Evidence map›Paper›PMID 31978194›Full record

ArticlePloS one2020

Impact of lower limb osteoarthritis on health-related quality of life: A cross-sectional study to estimate the expressed loss of utility in the Spanish population.

Jesús Martín-Fernández, Roberto García-Maroto, Amaia Bilbao, Lidia García-Pérez, Blanca Gutiérrez-Teira, Antonio Molina-Siguero, Juan Carlos Arenaza, Vanesa Ramos-García, Gemma Rodríguez-Martínez, Fco Javier Sánchez-Jiménez and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Jesús Martín-FernándezUnidad Docente Multiprofesional de Atención Familiar y Comunitaria Oeste, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.ORCID 0000-0001-9545-1549
Roberto García-MarotoServicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Clínico San Carlos, Servicio Madrileño de Salud, Madrid, Spain.
Amaia BilbaoRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Spain.
Lidia García-PérezRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Spain.
Blanca Gutiérrez-TeiraCentro de Salud El Soto, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Antonio Molina-SigueroCentro de Salud Presentación Sabio, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Juan Carlos ArenazaRed de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Spain.
Vanesa Ramos-GarcíaFundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Las Palmas de Gran Canaria, Spain.
Gemma Rodríguez-MartínezCentro de Salud Infante Don Luis, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Fco Javier Sánchez-JiménezCentro de Salud Gregorio Marañón, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Gloria Ariza-CardielUnidad Docente Multiprofesional de Atención Familiar y Comunitaria Oeste, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Madrid Health Service · ESCentro de Investigación Biomédica en Red · ESHospital de Basurto · ESFundación Canaria de Investigación Sanitaria · ESUniversidad Complutense de Madrid · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOsteoarthritis of the lower limb (OALL) worsens health-related quality of life (HRQL), but this impact has not been quantified with standardized measures. We intend to evaluate the impact of OALL on HRQL through measures based on individual preferences in comparison to the general population.

methodsA cross-sectional study was designed. A total of 6234 subjects aged 50 years or older without OALL were selected from the Spanish general population (National Health Survey 2011-12). An opportunistic sample of patients aged 50 years or older diagnosed with hip (n = 331) or knee osteoarthritis (n = 393), using the American Rheumatism Association criteria, was recruited from six hospitals and 21 primary care centers in Vizcaya, Madrid and Tenerife between January and December 2015. HRQL was measured with the EQ-5D-5L, and the results were transformed into utility scores. Sociodemographic variables (age, sex, social group, cohabitation), number of chronic diseases, and body mass index were considered. The clinical stage of OALL was collected using the Western Ontario and McMaster Universities Osteoarthritis Index and the Oxford hip score and Oxford knee score. Generalized linear models were constructed using the utility index as the dependent variable.

resultsHRQL expressed by OALL patients was significantly worse than this of the general population. After adjustment for sociodemographic and clinical characteristics, the mean utility loss was -0.347 (95% CI: -0.390, -0.303) for osteoarthritis of the hip and -0.295 (95% CI: -0.336, -0.255) for osteoarthritis of the knee. OALL patients who were treated at a hospital had an additional utility loss of -0.112 (95% CI: -0.158, -0.065).

conclusionOALL has a great impact on HRQL. People with OALL perceive a utility loss of approximately 0.3 points compared to the general population without osteoarthritis, which is very high in relation to the utility loss reported for other chronic diseases and for arthritis in general.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesFemaleHumansLinear ModelsMaleMiddle AgedOsteoarthritis, HipOsteoarthritis, KneeQuality of LifeSpainSurveys and Questionnaires

Identifiers

PMID31978194
PMCPMC6980637
OpenAlexW3002217045

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.