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
Keywords
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