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dc.contributor.authorHolen Gravås, Else Marit
dc.contributor.authorTveter, Anne Therese
dc.contributor.authorNossum, Randi
dc.contributor.authorEide, Ruth Else Meh
dc.contributor.authorKlokkeide, Åse
dc.contributor.authorMatre, Karin
dc.contributor.authorOlsen, Monika
dc.contributor.authorAndreassen, Øyvor
dc.contributor.authorØsterås, Nina
dc.contributor.authorHaugen, Ida Kristin
dc.contributor.authorKjeken, Ingvild
dc.date.accessioned2023-02-06T14:59:43Z
dc.date.available2023-02-06T14:59:43Z
dc.date.created2019-06-28T11:53:53Z
dc.date.issued2019
dc.identifier.issn1471-2474
dc.identifier.urihttps://hdl.handle.net/11250/3048683
dc.description.abstractBackground - Osteoarthritis (OA) in the thumb carpometacarpal joint (CMCJ) is a prevalent disease which may lead to structural damage, severe pain and functional limitations. Evidence-based treatment recommendations state that all patients with hand OA should be offered non-pharmacological treatment. Surgery should be considered only when other treatment has proven insufficient in relieving pain. The purpose of this study was to investigate prior treatment and characteristics of patients referred to specialist health care surgical consultation due to CMCJ OA. The study includes exploring differences in pain and function between referred and non-referred hand, between men and women, and between patients with and without OA affection of other finger joints than CMCJ. Methods - Patients in this cross-sectional study reported prior non-pharmacological treatment for CMCJ OA. Patient demographics, disease and functional variables were assessed based on hand radiographs, patient-reported and observer-based outcome measures. Differences in pain and function between referred and non-referred hand, men and women, and between patients with and without additional affection of finger joints other than CMCJ, were analysed using Paired-samples T-tests, Wilcoxon Signed Rank, or Chi-Square tests. Results - One hundred and eighty patients were included. The mean age was 63 years and 79% were women. Only 21% reported having received non-pharmacological treatment before referral to surgical consultation. The results show a statistically significant worse function for referred hands, women and involvement of additional interphalangeal joints. Most patients reported no pain or mild pain in their referred hand. Conclusions - The results of this study show a non-pharmacological treatment gap in OA care. Most patients report no pain or mild pain, and that they had not received non-pharmacological treatment prior to being referred to CMCJ OA surgical consultation. The results furthermore show that CMCJ OA negatively affects all aspects of function. Strategies need to be developed to improve OA care, including educating general practitioners in evidence-based treatment recommendations and in the assessment of hand pain, and encourage the routine referral of patients with symptomatic hand OA to occupational therapy before considering surgery.en_US
dc.language.isoengen_US
dc.publisherBioMed Central (BMC)en_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleNon-pharmacological treatment gap preceding surgical consultation in thumb carpometacarpal osteoarthritis- A cross-sectional studyen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.source.volume20en_US
dc.source.journalBMC Musculoskeletal Disordersen_US
dc.source.issue180en_US
dc.identifier.doi10.1186/s12891-019-2567-3
dc.identifier.cristin1708593
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal