Hand Osteoarthritis
Conditions
Keywords
Osteoarthritis, First-line treatment, Physical therapy, exercise, education, hand
Brief summary
This study will investigate outcomes of a 3-month first-line treatment program for hand osteoarthritis, using data from the Swedish Osteoarthritis Registry.
Detailed description
According to international guidelines, exercise, education and splinting (if needed) should constitute first-line treatment for people with hand osteoarthritis (OA). However, few studies have investigated the outcomes of such treatment in individuals with hand OA. In this retrospective register-based study the investigators will investigate the outcomes of 3-months participation of first-line treatment for hand OA using data from the Swedish Osteoarthritis register (SOAR). Outcomes will be self-reported change in pain, pain frequency, health-related quality of life, physical activity, fear of movement and willingness for joint surgery between baseline and three months follow-up. In addition, the investigators will investigate if potential improvements remain at 12 months. Statistical analysis Changes in continuous variables between baseline and the two follow-ups (3 and 12 months) will be analyzed using paired T-test. Changes in proportions in the categorical variables will be analyzed using McNemars test for pairwise comparisons. Standardized effect sizes will be reported as Cohen's d with the following cut offs: 0.2=small, 0.5=medium and 0.8=large effect size. All outcomes will be analyzed separately for females and males. In this study the investigators will include all participants registered in SOAR fulfilling the eligibility criteria outlined below (n\>1000) and consequently no power calculation was performed.
Interventions
OTHER3 months of exercise and education
Sponsors
Lund University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* a clinical diagnosis of hand OA * participated for three months in the program * reported any of the included outcomes at both baseline and at 3 months follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| NRS pain | From enrollment to 3 and 12 months follow-up, respectively | The NRS comprises an 11-point scale where 0 indicates no pain and 10 indicates the worst possible pain. |
| Health-related quality of life | From enrollment to 3 and 12 months, respectively | Assessed with the EuroQol - 5 dimension descriptive system (EQ-5D-3L) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain frequency | From enrollment to 3 and 12 months follow-up, respectively | dichotomous, frequent/rare |
| Physical activity | From enrollment to 3 and 12 months follow-up, respectively | Assessed with the Swedish Board of Health and Welfare indicators |
| Fear of movement | from enrollment to 3 and 12 months follow-up, respectively | Dichotomous reply, yes/no |
| Willingness for surgery | From enrollment to 3 and 12 months follow-up, respectively | Dichotomous reply, yes/no |
Contacts
PRINCIPAL_INVESTIGATORAnna Cronström, PhD
Lund University
Outcome results
None listed