Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis.
Pain levels in patients with osteoarthritis (OA) of the knee are commonly assessed by using a numeric scoring system, but results may be influenced by factors other than the patient's actual physical discomfort or disease severity, including psychosocial and demographic variables. We examined t...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5890979?pdf=render |
| _version_ | 1818126526399381504 |
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| author | Lauren Eberly Dustin Richter George Comerci Justin Ocksrider Deana Mercer Gary Mlady Daniel Wascher Robert Schenck |
| author_facet | Lauren Eberly Dustin Richter George Comerci Justin Ocksrider Deana Mercer Gary Mlady Daniel Wascher Robert Schenck |
| author_sort | Lauren Eberly |
| collection | DOAJ |
| description | Pain levels in patients with osteoarthritis (OA) of the knee are commonly assessed by using a numeric scoring system, but results may be influenced by factors other than the patient's actual physical discomfort or disease severity, including psychosocial and demographic variables. We examined the possible relation between knee-pain scores and several psychosocial, sociodemographic, disease, and treatment variables in 355 patients with knee OA.The pain-evaluation instrument was a 0- to 10-point rating scale. Data obtained retrospectively from the patients' medical records were demographic characteristics, body mass index (BMI), concomitant disorders, illicit and prescription drug use, alcohol use, smoking, knee OA treatment, and severity of knee OA indicated by Kellgren-Lawrence (KL) radiographic grade. Univariate and multivariate analyses were performed to determine whether these variables correlated with reported pain scores.On univariate analysis, higher pain scores were significantly associated with Native American or Hispanic ethnicity; a higher BMI; current prescription for an opioid, antidepressant, or gabapentinoid medication; depression; diabetes mellitus; fibromyalgia; illicit drug use; lack of health insurance; smoking; previous knee injection; and recommendation by the clinician that the patient undergo knee surgery. Neither the patient's sex nor the KL grade showed a correlation. On multivariate analysis, depression, current opioid prescription, and Native American or Hispanic ethnicity retained a significant association with higher pain scores.Our results in a large, ethnically diverse group of patients with knee OA suggest that psychosocial and sociodemographic factors may be important determinants of pain levels reported by patients with knee OA. |
| first_indexed | 2024-12-11T07:02:52Z |
| format | Article |
| id | doaj.art-992275eb24384165a74a658adaf5fb6d |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-11T07:02:52Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-992275eb24384165a74a658adaf5fb6d2022-12-22T01:16:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01134e019507510.1371/journal.pone.0195075Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis.Lauren EberlyDustin RichterGeorge ComerciJustin OcksriderDeana MercerGary MladyDaniel WascherRobert SchenckPain levels in patients with osteoarthritis (OA) of the knee are commonly assessed by using a numeric scoring system, but results may be influenced by factors other than the patient's actual physical discomfort or disease severity, including psychosocial and demographic variables. We examined the possible relation between knee-pain scores and several psychosocial, sociodemographic, disease, and treatment variables in 355 patients with knee OA.The pain-evaluation instrument was a 0- to 10-point rating scale. Data obtained retrospectively from the patients' medical records were demographic characteristics, body mass index (BMI), concomitant disorders, illicit and prescription drug use, alcohol use, smoking, knee OA treatment, and severity of knee OA indicated by Kellgren-Lawrence (KL) radiographic grade. Univariate and multivariate analyses were performed to determine whether these variables correlated with reported pain scores.On univariate analysis, higher pain scores were significantly associated with Native American or Hispanic ethnicity; a higher BMI; current prescription for an opioid, antidepressant, or gabapentinoid medication; depression; diabetes mellitus; fibromyalgia; illicit drug use; lack of health insurance; smoking; previous knee injection; and recommendation by the clinician that the patient undergo knee surgery. Neither the patient's sex nor the KL grade showed a correlation. On multivariate analysis, depression, current opioid prescription, and Native American or Hispanic ethnicity retained a significant association with higher pain scores.Our results in a large, ethnically diverse group of patients with knee OA suggest that psychosocial and sociodemographic factors may be important determinants of pain levels reported by patients with knee OA.http://europepmc.org/articles/PMC5890979?pdf=render |
| spellingShingle | Lauren Eberly Dustin Richter George Comerci Justin Ocksrider Deana Mercer Gary Mlady Daniel Wascher Robert Schenck Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. PLoS ONE |
| title | Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. |
| title_full | Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. |
| title_fullStr | Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. |
| title_full_unstemmed | Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. |
| title_short | Psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis. |
| title_sort | psychosocial and demographic factors influencing pain scores of patients with knee osteoarthritis |
| url | http://europepmc.org/articles/PMC5890979?pdf=render |
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