OSTEOARTHRITIS
Effect of an education programme for patients with osteoarthritis in primary care--a randomized controlled trial
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(9):44 BMC Musculoskelet Disord. 2010 Oct 25;11(1):244.Exclusive Author Interview
Education programs for Osteoarthritis with Dr. Hansson
114 patients of any age with symptomatic osteoarthritis (OA) in the knee, hip, or hand with pain, stiffness, and limitation of movement in the affected joint were randomized to receive an educational program or no education. 6 months after the educational programme, patients with OA had improved self-perceived health, but had a small improvement in function with no demonstrable influence on self-efficacy.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
はい = 1
不確実＝0.5
無関係 = 0
いいえ = 0
報告基準評価では、著者が出版物内で試験の方法論的特徴や試験特性を報告する際の透明性を評価します。評価は以下の5つのカテゴリーに分類されます。
3/4
Randomização
2/4
Medidas de resultado
4/4
Inclusão/Exclusão
4/4
Descrição do tratamento
4/4
Estatística
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
Fragility Indexは、重要な所見の解釈を助けるツールで、結果の強さの尺度を提供します。Fragility Indexは、その所見が有意でなくなるために、二項対立の結果に追加する必要がある連続した事象の数を表します。数値が小さいほど弱い所見を表し、数値が大きいほど強い所見を表します。
なぜ今この研究が必要なのですか？
Osteoarthritis (OA) affects millions of people worldwide and is a leading cause of joint replacement surgery. Patient education on self-management, exercise, or both may improve quality of life (QOL), function, and well being. Although systematic reviews have attempted to address this question in the past, the results have illustrated varying conclusions.
主な研究課題は何ですか？
Are self-management education programmes effective in improving self-efficacy, function, and self-perceived health in patients with OA in primary health care at 6 months?
重要な知見は？
- Intervention group had higher EQ5D levels in all dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) (p<0.001)
- There was no significant difference in Arthritis Self-Efficacy Scale between the two groups
- There was no significant difference in upper extremity function.
- In lower extremity function, only one of the five outcomes, Standing one leg with eyes closed, was significantly different between the two groups with the intervention group performing better (p<0.02)
最も覚えておくべきことは？
Educational programmes, emphasizing self-management in the primary health care setting for patients with OA, are feasible and can improve a patients self-perceived health. However, these programmes have a small effect on improving function and have not been shown to influence self-efficacy.
それが私の患者ケアにどのように影響するか？
Clinicians should consider providing self-management educational programmes that advocate physical activity and self-management for patients with OA.
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