The value of physical examination in the diagnosis of hip osteoarthritis

Chong, Timothy; Don, Darren; Kao, Ming-Chih J.; Wong, Dexter; Mitra, Raj

doi:10.3233/bmr-130398

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…Similar to MacLeod et al [11], current evidence [12][13][14][15][16][17] and expert opinion were used to design two new grading systems, one for the analysis of diagnostic information quality (Table 1) and a second for the assessment of treatment information quality (Table 2). Both grading systems had a scale of 0 to 12.…”

Section: Methodsmentioning

confidence: 99%

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Koller

Waldstein

Schatz

et al. 2016

International Orthopaedics (SICOT)

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Purpose YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. Methods The present study analyzed 133 YouTube videos using the search terms: hip arthritis, hip arthritis symptoms, hip arthritis diagnosis, hip arthritis treatment and hip replacement. Two quality assessment checklists with a scale of 0 to 12 points were developed to evaluate available video content for the diagnosis and the treatment of hip arthritis. Videos were grouped into poor quality (grade 0-3), moderate quality (grade 4-7) and excellent quality (grade 8-12), respectively. Three independent observers assessed all videos using the new grading system and independently scored all videos. Discrepancies regarding the categories were clarified by consensus discussion. For intra-observer reliabilities, grading was performed at two occasions separated by four weeks.Results Eighty-four percent (n = 112) had a poor diagnostic information quality, 14% (n = 19) a moderate quality and only 2% (n = 2) an excellent quality, respectively. In 86% (n = 114), videos provided poor treatment information quality. Eleven percent (n = 15) of videos had a moderate quality and only 3% (n = 4) an excellent quality, respectively. Conclusions The present study demonstrates that YouTube is a poor source for accurate information pertaining to the diagnosis and treatment of hip arthritis. These finding are of high relevance for clinicians as videos are going to become the primary source of information for patients. Therefore, high quality educational videos are needed to further guide patients on the way from the diagnosis of hip arthritis to its proper treatment.

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Section: Methodsmentioning

confidence: 99%

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

Koller

Waldstein

Schatz

et al. 2016

International Orthopaedics (SICOT)

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“…For osteoarthritis, a common entity, physical examination and radiography may be better than MRI and have reasonable sensitivity and specificity [17][18][19].…”

Section: Discussion Of Imaging Modalities By Variantmentioning

confidence: 99%

ACR Appropriateness Criteria ® Chronic Hip Pain

Mintz¹,

Baccei²

2017

Journal of the American College of Radiology

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Chronic hip pain is a common clinical problem whose cause is often elucidated by imaging. The ACR Appropriateness Criteria for chronic hip pain define best practices of image ordering. Clinical scenarios are followed by the imaging choices and their appropriateness. The information is in ordered tables with an accompanying narrative explanation to guide physicians to order the right test. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer-reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.

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“…Біль виступає першим і основним симптомом захворювання, входить до діагностичних критеріїв остеоартрозу основних локалізацій -кисті, тазостегнового та колінного суглобів (Chong et al, 2013;Rahman et al, 2016). Міжнародна асоціація з вивчення болю (IASP) визначає його як «неприємне сенсорне й емоційне переживання, пов'язане з істинним або потенційним пошкодженням тканини або описуване у термінах такого пошкодження» (Rebrov et al, 2011).…”

Section: вступunclassified

Mutual influence of intensity of pain syndrome and borderline mental disorders in patients with coxarthrosis

Спіріна¹,

Феденко²,

Rokutov³

et al. 2017

Regul. Mech. Biosyst.

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The objective of this study is to evaluate the mutual influence of pain syndrome and borderline psychiatric disorders depending on its intensity and tolerability in patients with coxarthrosis who need endoprosthetics. 76 patients with coxarthrosis aged from 25 to 68 who were hospitalized in the Department of Endoprosthetics at Mechnikov Regional Clinical Hospital in Dnipro City in the period from November 2015 to September 2016 were observed. For diagnosis of psychopathological disorders, and for evaluation of the effectiveness of therapeutic interventions, the following methods were used in our research: clinical and psychopathological (technique SCL-90-R), Tаylor anxiety scale, study of the type of attitude to the disease (LOBI), Dembo-Rubinstein self-esteem scale, Leonhard-Schmieschek questionnaire for assessment of accentuation of personality traits, the Luscher 8-colour test and the Toronto alexithymia scale (TAS). Severity of pain syndrome was assessed using a visual analogue scale of pain (VAS). Forms of borderline mental disorders were diagnosed in 51 patients with coxarthrosis, such as depressive disorder (F 32) – 19 (24.8%), neurasthenia (F 48) – 12 (16.2), anxiety and phobic disorders (F 40–41) – 14 (18.1%), and personality disorders (F 60.5, F 60.6, F 60.7) – 6 (7.6%). In 25 (33.3%) patients clinically-defined forms of mental disorders were identified. Leading syndromes in these disorders were depression – 19 (24.8%) patients, anxiety and phobic – 15 (20.0%), asthenic – 10 (12.4%), hypochondriacal – 7 (9.5%) patients. According to the results of the correlation analysis, a close correlation between the severity of pain syndrome and borderline mental disorders (r = 0.779) was established for patients in the preoperative stage. The average level of pain syndrome on the VAS scale in patients with borderline mental disorders was twice as high as in patients without these disorders (63.4 vs. 32.4 points), but it does not depend on the main psychopathological syndrome. The average level of pain on the VAS scale in patients with borderline mental disorders at the preoperative stage was twice as high as in patients without these disorders (63.4 vs 32.4 points), and after surgical intervention the level decreased only by 5.9 points or 9.3%. In patients with coxarthrosis with detected borderline mental disorders (51 people) the therapy had a complex character and was conducted both at the hospital stage for one month, and in the outpatient stage as "maintenance" therapy for 3 months or more. Therapy of the neurotic state with decompensation lasted on average 6 months. Treatment included psycho-educational and therapeutic arrangements (conversations, lectures, autotraining) and psychopharmatherapy (tranquilizers, antidepressants, antipsychotics in small and medium therapeutic doses). The conducting of simultaneous corrective measures for identified borderline mental disorders in patients of the main groups contributed to a significant reduction in the severity of pain within the six-month period of observation and moved them towards the level of the patients in the control group. Borderline mental disorders that take place in patients with chronic somatic diseases, which include, in particular, coxarthrosis, significantly amplify the severity of the condition, reduce the possibility of adaptation, and thus aggravate the course and the outcome of the main disease.

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The value of physical examination in the diagnosis of hip osteoarthritis

Cited by 7 publications

References 11 publications

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis

ACR Appropriateness Criteria ® Chronic Hip Pain

Mutual influence of intensity of pain syndrome and borderline mental disorders in patients with coxarthrosis

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