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Health status of in...
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Gustafsson, Kristin,1976-Linköpings universitet,Linköping University,Department of Physiotherapy, Rehabilitation Centre, Ryhov County Hospital, Jönköping, Sweden,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten
(författare)
Health status of individuals referred to first-line intervention for hip and knee osteoarthritis compared with the general population: an observational register-based study
- Artikel/kapitelEngelska2021
Förlag, utgivningsår, omfång ...
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2021-09-13
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London, United Kingdom :BMJ,2021
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LIBRIS-ID:oai:gup.ub.gu.se/308524
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https://gup.ub.gu.se/publication/308524URI
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https://doi.org/10.1136/bmjopen-2021-049476DOI
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https://lup.lub.lu.se/record/c3e1091a-4ff0-4a8e-9575-ac0f211c1e67URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-179771URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:147687086URI
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Funding: AFA Insurance, Sweden; Futurum -Academy for Health and Care, Region Jönkoping County, Sweden; Medical Research Council of Southeast Sweden
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Objectives To describe the prevalence of comorbidities in a population referred to standardised first-line intervention (patient education and exercise) for hip and knee osteoarthritis (OA), in comparison with the general population. Furthermore, we aimed to evaluate if eventual differences were associated with socioeconomic inequalities. Design Register-based study. Setting Primary healthcare, Sweden. Participants Individuals with hip and/or knee OA included in the Better Management for Patients with Osteoarthritis Register between 2008 and 2016 and and an age-matched, sex-matched and residence-matched reference cohort (1:3) from the general Swedish population. Outcome measures Comorbidities were identified with the RxRisk Index, the Elixhauser Comorbidity Index and the Charlson Comorbidity Index, and presented with descriptive statistics as (1) individual diseases, (2) disease categories and (3) scores for each index. The prevalence of comorbidities in the two populations was tested using logistic regression, with separate analyses for age groups and the most affected joint. We then adjusted the analyses for socioeconomic status. Results In this OA population, 85% had >= 1 comorbidity compared with 78% of the reference cohort (OR; 1.62 (95% CI 1.59 to 1.66)). Cardiovascular/blood diseases were the most common comorbidities in both populations (OA, 59%; reference, 54%), with OR; 1.22 (95% CI 1.20 to 1.24) for the OA population. Younger individuals with OA were more comorbid than their matched references overall, and population differences decreased with age (eg, >= 3 comorbidities, aged <= 45 years OR; 1.74 (95% CI 1.52 to 1.98), >= 81 years OR; 0.95 (95% CI 0.87 to 1.04)). Individuals with knee OA were more comorbid than those with hip OA overall. Adjustment for socioeconomic status did not change the estimates. Conclusion Comorbidities were more common among individuals with hip and knee OA than among matched references from the general population. The differences could not be explained by socioeconomic status.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Kvist, Joanna,1967-Karolinska Institutet,Linköpings universitet,Linköping University,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten(Swepub:liu)joakv97
(författare)
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Eriksson, MaritLinköpings universitet,Linköping University,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Futurum - Academy for Health and Care, Region of Jönköping County, Jönköping, Sweden(Swepub:liu)marer56
(författare)
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Dell'Isola, AndreaLund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Department of Clinical Sciences Lund, Orthopaedics, Faculty of Medicine, Lund University, Lund, Sweden(Swepub:lu)an4368de
(författare)
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Zhou, CaddieRegistercentrum Västra Götaland,Centre of Registries, Västra Götaland, Gothenburg, Sweden(Swepub:lu)ort-czh
(författare)
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Dahlberg, Leif E.Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund OsteoArthritis Division - From molecule to clinical implementation,Forskargrupper vid Lunds universitet,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups,Department of Clinical Sciences Lund, Orthopaedics, Faculty of Medicine, Lund University, Lund, Sweden(Swepub:lu)orto-lda
(författare)
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Rolfson, Ola,1973Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Department of Orthopaedicst, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden(Swepub:gu)xrolol
(författare)
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Linköping UniversityDepartment of Physiotherapy, Rehabilitation Centre, Ryhov County Hospital, Jönköping, Sweden
(creator_code:org_t)
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Ingår i:Bmj OpenLondon, United Kingdom : BMJ11:92044-6055
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