Outpatient management of knee osteoarthritis

Liow, Yiyang; Wang, Wilson; Loh, Victor Weng Keong

doi:10.11622/smedj.2017097

Cited by 11 publications

(8 citation statements)

References 34 publications

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“…This finding is supported by previous studies [ 26 , 45 ]. This finding could be explained by the fact that most of the knee OA symptoms are successfully managed using conservative treatments, and people with knee OA are frequently referred to outpatient care facilities for comprehensive management and care [ 46 , 47 , 48 ]. In addition, people with knee OA are frequently referred to outpatient care facilities for continuous management and care [ 46 , 47 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian

Kamsan

Singh

Tan

et al. 2021

IJERPH

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Knee osteoarthritis (OA) is a prevalent chronic disorder in the older population. While timely management is important to minimize the consequences of knee OA, information on the utilization of healthcare services among this population remains limited. Therefore, the objectives of this study were to determine the healthcare utilization and its associated factors in older persons with knee OA. Cross-sectional data from 1073 participants aged 60 years and above from the Malaysian Elders Longitudinal Research (MELoR) study were included. The utilization rate of healthcare services was quantified. Factors related to the utilization of healthcare services were determined using logistic regression analysis. Healthcare utilization among participants with knee OA was significantly higher than those without knee OA (p < 0.01). Outpatient usage was higher (p < 0.01) in comparison to inpatient and pharmacotherapy. Being married and having an income were significantly associated with seeking outpatient care (OR: 11.136, 95% CI: 1.73–52.82, p < 0.01) and pharmacotherapy (OR: 10.439, 95% CI: 1.187–91.812, p < 0.05), while females were less likely to utilize inpatient care services (OR: 0.126, 95% CI: 0.021–0.746, p < 0.05). The higher rate of healthcare utilization among older persons with knee OA indicates the increased healthcare needs of this population, who are commonly assumed to suffer from a benign disease.

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Section: Discussionmentioning

confidence: 99%

Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian

Kamsan

Singh

Tan

et al. 2021

IJERPH

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“…Osteoarthritis (OA) of the knee is a ubiquitous disease among people above 65 years of age and involves about 3.5% of the people worldwide. It causes profound disability in advanced stage of the disease when the pain is associated with deformity, restriction of mobility and radiographic evidence of progressive joint cartilage loss [1,2] . Various studies have shown that OA of knee is more common in the females.…”

Section: Introductionmentioning

confidence: 99%

Outcome of total knee replacement in osteoarthritis: A prospective study

Manian¹,

Moirangthem²,

Kv³

et al. 2020

Int. J. Orthop. Sci.

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Background: Severe osteoarthritis of the knee cause pain and disability that affect the livelihood of people especially in rural areas and reduce the quality of life in general. Total knee arthroplasty is a cost-effective treatment for the surgical management of advanced osteoarthritis of the knee when other treatment options become ineffective. Objectives: To analyze the results of total knee arthroplasty for osteoarthritis of the knee using knee society score. Materials and Methods: This was a prospective study. The duration of study period was 4 years. 40 patients with osteoarthritis of the knee satisfying the inclusion criteria and who had given consent for posterior stabilized total knee arthroplasty during the period of January 2015 to December 2018 were included in the study. The patients were followed up at one, three and six months and then every year. They were evaluated radiographically and functionally using the Knee Society Score at each visit. Results: There was significant improvement in knee society scores as compared to the respective preoperative treatment values. Majority of the patients (34) have knee society score (KSS) above 80 at final follow-up. One of the patients had surgical site infection which settled down with wound debridement and intravenous antibiotics. His final KSS was poor at last follow up. Conclusions: Total knee arthroplasty is an effective treatment for moderate to severe osteoarthritis of the knee in terms of improved quality of life.

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“…Many factors are related to the occurrence of knee osteoarthritis, such as aging, obesity, increased knee joint movement, low income, and relevant multiple metabolic disorders, which are important associated factors for KOA [6]. Although there are many methods for treating knee osteoarthritis, their effects are limited [7–9]. Usually, the conservative treatment of patients with KOA is aimed at altering the biomechanics of the knee to reduce the knee joint load, relieve symptoms, and slow progression of KOA in cases of knee malalignment [10].…”

Section: Introductionmentioning

confidence: 99%

Is the Wedged Insole an Effective Treatment Option When Compared with a Flat (Placebo) Insole: A Systematic Review and Meta‐Analysis

Zhang

Liang

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Background Using the lateral wedge insole is a conservative management strategy for knee osteoarthritis. The theoretical basis for this intervention is to correct femorotibial angle, thereby reducing pain and optimising function. Objective This systematic review evaluates the evidence on the effectiveness of wedge insole compared with flat insole for the treatment of knee osteoarthritis. Methods A systematic review was performed, searching published (MEDLINE, EMBASE, CNKI, Cochrane Library, and Web of Science) and unpublished literature from their inception to April 2018. Randomized controlled trials (RCTs) that compared the use of wedge insole with a flat insole were included. Risk of bias and clinical relevance were assessed, and outcomes were analysed through meta-analysis. Result From a total of 413 citations, 8 studies adhered to the a priori eligibility criteria. The WOMAC pain was shown to be statistically nonsignificant change with the use of wedge insole (SMD=0.07), and low heterogeneity (I2=22%) and a 95% CI that crossed zero (95% CI: −0.09 to 0.24). The 5 independent trials were not significant in improving pain score (SMD = −0.02, 95% CI: −0.19 to 0.16). This review also revealed no significance in improving Lequesne index (SMD = −0.27, 95% CI: −0.72 to 0.19). The meta-analysis from the 2 independent trials was significant in improving femorotibial angle (SMD = −0.41, 95% CI: −0.73 to -0.09). In conclusion, this meta-analysis suggested that lateral wedge insoles can improve femorotibial angle but are of no benefit with pain and functions in knee osteoarthritis.

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Outpatient management of knee osteoarthritis

Cited by 11 publications

References 34 publications

Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian

Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian

Outcome of total knee replacement in osteoarthritis: A prospective study

Is the Wedged Insole an Effective Treatment Option When Compared with a Flat (Placebo) Insole: A Systematic Review and Meta‐Analysis

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