Dolor, calidad de vida y salud mental en pacientes con gonalgia por gonartrosis: estudio de casos y controles / Pain, quality of life and mental health in patients with gonalgia due to gonarthrosis: Cases and controls study

Objetivo: Evaluar el dolor, la calidad de vida y el estado psicológico en pacientes con gonalgia por gonartrosis. Material y métodos: Estudio epidemiológico, multicéntrico, de casos y controles. Se incluyeron 1.152 pacientes (576 con artrosis y 576 sin artrosis) apareados por edad y sexo, procedentes de 63 centros de salud de España. Se les administró la escala visual analógica de dolor de Huskisson y los cuestionarios EuroQol y Goldberg. Se realizó un análisis descriptivo y comparativo de los datos en ambos grupos. Se estudiaron los factores que influían en la CV y salud mental de los pacientes artrósicos con modelos de regresión logística. Resultados: Se incluyeron 576 pacientes casos y 576 controles. El 70,3% eran mujeres en ambos grupos. La puntuación media en la escala visual analógica de los artrósicos fue 65,2±4,9mm correspondiente a una intensidad moderada. El cuestionario EuroQol indicó peor estado de salud (p<0,05) en los pacientes con artrosis en todas sus dimensiones. El cuestionario Goldberg mostró la presencia de psicopatología en el 36,5% (n=209) de los casos, frente a un 14,0% (n=80) en los controles (p<0,001). El dolor fue la variable que afectó a la CV en todas las dimensiones (p<0,001). Conclusiones: Los pacientes con artrosis manifiestan dolor moderado, limitación de la movilidad, del cuidado personal y de las actividades cotidianas que repercute negativamente en su CV y psicológicamente se encuentran más afectados. Es prioritario desarrollar estrategias de autocuidado y tratamiento en estos pacientes para mejorar globalmente su CV (AU)

Objective: To evaluate pain, quality of life and psychological state in patients with gonalgia due to gonarthrosis. Material and methods: Epidemiological, multicenter, case–control study. 1.152 patients were included (576 with arthrosis and 576 without arthrosis) matched by age and sex, from 63 health centers in Spain. The Huskisson Pain Scale (VAS), the EuroQol and Goldberg questionnaires were administered. A descriptive and comparative analysis of the data was carried out in both groups. Factors influencing the quality of life and mental health of arthritic patientes were studied with logistic regression models. Results: 576 case patients and 576 controls were included. 70.3% were women in both groups. The mean score in the VAS score of the arthritic patients was 65±4.9mm corresponding to a moderate intensity. The EQ-5D questionnaire indicated a worse state of health (P<.05) in patients with osteoarthritis in each of its dimensions. In the GHQ-12 questionnaire, the presence of psychopathology was detected in 36.5% (n=209) of patients with osteoarthritis compared to 14.0% (n=80) in controls (P<.001). Pain was the variable that affected quality of life in all dimensions (P<.001). Conclusions: Patients with arthrosis manifest moderate pain due to this disease. They present a limitation of mobility, personal care and daily activities that negatively affects their quality of life and psychologically they are more affected. It is a priority to develop self-care and treatment strategies in this group of subjects to globally improve their quality of life (AU)

[Pain, quality of life and mental health in patients with gonalgia due to gonarthrosis: Cases and controls study]. / Dolor, calidad de vida y salud mental en pacientes con gonalgia por gonartrosis: estudio de casos y controles.

OBJECTIVE: To evaluate pain, quality of life and psychological state in patients with gonalgia due to gonarthrosis. MATERIAL AND METHODS: Epidemiological, multicenter, case-control study. 1.152 patients were included (576 with arthrosis and 576 without arthrosis) matched by age and sex, from 63 health centers in Spain. The Huskisson Pain Scale (VAS), the EuroQol and Goldberg questionnaires were administered. A descriptive and comparative analysis of the data was carried out in both groups. Factors influencing the quality of life and mental health of arthritic patientes were studied with logistic regression models. RESULTS: 576 case patients and 576 controls were included. 70.3% were women in both groups. The mean score in the VAS score of the arthritic patients was 65±4.9mm corresponding to a moderate intensity. The EQ-5D questionnaire indicated a worse state of health (P<.05) in patients with osteoarthritis in each of its dimensions. In the GHQ-12 questionnaire, the presence of psychopathology was detected in 36.5% (n=209) of patients with osteoarthritis compared to 14.0% (n=80) in controls (P<.001). Pain was the variable that affected quality of life in all dimensions (P<.001). CONCLUSIONS: Patients with arthrosis manifest moderate pain due to this disease. They present a limitation of mobility, personal care and daily activities that negatively affects their quality of life and psychologically they are more affected. It is a priority to develop self-care and treatment strategies in this group of subjects to globally improve their quality of life.