Prevalence of osteoarthritis according to modified ACR and EULAR-2009 among patients attending orthopaedics department in a tertiary care hospital, Puducherry
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 10
Abstract
Osteoarthritis is one of the most common rheumatic diseases and is the leading cause of pain and disability in most countries worldwide. The present study aimed to measure the proportion of knee osteoarthritis and its risk factors among patients visiting orthopaedics department and also to compare European League Against Rheumatism 2009 (EULAR) criteria with modified American college of Rheumatology(ACR) criteria used for clinical diagnosis of knee osteoarthritis.A facility based cross sectional study was conducted among the patients from Out-Patient Department and In-Patient Department of Orthopaedics department in a tertiary care hospital from 1st march to 31st march 2015. A total of 245 subjects were selected by systematic random sampling. The study was conducted by administering a pretested structured questionnaire with demographic details and associated risk factors. The mean of the participants was 45.36+13.59 years. The proportion of osteoarthritis was found to be 19.6% and 8.2% according to modified ACR and EULAR 2009 respectively. In this study, sstatistically significant association with modified ACR was found with age, sex, education, socio economic status, occupation, BMI, previous knee injuries, physical activity. Statistically significant association using EULAR 2009 was found with age, sex, education, occupation, previous knee injuries, physical activity, chronic diseases. This study is also highlighted the Incidence of knee OA is rising by increasing average age and decreasing socio economic status. Old age, female sex, poor education, overweight, trauma to joint due to repetiting movements in particular occupation or knee injuries and chronic diseases like diabetes & hypertension are common risk factors of knee OA. Clinicians can use the identified modifiable risk factors like overweight, previous knee injury and chronic diseases to identify patients at risk of developing or increasing knee pain and manage them accordingly. And clinicians can use modified ACR as screening test and EULAR 2009 as a diagnostic test.
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Prem Davis
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