluid accumulates in the adjoining soft tissue to form a pseudomeningocoele. This may manifest in various forms from a simpl...
Extruded Talar Body: Role Of Reimplantation
Background:Total talar extrusion is a rare injury, and its management is controversial. Considering the low incidence of this injury, evidence for the treatment of an extruded talus is limited. We present our experienc...