Assessment and determinants of aesthetic discomfort in hand osteoarthritis

2011 ◽  
Vol 71 (1) ◽  
pp. 45-49 ◽  
Author(s):  
Bridget Hodkinson ◽  
Emmanuel Maheu ◽  
Mathilde Michon ◽  
Fabrice Carrat ◽  
Francis Berenbaum
Keyword(s):  
Short Form ◽  
Depression Scale ◽  
Female Gender ◽  
Hand Osteoarthritis ◽  
Tender Joint ◽  
Erosive Osteoarthritis ◽  
Erosive Disease ◽  
Factors Associated ◽  
Pain Scores ◽  
Number Of Patients

BackgroundDissatisfaction with hand appearance is frequently the presenting complaint of patients with hand osteoarthritis (HOA), yet no tool exists for its measurement and few studies have examined aesthetic discomfort.ObjectivesThe aims of this study were to measure the extent and to explore the associations of aesthetic concerns in HOA.Methods172 patients with HOA were assessed with tender joint and node count, global and pain scores, Functional Index for Hand Osteoarthritis, Short Form-12, Hospital Anxiety and Depression Scale and posterior–anterior hand radiographs. Patients scored the aesthetic impact of the disease on a Visual Analogue Scale of 0–100 mm and were classified into low, intermediate and high aesthetic concern (HAC) based on this score.ResultsOf 172 patients (155 women), the majority (92%) had nodes and 46% had erosive disease. The mean aesthetic score was 44.8 mm (SD 35.9), and 59 (34.3%) patients scored their aesthetic discomfort ≥66 mm. Factors associated with HAC were female gender, a high number of tender joints and nodes, high global and pain scores, high radiological damage scores, the presence of erosions and high depression and anxiety levels. The multivariate analysis identified two independent factors associated with HAC: patient's global assessment (p=0.0005) and radiographic erosions (p=0.03).ConclusionsAesthetic discomfort is a major concern for a significant number of patients with HOA, particularly women, those with a high burden of HOA disease and those with erosive osteoarthritis, and is also associated with depression, anxiety and poor health-related quality of life.

scholarly journals Study Of Depression in Elderly: Prevalence and Factors Associated

2018 ◽  
Vol 7 (2) ◽  
pp. 16-23
Author(s):  
S. Subedi ◽  
P. Shrestha ◽  
D.K. Thapa
Keyword(s):  
Elderly People ◽  
Short Form ◽  
Demographic Data ◽  
Community Sample ◽  
Depression Scale ◽  
Structured Interview ◽  
Mild Depression ◽  
Cross Sectional ◽  
Factors Associated ◽  
Prevalence Of Depression

Introduction: Ageing is a normal phenomenon. Various studies shows that there is a sharp rise in the elderly population in the last few years. Prevalence of depression in elderly is found to around 13% in the community sample in various countries. There is a dearth of study related to psychiatric illness in elderly in Nepal. This study was aimed to find the prevalence of depression in elderly and see for various factors associated with elderly depression. Material And Method: This was a cross-sectional study conducted at Siddharthnagar Municipality, Bhairahawa, Rupandehi. 316 elderly were selected by using systematic random sampling technique. A Semi- structured interview schedule was developed to collect Socio-demographic data. The Short Form Geriatric Depression Scale (SF-GDS) was used to find out the prevalence of depression among elderly people. Ethical Approval was obtained from the Institutional Review Committee, Chitwan Medical College and permission was obtained from Siddharthnagar Municipality, Bhairahawa, Rupandehi. The collected data was entered in Epidata 3.1 and the data was exported and analyzed in IBM SPSS 20. Results: There were a total of 316 samples in this study. The mean age of respondents was 68.47 years of age. Majority of the respondents (54.1%) were female and living in joint Family (72.2%). Almost 45.9% respondents were from upper caste groups, 90.5% of respondents were Hindus. Among the married (100%) respondents, 54.6% of respondents were living with spouse and 3.2% were divorced and separated from spouse. Depression was present in 49.4% of respondents were depressed. Among depressed respondents, 46.7% of respondents were having mild depression, 39.2% moderate depression and 14.1% severe depression. Conclusion: The finding of this study concluded that depression among elderly people was a substantial problem in Siddharthnagar Municipality, Bhairahawa, Rupandehi.

scholarly journals The presence of erosive joints is a strong predictor of radiological progression in hand osteoarthritis: results of a 2-year prospective follow-up of the Liège Hand Osteoarthritis Cohort (LIHOC)

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Audrey Neuprez ◽  
Jean-François Kaux ◽  
Médéa Locquet ◽  
Charlotte Beaudart ◽  
Jean-Yves Reginster
Keyword(s):  
Time Course ◽  
Strong Predictor ◽  
Hand Osteoarthritis ◽  
X Rays ◽  
Clinical Progression ◽  
Radiological Progression ◽  
Erosive Osteoarthritis ◽  
Number Of Patients ◽  
Pain Subscale

Abstract Background This study measured the magnitude and determinants of clinical and radiological progression in patients with hand osteoarthritis (HOA) over a 2-year prospective follow-up to gain a greater understanding of the disease time course. Methods Two hundred three consecutive outpatients diagnosed with HOA were followed for 2 years (183 women, median age 69 years). Pain and function were evaluated using the Australian/Canadian Osteoarthritis Hand Index (AUSCAN), and clinical examination recorded the number of painful/swollen joints and nodes. X-rays were scored using Kellgren-Lawrence (KL) and Verbruggen-Veys scales. Clinical progression was defined as deterioration in AUSCAN ≥ the minimal clinically important difference. Radiographic progression was defined as (a) one new erosive/remodeled joint, (b) progression of ≥ one anatomical stage in one joint, or (c) change in KL total score above the smallest detectable difference. Logistic regression was performed to determine whether patient characteristics influenced clinical and radiological progression. Results After 2 years, all radiographic scores deteriorated significantly in the study population (p <  0.05), and the number of proximal and distal interphalangeal nodes was significantly higher (p <  0.01). The AUSCAN, number of painful joints at rest or at pressure, number of swollen joints, and pain measure on a visual analog scale remained unchanged. At the individual level, the number of patients with clinically meaningful progression ranged from 25 to 42% (clinical progression) and from 22 to 76% (radiological progression). The only significant predictor of worsening of total AUSCAN was AUSCAN pain subscale < 74.5 (odds ratio [OR] 1.02 [1.01, 1.03]; p <  0.01). The presence of ≥ four swollen joints (OR 2.78 [1.21, 6.39]; p = 0.02) and erosive osteoarthritis (OR 13.23 [5.07, 34.56]; p <  0.01) at baseline predicted a new erosive joint. A meaningful change in KL was more frequent with painful joints at baseline (OR 3.43 [1.68, 7.01]; p <  0.01). Conclusions Evidence of radiological progression over 2 years was observed in patients with HOA in the LIHOC population even without clinical worsening of disease. For individual patients, baseline pain level is predictive for clinical progression and the presence of erosive or swollen joints are significant predictors of radiological progression.

Prevalence and Associated Factors for Episodic and Chronic Daily Headache in the Colombian Population

Cephalalgia ◽  
2008 ◽  
Vol 28 (3) ◽  
pp. 216-225 ◽  
Author(s):  
M Rueda-Sánchez ◽  
LA Diaz-Martinez
Keyword(s):  
Risk Factors ◽  
Chronic Daily Headache ◽  
Multinomial Logistic Regression ◽  
Depression Scale ◽  
Female Gender ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Episodic Headache ◽  
Daily Headache

There are multiple risk factors for chronic daily headache (CDH), but they are usually assessed in an isolated form without an adequate control for confounders. CDH is considered a variant of episodic headache, but studies have not gathered enough evidence to evaluate simultaneously CDH and episodic in the same population. We set out to establish simultaneously the factors associated with chronic daily or episodic headache in a population setting, using a cross-sectional survey in a random sample of 1505 adult urban inhabitants (Bucaramanga, Colombia). The survey asked questions about headache, family and personal history of disease, and consumption or abuse of caffeine, alcohol, hypnotics and analgesics. The association among independent variables and CDH or episodic headache was made with multinomial logistic regression. Female gender, arterial hypertension or cranial trauma history, and a high score in the depression scale are associated with episodic headache and CDH. Parents with CDH, the complaint of multiple arousals during sleep and use of hypnotics are associated with CDH, but not with episodic headache. Age < 36 years, alcoholism and snoring are factors associated only with episodic headache. Chronic daily headache and episodic headache have several common risk factors, but there are other factors not shared by both conditions.

scholarly journals Predictors of a placebo response in patients with hand osteoarthritis: post-hoc analysis of two randomized controlled trials

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jin Kyun Park ◽  
Se Han Ahn ◽  
Kichul Shin ◽  
Yun Jong Lee ◽  
Yeong Wook Song ◽  
...  
Keyword(s):  
Pain Score ◽  
Multivariable Analysis ◽  
Placebo Response ◽  
Hand Osteoarthritis ◽  
Double Blind ◽  
Meaningful Improvement ◽  
Post Hoc Analysis ◽  
Factors Associated ◽  
Pain Scores ◽  
Post Hoc

Abstract Background Placebo can have a significant therapeutic effect in patients with hand osteoarthritis (OA). This aim of the study is to identify factors associated with a clinically meaningful placebo response in patients with hand OA. Methods This post-hoc analysis of two double-blind, placebo-controlled, randomized trials (RCTs) investigating the efficacy of GCSB-5 or diacerein as treatments for hand OA analyzed the efficacy of a placebo. Clinical and laboratory factors associated with a clinically meaningful response, defined as an improvement in the Australian/Canadian Osteoarthritis Hand Index (AUSCAN) pain score > 10 at 4 weeks relative to baseline, were identified. Results The mean improvement in the AUSCAN pain score was − 6.0 ± 20.3, with marked variation between 143 hand OA patients (range: − 76.4 to 33.2). A clinically meaningful improvement was observed in 54 (37.8%) patients. Placebo responders had worse AUSCAN pain scores (55.7 ± 19.7 vs. 43.6 ± 21.6, p = 0.001) and a worse AUSCAN stiffness (68.2 ± 20.5 vs. 57.5 ± 24.5, p = 0.008) at baseline than non-responders. Improvements in pain correlated with the baseline pain level (Pearson r = − 427, p < 0.001). Structural joint changes such as tender, swollen, enlarged, or deformed joint counts did not differ between placebo responders and non-responders. In a multivariable analysis, only baseline AUSCAN pain was associated with a clinically meaningful placebo response (OR: 1.054, 95% CI [1.019–1.089], p = 0.002). Conclusions High levels of pain at baseline are predictive of a clinically meaningful placebo response in patients with hand OA. Further studies are needed to optimize and utilize the benefit of placebo responses in patients with hand OA.

scholarly journals P131 Patients with hand osteoarthritis have a long duration of symptoms and significant pain scores at the time of referral to rheumatology services

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Muhammad Tauseef Ghaffar ◽  
Miriam O'Sullivan ◽  
Carmel Silke ◽  
Bryan Whelan
Keyword(s):  
Soft Tissue ◽  
Symptom Assessment ◽  
Tender Joint Count ◽  
Hand Osteoarthritis ◽  
Tender Joint ◽  
Duration Of Symptoms ◽  
Pain Scores ◽  
Significant Pain ◽  
Soft Tissue Swelling ◽  
The Mean

Abstract Background Osteoarthritis is the most common arthritic condition worldwide affecting 9.6% of men and 18% of women aged &gt;60 years with an Irish prevalence &gt;50 years of age is 17.3% for women and 9.4% for men. It can occur in any joint but is most common in the hip, knee and spine. It is also prevalent in the hand and can lead to significant pain and disability. The aim of this study was to examine the pattern and severity of hand osteoarthritis in patients referred to a regional rheumatology service. Methods Consecutive patients seen in general rheumatology clinics of all ages and gender who had confirmed diagnosis of hand osteoarthritis based on the ACR criteria were recruited (patients with RA, psoriatic arthritis, gout and haemochromatosis were excluded). All gave written informed consent to participate and had a single assessment performed including demographic details, symptom assessment using the AUSCAN Osteoarthritis Hand Index. In addition, measures of functional ability, grip strength and pincer strength were performed in the OT department. All patients also had an up to date hand X-ray performed. For the purposes of this paper we will report the initial assessments including the demographic details and pain scores. Results 103 consecutive patients were included in this analysis. M:F ratio 1:5.25. Mean age was 66.13 years. Mean duration of symptoms 74.63 months (8-422). At assessment the mean pain scores (0-10 VAS) were 4.53 (at rest), 6.09 (when gripping), 6.06 (when lifting) and 6.42 (when turning objects). The mean tender joint count was 7.14 and the mean score for objective soft tissue swelling in the joints was 1.36. Subject Average VAS (0-10) Pain Score at presentation by Gender Conclusion From these analyses, we can see that patients are referred very late with no one being seen within 6 months of symptoms onset. This is despite patients having pain scores which are comparable to those with inflammatory arthritis and in a small minority evidence of soft tissue swelling in joints at the time of presentation. In addition, it is noticeable that men are under-represented in the cohort of referred patients based on estimates of prevalence. Disclosures M. Ghaffar None. M. O'Sullivan None. C. Silke None. B. Whelan None.

scholarly journals Risk Factors Associated With Depression And Anxiety In Older Adults Of Mexican Origin

2016 ◽  
Vol 12 (24) ◽  
pp. 1
Author(s):  
Raquel E. Gonzalez ◽  
Magy Martin ◽  
Don Martin
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Nursing Homes ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Female Gender ◽  
Mexican Origin ◽  
Depression And Anxiety ◽  
Factors Associated ◽  
Mexico Border

Older adults of Mexican origin are often underserved, especially those residing in nursing homes. The purpose of this study was to examine if there was a relationship among risk factors associated with depression and anxiety in older adults of Mexican origin. Using a quantitative correlational design, the relationships were assessed with a demographic questionnaire, the Geriatric Depression Scale (GDS), and the Beck Anxiety Inventory (BAI). A sample of 150 elders of Mexican origin residing in nursing homes in a Texas–Mexico border city were examined using two multiple regression analyses. Data analysis indicated that there was a relationship between risk factors associated with depression and anxiety. Data from this study confirmed that a high score on ADLs predicted greater depression and anxiety while female gender predicted higher anxiety and frequent family support predicted low anxiety.

scholarly journals Distress and quality of life do not change over time in patients with operated and conservatively managed intracranial meningioma

2021 ◽  
Author(s):  
Darius Kalasauskas ◽  
Naureen Keric ◽  
Salman Abu Ajaj ◽  
Leoni von Cube ◽  
Florian Ringel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Symptom Severity ◽  
Short Form ◽  
Depression Scale ◽  
Intracranial Meningioma ◽  
Excellent Outcome ◽  
Number Of Patients

Abstract Purpose The patients’ burden with asymptomatic meningiomas and patients with good clinical outcome after meningioma resection often remains neglected. In this study, we aimed to investigate the longitudinal changes of psychological distress and quality of life in these patient groups. Methods Patients with conservatively managed (CM) or operated (OM) meningiomas and excellent neurological status, who were screened for psychological distress during the follow-up visit (t1), were included. We performed a follow-up mail/telephone-based survey 3–6 months (t2) after t1. Distress was measured using Hospital Anxiety and Depression Scale (HADS), Distress Thermometer (DT), 36-item Short Form (SF-36), and Brief Fatigue Inventory (BFI). Results Sixty-two patients participated in t1 and 47 in t2. The number of patients reporting increased or borderline values remained high 3 months after initial presentation, with n = 25 (53%) of patients reporting increased anxiety symptom severity and n = 29 (62%) reporting increased depressive symptom severity values. The proportion of distressed patients according to a DT score remained similar after 3 months. Forty-four percent of patients reported significant distress in OM and 33% in CM group. The most common problems among distressed patients were fatigue (t2 75%) and worries (t2 50%), followed by pain, sleep disturbances, sadness, and nervousness. Tumor progress was associated with increased depression scores (OR 6.3 (1.1–36.7)). Conclusion The level of psychological distress in asymptomatic meningiomas and postoperative meningiomas with excellent outcome is high. Further investigations are needed to identify and counsel the patients at risk.

scholarly journals Determination of the prevalence of hypertension and factors associated with blood pressure among hospitalised elderly in Hospital Serdang, Selangor, Malaysia

2021 ◽  
Vol 27 (1) ◽  
pp. 093-105
Author(s):  
Siti Nurhaliza Hashidi ◽  
◽  
Noraida Omar ◽  
Siti Nur 'Asyura Adznam ◽  
◽  
...  
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Short Form ◽  
Dietary Cholesterol ◽  
Depression Scale ◽  
Mini Nutritional Assessment ◽  
Common Disease ◽  
Normal Body Mass Index ◽  
Food History ◽  
Factors Associated

Introduction: Increasing trends of hypertension has been recognised as a common disease among the elderly. This study aimed to determine the prevalence of hypertension and factors associated with blood pressure among hospitalised elderly. Methods: This was a cross-sectional study involving 124 patients in Hospital Serdang, Selangor, Malaysia. Data on socio-demography, medical background, anthropometry, blood biochemistry and lifestyle were collected through face-to-face interviews and medical records. Dietary intake was obtained through two days of food history. Malnutrition risks and stress level were determined using the Mini Nutritional Assessment Short-Form (MNA-SF) and the Geriatric Depression Scale (GDS). Results: There were 59.7% males and 40.3% females with mean age of 66.81±5.35 years. Majority were found to have hypertension (72.6%). Approximately 38.7% had normal body mass index (BMI). Most of them reported insufficient dietary intakes except for trans fats, sodium, and caffeine. Nearly 62.1% were engaged with physical activity, 23.4% were smoking, and 4.8% were taking alcohol. Approximately 66.1% and 86.3% were classified as having normal nutritional status and normal stress levels. In this study, the prevalence of hypertension among elderly patients warded in Hospital Serdang, Selangor was 72.6% and factors such as length of stay, number of co-morbidities, number of medications, having co-morbidities of hypertension, dyslipidaemia and diabetes mellitus, polypharmacy, height, BMI, fibre, polyunsaturated fat, dietary cholesterol, caffeine, and duration of physical activity were found to be associated with blood pressure. Conclusion: The present study found that majority of patients (72.6%) had hypertension. Future studies regarding factors associated with blood pressure are recommended

scholarly journals Prevalence and Factors Associated with Comorbid Depression and Anxiety Among Adults in South-western Nigeria: A Community-Based Study

2020 ◽  
Vol 6 (4) ◽  
pp. 421-431
Author(s):  
A Akinsulore ◽  
OC Adeseiye ◽  
IO Oloniniyi ◽  
OA Esimai
Keyword(s):  
Older Adults ◽  
Common Mental Disorders ◽  
Short Form ◽  
Depression Scale ◽  
Anxiety Symptoms ◽  
Living Alone ◽  
Depression And Anxiety ◽  
Comorbid Depression ◽  
Community Based ◽  
Factors Associated

Background: Depression and anxiety are common mental disorders that frequently occur in the elderly. When they co-exist, it is known as comorbid depression and anxiety. Objective: To assess the prevalence and factors associated with comorbid depression and anxiety symptoms among older adults in western Nigeria. Methods: This is a community-based, cross-sectional descriptive survey conducted among 328 consenting older adults. The Geriatric Depression Scale-Short Form (GDS-SF) and Generalized Anxiety Disorder-7 (GAD-7) questionnaires were administered to assess depressive and anxiety symptoms. Socio-demographic information was obtained using a separate questionnaire. Results: The mean age of the participants was 70.1 years (SD = 9.2). Sixty per cent of the respondents were females and 58% were married.  The prevalence of comorbid depression and anxiety was 6.0% (2.4% in men and 6.6% in women) and 13% had depression-only while 19.9% had anxiety-only. Socio-demographic factors significantly associated with comorbid depression and anxiety included living alone (p = 0.001) and being not married (p = 0.028). However, only living alone (p = 0.015, OR = 1.79, 95% CI = 1.41- 25.36) independently predicted comorbid depression and anxiety symptoms among older adults. Conclusion: Although the prevalence rates of “depression only” and “anxiety only” were higher among older adults, comorbid depression and anxiety was also prevalent in later life and living alone is a significant predictor. Therefore, there is a need to increase the recognition and treatment of comorbid depression and anxiety in older adults.

scholarly journals Quality of life of patients with breast cancer

2021 ◽  
Vol 24 (82) ◽  
pp. 18-22
Author(s):  
Miljana Kuljić ◽  
Jelena Ljubomirac ◽  
Miloš Radović
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
General Hospital ◽  
Short Form ◽  
Illness Perception ◽  
Depression Scale ◽  
University Hospital ◽  
Number Of Patients ◽  
The University

Introduction: Quality of life represents the overall satisfaction or dissatisfaction with one's own life. Breast cancer is the most common malignant tumor in women in Europe, North America and other Western countries, while its incidence is constantly increasing. Aim: The main aim of the study was to examine the quality of life of patients with breast cancer at the University Hospital Foča and the General Hospital Trebinje. Material and methods: The research was conducted on a sample of 120 patients in the University Hospital Foča and the General Hospital Trebinje from May to August 2019. The chosen study design is the cross-sectional study. A general questionnaire on the basic sociodemographic indicators of the respondents, a modified Short Questionnaire on Health Perception (Brief Illness Perception Questionnaire), a questionnaire on the quality of life SF-36v2 (Short form SF 36 ver 2) and the Beck Depression Scale (BDI) were used in the research. Results: The average value, of the maximum possible 100 points, by which patients assessed their physical component of quality of life is 55.3 points, of which physical functioning was assessed with 52.7 points, limitation due to physical health with 60.5 points, physical pain with 45.3 points and general health with 56.8 points. Beck's depression scale found that the largest number of patients with breast cancer do not have depression, 96 of them (80%), 21 patients (17.5%) have a mild form of depression, 2 patients (1.7%) have moderate depression, while only 1 patient (0,8%) has a severe form of depression. Conclusion: Patients with breast cancer had average values in the domain of the physical and mental component of quality of life. It has been determined that the majority of patients do not have depression.

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