The substantial personal burden experienced by younger people with hip or knee osteoarthritis

Ackerman, Ilana N., Bucknill, Andrew, Page, Richard S., Broughton, Nigel S., Roberts, Carol, Cavka, Bernarda, Schoch, Peter and Brand, Caroline A. 2015, The substantial personal burden experienced by younger people with hip or knee osteoarthritis, Osteoarthritis cartilage, vol. 23, no. 8, pp. 1276-1284, doi: 10.1016/j.joca.2015.04.008.

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Title The substantial personal burden experienced by younger people with hip or knee osteoarthritis
Author(s) Ackerman, Ilana N.
Bucknill, Andrew
Page, Richard S.ORCID iD for Page, Richard S.
Broughton, Nigel S.
Roberts, Carol
Cavka, Bernarda
Schoch, Peter
Brand, Caroline A.
Journal name Osteoarthritis cartilage
Volume number 23
Issue number 8
Start page 1276
End page 1284
Total pages 9
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015
ISSN 1522-9653
Keyword(s) Health status
Quality of life
Work limitations
Work participation
Summary OBJECTIVE: To compare Health-Related Quality of Life (HRQoL) and psychological distress in younger people with hip or knee osteoarthritis (OA) to age- and sex-matched population norms, and evaluate work limitations in this group. METHOD: People aged 20-55 years with hip or knee OA were recruited from major hospitals (n = 126) and community advertisements (n = 21). HRQoL was assessed using the Assessment of Quality of Life (AQoL) instrument (minimal important difference 0.06 AQoL units) and compared to population norms. Psychological distress was assessed using the Kessler Psychological Distress Scale (K10) and the prevalence of high/very high distress (K10 score ≥22) was compared to Australian population data. Work limitations were evaluated using the Workplace Activity Limitations Scale (WALS). RESULTS: Considering most participants had a relatively recent OA diagnosis (<5 years), the extent of HRQoL impairment was unexpected. A very large reduction in HRQoL was evident for the overall sample, compared with population norms (mean difference -0.35 AQoL units, 95% CI -0.40 to -0.31). Females, people aged 40-49 years, and those with hip OA reported average HRQoL impairment of almost 40% (mean reductions -0.38 to -0.39 AQoL units). The overall prevalence of high/very high distress was 4 times higher than for the population (relative risk 4.19, 95% CI 3.53-4.98) and 67% reported moderate to considerable OA-related work disability, according to WALS scores. CONCLUSIONS: These results clearly demonstrate the substantial personal burden experienced by younger people with hip or knee OA, and support the provision of targeted services to improve HRQoL and maximise work participation in this group.
Language eng
DOI 10.1016/j.joca.2015.04.008
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Elsevier
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Document type: Journal Article
Collection: School of Medicine
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