ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2000
General practitioners miss disability and anxiety as well as depression in their patients with osteoarthritis.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.
- Pain beliefs and problems in functioning among people with arthritis: a meta-analytic review.Journal of behavioral medicine · 2016Pooled it
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- Glenohumeral osteoarthritis: what the surgeon needs from the radiologist.Skeletal radiology · 2023Review
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- Comorbidities and use of analgesics in people with knee pain: a study in the Nottingham Knee Pain and Health in the Community (KPIC) cohort.Rheumatology advances in practice · 2022Article
- Patterns of Depressive Symptoms Before and After Surgery for Osteoarthritis: A Descriptive Study.ACR open rheumatology · 2019Article
- Glenohumeral osteoarthritis: frequency of underlying diagnoses and the role of arm dominance-a retrospective analysis in a community-based musculoskeletal practice.Rheumatology international · 2018Article
- Perioperative Inpatient Use of Selective Serotonin Reuptake Inhibitors Is Associated With a Reduced Risk of THA and TKA Revision.Clinical orthopaedics and related research · 2018Article
- Patients' perceived needs of osteoarthritis health information: A systematic scoping review.PloS one · 2018Article
- Article
- Healthcare burden of depression in adults with arthritis.Expert review of pharmacoeconomics & outcomes research · 2017Review
- Recognition, diagnosis, and treatment of cognitive and psychiatric disorders in patients with COPD.International journal of chronic obstructive pulmonary disease · 2017Review
- The relation between total joint arthroplasty and risk for serious cardiovascular events in patients with moderate-severe osteoarthritis: propensity score matched landmark analysis.BMJ (Clinical research ed.) · 2013Article
- Predictors of outcomes of recovery following total hip replacement surgery: A prospective study.Bone & joint research · 2013Article
- [The management of osteoarthritis by general practitioners in Germany: comparison of self-reported behaviour with international guidelines].Der Orthopade · 2008Article
- Health service utilization patterns of primary care patients with osteoarthritis.BMC health services research · 2007Article
- Serious psychological distress in U.S. adults with arthritis.Journal of general internal medicine · 2006Article
- Middle-aged and mobility-limited: prevalence of disability and symptom attributions in a national survey.Journal of general internal medicine · 2006Article
- Clinical validity of the SWAL-QOL and SWAL-CARE outcome tools with respect to bolus flow measures.Dysphagia · 2006Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneral practitioners (GPs) integrate physical, psychological, and social factors when assessing patients, particularly those with chronic diseases. Recently, the emphasis has been on assessment of depression but not of other factors.
aimTo determine functional disability, psychological morbidity, social situation, and use of health and social services in patients with osteoarthritis and examine GP knowledge of these factors.
methodTwo hundred patients completed a validated postal questionnaire about functional disability (Health Assessment Questionnaire [HAQ]), mood (Hospital Anxiety and Depression Scale [HAD]), employment status, who they lived with, welfare benefits received, and use of health and social services. A similar questionnaire was completed by the patient's GP, including a HAQ. However, a three-point scale was used to assess depression and anxiety.
resultsForty-seven per cent of patients were moderately or severely disabled (HAQ > 1). GPs underestimated functional disability: mean patient HAQ = 1.04 (95% confidence interval [CI] = 0.92-1.16), mean GP HAQ = 0.74 (95% CI = 0.65-0.83), and there was low correlation between patient and GP scores (kappa = 0.24). There was moderate prevalence of depression and high prevalence of anxiety, which the GP often did not recognise: patient depression = 8.3% (95% CI = 4.1%-12.8%), GP depression = 6.0% (95% CI = 2.4%-9.6%), kappa = 0.11; patient anxiety = 24.4% (95% CI = 17.8%-31.0%), GP anxiety = 11.9% (95% CI = 6.9%-16.9%), kappa = 0.19. Only 46% of severely disabled patients (HAQ > 2) were receiving disability welfare benefits. GPs were often unaware of welfare benefits received or the involvement of other professionals.
conclusionGPs frequently lack knowledge about functional disability, social factors, and anxiety as well as depression in their patients with osteoarthritis.
Indexed as
Identifiers
11042917PMC1313776W1801803548What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.