Patient education interventions in osteoarthritis and rheumatoid arthritis: A meta-analytic comparison with nonsteroidal antiinflammatory drug treatment

Abstract

Objective. To compare the effects of education interventions and nonsteroidal antiinflammatory drug (NSAID) treatment on pain and functional disability in patients with osteoarthritis (OA), and on pain, functional disability, and tender joint counts in patientswith rheumatoid arthritis (RA). Methods

Psychological interventions for rheumatoid arthritis: A meta‐analysis of randomized controlled trials

“…As in the 2 previous meta-analyses of patient education programs (15,16), the effect sizes in our review, although statistically significant for most outcomes, were relatively small. In the face of these findings, the question arises, what, if any, is the clinical significance of these effects?…”

“…In the face of these findings, the question arises, what, if any, is the clinical significance of these effects? As noted earlier, Superio-Cabuslay et al (16) have suggested that the relatively small effect sizes they observed were clinically relevant because, in most instances, patients in these interventions were already receiving standard medical care and, therefore, any changes in outcome (e.g., pain, function, number of tender joints, psychological status) over and above what patients were receiving as a result of their usual care would be clinically important.…”

“…Compared with the NSAID studies, effect sizes were again fairly small for the patient education interventions (0.16 for pain; 0.18 for functional disability; 0.34 for tender joint count). However, the authors suggest that because most RA patients in these trials were already taking NSAIDs, the relatively small effect sizes probably represent the additional benefit over and above medication and may therefore be clinically relevant (16). There have been no randomized trials that directly compare such interventions to pharmacologic therapy.…”

Garantía de oportunidad, artrosis y autorreporte de salud en personas con artrosis en una comuna de la Región Metropolitana

“…Sin embargo, se evidencia asociación entre referir haber sido informados sobre su artrosis y autorreporte de salud agrupado en dos bloques: uno insufi ciente (muy mal, mal, menos que regular) y otro al menos sufi ciente (regular, más que regular y bien), lo que confi rma lo seña-lado por diversas publicaciones 15,16 . Sería interesante observar, después de aplicar un programa de educación, los efectos sobre su funcionalidad o calidad de vida.…”

“…Entregando benefi cios adicionales a su tratamiento con antiinfl amatorios no esteroidales, mejora la percepción sobre el dolor y la funcionalidad 16 .…”