NDLI: Health impact of pain in the hip region with and without radiographic evidence of osteoarthritis: a study of new attenders to primary care

Content Provider	PubMed Central
Author	Birrell, F. Croft, P. Cooper, C. Hosie, G. Macfarlane, G. Silman, A.
Abstract	OBJECTIVES—To assess the health impact of hip pain at the time of first presentation to primary care, and the influence on this of radiographic evidence of osteoarthritis. SUBJECTS AND METHODS—Cross sectional survey of 195 patients (63 male, 132 female), aged 40 years and over, presenting with a new episode of hip pain, recruited from 35 general practices across the UK. Health status at presentation was determined by a structured questionnaire on symptoms, healthcare use, and health related quality of life (SF-36). Pelvic radiographs were assessed blindly for hip osteoarthritis using standard scoring systems. RESULTS—The overall impact on health was substantial. Before their first consultation, three quarters of patients needed analgesics, half used topical creams or ointments, and one in eight used a walking stick. Most of these impact measures were, however, unrelated to the degree of radiographic change, though use of a walking stick was increased in those with the most severe damage. Health status, as judged by the SF-36, was also impaired for measures of physical function and pain, but the impact on the "mental health", "general health", and "vitality" dimensions was small. There was a weak relation between the SF-36 scores and radiographic change, with many domains unrelated to the severity of radiographic damage. CONCLUSIONS—This study is the first to show the therapeutic impact and pattern of impairment in health status resulting from hip pain at the time of first presentation to the healthcare services. Unlike many regional pain syndromes seen in primary care, such as back pain, hip pain does not impact on wider aspects of quality of life, such as general health status, mental health, or vitality. Furthermore, any impact of hip pain in this group is not markedly influenced by the degree of structural damage. Further follow up is required to determine whether such damage influences the persistence of any adverse impact.
Related Links	http://dx.doi.org/10.1136/ard.59.11.857
Ending Page	863
Page Count	7
Starting Page	857
File Format	PDF
ISSN	00034967
e-ISSN	14682060
Journal	Annals of the Rheumatic Diseases
Issue Number	11
Volume Number	59
Language	English
Publisher Date	2000-11-01
Access Restriction	Open
Subject Keyword	Immunology Biochemistry, Genetics and Molecular Biology(all) Immunology and Allergy Rheumatology Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Immunology and Allergy Biochemistry, Genetics and Molecular Biology Immunology Rheumatology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Assessment of primary hip osteoarthritis: comparison of radiographic methods using colon radiographs

Radiographic assessment of hip osteoarthritis progression: impact of reading procedures for longitudinal studies

Influence of radiographic phenotype on risk of hip osteoarthritis within families

Relative impact of radiographic osteoarthritis and pain on quadriceps strength, proprioception, static postural sway and lower limb function

Do cartilage volume or thickness distinguish knees with and without mild radiographic osteoarthritis? The Framingham Study

Prevalence and pattern of radiographic hand osteoarthritis and association with pain and disability (the Rotterdam study)

Predictive factors of total hip replacement due to primary osteoarthritis: a prospective 2 year study of 505 patients

Early referral recommendations for ankylosing spondylitis (including pre-radiographic and radiographic forms) in primary care

Characterisation of size and direction of osteophyte in knee osteoarthritis: a radiographic study

Health impact of pain in the hip region with and without radiographic evidence of osteoarthritis: a study of new attenders to primary care

Similar Documents

Assessment of primary hip osteoarthritis: comparison of radiographic methods using colon radiographs

Radiographic assessment of hip osteoarthritis progression: impact of reading procedures for longitudinal studies

Influence of radiographic phenotype on risk of hip osteoarthritis within families

Relative impact of radiographic osteoarthritis and pain on quadriceps strength, proprioception, static postural sway and lower limb function

Do cartilage volume or thickness distinguish knees with and without mild radiographic osteoarthritis? The Framingham Study

Prevalence and pattern of radiographic hand osteoarthritis and association with pain and disability (the Rotterdam study)

Predictive factors of total hip replacement due to primary osteoarthritis: a prospective 2 year study of 505 patients

Early referral recommendations for ankylosing spondylitis (including pre-radiographic and radiographic forms) in primary care

Characterisation of size and direction of osteophyte in knee osteoarthritis: a radiographic study

Health impact of pain in the hip region with and without radiographic evidence of osteoarthritis: a study of new attenders to primary care