The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)

Abstract Background Osteoarthritis (OA) represents a leading cause of disability with limited data available for the Greek patients. Objectives To evaluate the impact of moderate to severe symptomatic hip/knee OA under treatment on physical performance and quality of life. Methods A non-intervention...

Full description

Bibliographic Details
Main Authors: P. Savvari, I. Skiadas, S. A. Papadakis, V. Psychogios, O. D. Argyropoulou, A. P. Pastroudis, G. A. Skarpas, A. Tsoutsanis, A. Garofalakis, G. Katsifis, D. Boumpas, D. Menegas
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-023-06770-7
_version_ 1797454179319414784
author P. Savvari
I. Skiadas
S. A. Papadakis
V. Psychogios
O. D. Argyropoulou
A. P. Pastroudis
G. A. Skarpas
A. Tsoutsanis
A. Garofalakis
G. Katsifis
D. Boumpas
D. Menegas
author_facet P. Savvari
I. Skiadas
S. A. Papadakis
V. Psychogios
O. D. Argyropoulou
A. P. Pastroudis
G. A. Skarpas
A. Tsoutsanis
A. Garofalakis
G. Katsifis
D. Boumpas
D. Menegas
author_sort P. Savvari
collection DOAJ
description Abstract Background Osteoarthritis (OA) represents a leading cause of disability with limited data available for the Greek patients. Objectives To evaluate the impact of moderate to severe symptomatic hip/knee OA under treatment on physical performance and quality of life. Methods A non-interventional, cross-sectional, epidemiological study of patients with moderate/severe OA, recruited in a single visit from 9 expert sites in Athens, Greece. Assessments were based on commonly used outcome scales: the Hip disability and Osteoarthritis Outcome Score (HOOS), the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the EuroQol-5-Dimensions 3-levels questionnaire (EQ-5D-3L). Results One hundred sixty-four patients were included in the analysis. Most of the patients were females (78.7%), with a mean age of 70.5 ± 10.2 years. Comorbidities were reported by 87.2% of patients with hypertension being the most frequently reported (53.7%), followed by dyslipidemia (31.1%), obesity (24.4%) and diabetes mellitus (23.2%). Paracetamol was the most common treatment (96%), followed by NSAIDs (75%), opioids (50%) and locally applied medications (42.7%). Both hip and knee OA patients showed substantial deterioration in health-related quality of life (QoL) and health status as reflected by the HOOS/KOOS (Function in sport and recreation was the most impaired subscale, followed by Hip- or Knee-related QoL). The mean EQ-5D-3L index score was 0.396 ± 0.319 and the mean EQ-VAS score was 52.1 ± 1.9. When compared indirectly to the local population norms our OA population had worse QoL indices. Conclusion Our findings suggest the functional disability and impaired QoL of Greek patients with moderate/severe hip/knee OA under treatment emphasizing the need for novel treatments that will reduce the burden of the disease.
first_indexed 2024-03-09T15:33:32Z
format Article
id doaj.art-d1ab2741b86b4b46bd43d5bcb9b902ee
institution Directory Open Access Journal
issn 1471-2474
language English
last_indexed 2024-03-09T15:33:32Z
publishDate 2023-08-01
publisher BMC
record_format Article
series BMC Musculoskeletal Disorders
spelling doaj.art-d1ab2741b86b4b46bd43d5bcb9b902ee2023-11-26T12:07:32ZengBMCBMC Musculoskeletal Disorders1471-24742023-08-0124111110.1186/s12891-023-06770-7The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)P. Savvari0I. Skiadas1S. A. Papadakis2V. Psychogios3O. D. Argyropoulou4A. P. Pastroudis5G. A. Skarpas6A. Tsoutsanis7A. Garofalakis8G. Katsifis9D. Boumpas10D. Menegas11Internal Medicine Department Pfizer Hellas, Neo PsychikoInternal Medicine Department Pfizer Hellas, Neo Psychiko2nd Orthopedic Department, KAT General Hospital of Attica5th Orthopedic Department, Asclepeion General HospitalDepartment of Pathophysiology, National and Kapodistrian University of Athens6th Orthopedic Department, Asclepeion General Hospital3rd Orthopedic Department for Sports Injuries and Regenerative Medicine, Mitera General Hospital6th Orthopedic Department Hygeia Hospital1st Orthopedic Department, Mitera General HospitalRheumatology Department, Naval Hospital Athens4th Internal Medicine Department, Attikon University HospitalInternal Medicine Department Pfizer Hellas, Neo PsychikoAbstract Background Osteoarthritis (OA) represents a leading cause of disability with limited data available for the Greek patients. Objectives To evaluate the impact of moderate to severe symptomatic hip/knee OA under treatment on physical performance and quality of life. Methods A non-interventional, cross-sectional, epidemiological study of patients with moderate/severe OA, recruited in a single visit from 9 expert sites in Athens, Greece. Assessments were based on commonly used outcome scales: the Hip disability and Osteoarthritis Outcome Score (HOOS), the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the EuroQol-5-Dimensions 3-levels questionnaire (EQ-5D-3L). Results One hundred sixty-four patients were included in the analysis. Most of the patients were females (78.7%), with a mean age of 70.5 ± 10.2 years. Comorbidities were reported by 87.2% of patients with hypertension being the most frequently reported (53.7%), followed by dyslipidemia (31.1%), obesity (24.4%) and diabetes mellitus (23.2%). Paracetamol was the most common treatment (96%), followed by NSAIDs (75%), opioids (50%) and locally applied medications (42.7%). Both hip and knee OA patients showed substantial deterioration in health-related quality of life (QoL) and health status as reflected by the HOOS/KOOS (Function in sport and recreation was the most impaired subscale, followed by Hip- or Knee-related QoL). The mean EQ-5D-3L index score was 0.396 ± 0.319 and the mean EQ-VAS score was 52.1 ± 1.9. When compared indirectly to the local population norms our OA population had worse QoL indices. Conclusion Our findings suggest the functional disability and impaired QoL of Greek patients with moderate/severe hip/knee OA under treatment emphasizing the need for novel treatments that will reduce the burden of the disease.https://doi.org/10.1186/s12891-023-06770-7Hip osteoarthritisKnee osteoarthritisHealth Related Quality of Life (HRQoL)Joint diseasesMusculoskeletal diseases
spellingShingle P. Savvari
I. Skiadas
S. A. Papadakis
V. Psychogios
O. D. Argyropoulou
A. P. Pastroudis
G. A. Skarpas
A. Tsoutsanis
A. Garofalakis
G. Katsifis
D. Boumpas
D. Menegas
The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)
BMC Musculoskeletal Disorders
Hip osteoarthritis
Knee osteoarthritis
Health Related Quality of Life (HRQoL)
Joint diseases
Musculoskeletal diseases
title The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)
title_full The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)
title_fullStr The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)
title_full_unstemmed The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)
title_short The impact of moderate to severe osteoarthritis on the physical performance and quality of life: a cross-sectional study in Greek patients (PONOS study)
title_sort impact of moderate to severe osteoarthritis on the physical performance and quality of life a cross sectional study in greek patients ponos study
topic Hip osteoarthritis
Knee osteoarthritis
Health Related Quality of Life (HRQoL)
Joint diseases
Musculoskeletal diseases
url https://doi.org/10.1186/s12891-023-06770-7
work_keys_str_mv AT psavvari theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT iskiadas theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT sapapadakis theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT vpsychogios theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT odargyropoulou theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT appastroudis theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT gaskarpas theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT atsoutsanis theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT agarofalakis theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT gkatsifis theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT dboumpas theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT dmenegas theimpactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT psavvari impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT iskiadas impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT sapapadakis impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT vpsychogios impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT odargyropoulou impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT appastroudis impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT gaskarpas impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT atsoutsanis impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT agarofalakis impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT gkatsifis impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT dboumpas impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy
AT dmenegas impactofmoderatetosevereosteoarthritisonthephysicalperformanceandqualityoflifeacrosssectionalstudyingreekpatientsponosstudy