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Clinical profile of F ilipino patients with osteoarthritis seen at two arthritis clinics
Author(s) -
Racaza Geraldine Zamora,
Salido Evelyn Osio,
Penserga Ester Gonzales
Publication year - 2012
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/j.1756-185x.2012.01758.x
Subject(s) - medicine , osteoarthritis , cohort , body mass index , physical therapy , overweight , guideline , arthritis , alternative medicine , pathology
Aim To describe a cohort of Filipinos with primary osteoarthritis (OA). Method Charts with diagnosis of OA from two arthritis clinics ( P hilippine G eneral H ospital and a private clinic) from J anuary 2008 to M ay 2011, were reviewed for demographics, clinical presentation, risk factors and management. Descriptive statistics were applied. Results Eight hundred and fifty‐nine (859) patients had primary OA . Female‐to‐male ratio was 3 : 1. Mean age at diagnosis was 63 years, onset at 59 years. Men consulted 10 months later. Mean body mass index was 27.1 kg/m 2 . Women were overweight, men, obese. Co‐morbid conditions included hypertension (53%), dyslipidemia (16%) and diabetes (13%). Women (94.7%) developed symptoms 12 years after menopause. One‐third of patients were of low socioeconomic status. Chief complaint was pain in 92.8%. Joint findings included crepitus (70.8%) and H eberden's nodes (13.0%) for knees and hands, respectively. Commonly involved joints were knees (62.5%), knees and hands (14.3%), and generalized joint involvement (13.5%). The hip was involved in 2.9% of cases. Radiographs showed K ellgren– L awrence score of 2 in 56.6%. Less than 25% received physical therapy. Most prescribed drugs were glucosamine sulfate (45.5%), paracetamol (42.8%) and coxibs (40.6%). Less than 8% received intra‐articular treatment, or were referred for surgery. Conclusion We described a large cohort of F ilipino OA patients. Clinical characteristics show more women than men, with knees as the most common and hips as the least involved joints. Medical management was based on a local practice guideline. Compared to the literature, this cohort had more overweight than obese subjects and low surgical referral. A coordinated registry with orthopedics and physiatry departments is currently underway.