TITLE

Impact of Comorbidities on the Measurement of Health in Patients with Ankle Osteoarthritis

AUTHOR(S)
Saltzman, Charles L.; Zimmerman, M. Bridget; O'Rourke, Michael; Brown, Thomas D.; Buckwalter, Joseph A.; Johnston, Richard
PUB. DATE
November 2006
SOURCE
Journal of Bone & Joint Surgery, American Volume;Nov2006, Vol. 88-A Issue 11, p2366
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Investigators seeking to understand the impact of musculoskeletal disorders commonly use validated outcome instruments to assess the effect of diseases on physical function and quality of life. However, the influence of concomitant systemic or musculoskeletal comorbidities on these scores has not been widely considered in orthopaedic research. The purpose of this study was to determine how morbidity unrelated to the ankle influences the perception of physical function and pain by patients with ankle osteoarthritis. Methods: Short Form-36 (SF-36) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores, Ankle Osteoarthritis Scale (AOS) pain scale scores, demographic data, and systemic and musculoskeletal comorbidities were determined prospectively for 195 patients with ankle osteoarthritis and ninety-five age and gender-matched controls. The effect of systemic and musculoskeletal comorbidities on each of the scores was determined. Results: On the average, patients with ankle osteoarthritis had a relatively normal MCS score (47 ± 13 points) and a markedly diminished PCS score (32 ± 8 points). Both of these scores averaged 50 ± 9 points in the control group. The AOS pain score averaged 61 ± 23 points in the group with ankle osteoarthritis, whereas it averaged 10 ± 15 points in the control group. We found the perception of ankle pain by patients with ankle osteoarthritis to be significantly and linearly associated with the number of other musculoskeletal problems (not related to the foot or ankle). Conclusions: The degree of physical impairment associated with ankle osteoarthritis, as measured with the SF-36, is equivalent to that reported to be associated with severely disabling medical problems including end-stage kidney disease and congestive heart failure. The perception of ankle health status as measured with a validated, patient-oriented, anatomically specific instrument is influenced by the patients' perception of their overall musculoskeletal comorbidity status. The authors of clinical studies using these instruments should adjust for concomitant musculoskeletal disease.
ACCESSION #
23113233

 

Related Articles

  • Is Administratively Coded Comorbidity and Complication Data in Total Joint Arthroplasty Valid? Bozic, Kevin; Bashyal, Ravi; Anthony, Shawn; Chiu, Vanessa; Shulman, Brandon; Rubash, Harry // Clinical Orthopaedics & Related Research;Jan2013, Vol. 471 Issue 1, p201 

    Background: Administrative claims data are increasingly being used in public reporting of provider performance and health services research. However, the concordance between administrative claims data and the clinical record in lower extremity total joint arthroplasty (TJA) is unknown....

  • Postoperative Myocardial Infarction and Cardiac Arrest Following Primary Total Knee and Hip Arthroplasty: Rates, Risk Factors, and Time of Occurrence. Belmont Jr., Philip J.; Goodman, Gens P.; Kusnezov, Nicholas A.; Magee, Charles; Bader, Julia O.; Waterman, Brian R.; Schoenfeld, Andrew J. // Journal of Bone & Joint Surgery, American Volume;12/17/2014, Vol. 96 Issue 24, p2025 

    Background: Cardiac complications are a major cause of postoperative morbidity. The purpose of this study was to determine the rates, risk factors, and time of occurrence for cardiac complications within thirty days after primary unilateral total knee arthroplasty and total hip arthroplasty....

  • Statistics for orthopedic surgery 2006—2007: data from the Japanese Diagnosis Procedure Combination database. Kadono, Yuho; Yasunaga, Hideo; Horiguchi, Hiromasa; Hashimoto, Hideki; Matsuda, Shinya; Tanaka, Sakae; Nakamura, Kozo // Journal of Orthopaedic Science;Mar2010, Vol. 15 Issue 2, p162 

    The epidemiology of orthopedic surgery cases in Japan has not been determined adequately. This study analyzed statistics in orthopedic surgery for 2006 and 2007 using the Japanese Diagnosis Procedure Combination database. Data were collected between July 1 and December 31 in both 2006 and 2007....

  • Deaths Following Cholecystectomy and Herniotomy. Nimptsch, Ulrike; Mansky, Thomas // Deutsches Aerzteblatt International;8/3/2015, Vol. 112 Issue 31/32, p535 

    Background: In 2010, 158 000 cholecystectomies and 207 000 herniotomies (without bowel surgery) were performed in Germany as inpatient procedures, generally on a routine, elective basis. Deaths following such operations are rare events. We studied the potential association of death after...

  • Beware: Water pills and pain don't mix. Deas, Gerald E. // New York Amsterdam News;3/4/2004, Vol. 95 Issue 10, p29 

    The article focuses on drugs used for swollen ankles due to congestive heart failure and painful swollen knees resulting from osteoarthritis. Patients are concerned about getting rid of the water from their ankles and relief of pain from their swollen knees. To reduce the swelling in their...

  • Older heart drug cuts death rate by 30%. Hensley, Scott // Modern Healthcare;07/26/99, Vol. 29 Issue 30, p24 

    Discusses the re-discovery of spironolactone, a drug that blocks the action of a hormone called aldosterone. Implications of the discovery of the drug on hospitals and health systems; Number of people hospitalized with congestive heart failure.

  • Coronary Stent Implantation in Patients with a Single Coronary Artery. Sasao, Hisataka; Hasegawa, Tohru; Endo, Akita; Fujiwara, Tadashi; Kikuchi, Yuka; Oimatsu, Hiroshi; Takada, Takehito // Angiology;Jan2003, Vol. 54 Issue 1, p131 

    An isolated single coronary artery is a rare congenital anomaly and a cause of cardiac ischemia, congestive heart failure, and sudden cardiac death. Reported here are 3 cases of single coronary artery with acute myocardial infarction in which coronary stenting was performed. Also reported are...

  • Therapeutic options for congestive heart failure. Ross, Brendan S.; King, Jeffery M.; Fischer, Richard G. // Drug Topics;2/16/98, Vol. 124 Issue 4, p102 

    Presents information on congestive heart failure (CHF) with reference to its therapeutic options in the United States. Estimation of the amount of Americans who are afflicted with CHF; What have been associated with the increase prevalence and incidence of heart failure; Details on the diagnosis...

  • New Test for Congestive Heart Failure.  // Medical Update;Jul2002, Vol. 28 Issue 1, p5 

    Provides information on a 15-minute test which detects the presence of congestive heart failure.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics