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“You don't put it d...
“You don't put it down to arthritis” : A qualitative study of the first symptoms recalled by individuals with knee osteoarthritis
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- King, L. K. (author)
- Saint Michael's Hospital,University of Toronto
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- Mahmoudian, A. (author)
- Lund University,Lunds universitet,Lund OsteoArthritis Division - Clinical Epidemiology Unit,Forskargrupper vid Lunds universitet,Lund University Research Groups,University of West Florida
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- Waugh, E. J. (author)
- University of Toronto
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Stanaitis, I. (author)
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Gomes, M. (author)
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Hung, V. (author)
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- MacKay, C. (author)
- University of Toronto
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- Liew, J. W. (author)
- Boston University
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- Wang, Q. (author)
- Erasmus University Medical Center
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- Turkiewicz, A. (author)
- Lund University,Lunds universitet,Lund OsteoArthritis Division - Clinical Epidemiology Unit,Forskargrupper vid Lunds universitet,LU profilområde: Proaktivt åldrande,Lunds universitets profilområden,Lund University Research Groups,LU Profile Area: Proactive Ageing,Lund University Profile areas
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- Haugen, I. K. (author)
- Diakonhjemmet Hospital
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Appleton, C. T. (author)
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- Lohmander, S. (author)
- Lund University,Lunds universitet,Lund OsteoArthritis Division - Nedbrytning av ledbrosk: en biologisk process som leder till artros,Forskargrupper vid Lunds universitet,Lund OsteoArthritis Division - Molecular marker research group,Lund University Research Groups
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- Englund, M. (author)
- Lund University,Lunds universitet,Lund OsteoArthritis Division - Clinical Epidemiology Unit,Forskargrupper vid Lunds universitet,LU profilområde: Proaktivt åldrande,Lunds universitets profilområden,Lund University Research Groups,LU Profile Area: Proactive Ageing,Lund University Profile areas
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- Runhaar, J. (author)
- Erasmus University Medical Center
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- Neogi, T. (author)
- Boston University
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- Hawker, G. A. (author)
- University of Toronto
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(creator_code:org_t)
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- 2024
- 2024
- English.
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In: Osteoarthritis and Cartilage Open. - 2665-9131. ; 6:1
- Related links:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Objective: As part of the first phase of the OARSI Early-stage Symptomatic Knee Osteoarthritis (EsSKOA) initiative, we explored the first symptoms and experiences recalled by individuals with knee osteoarthritis (OA). Design: This qualitative study, informed by qualitative description, was a secondary analysis of focus groups (n = 17 groups) and one-on-one interviews (n = 3) conducted in 91 individuals living with knee OA as part of an international study to better understand the OA pain experience. In each focus group or interview, participants were asked to describe their first symptoms of knee OA. We inductively coded these transcripts and conducted thematic analysis. Results: Mean age of participants was 70 years (range 47–92) and 68 % were female. We developed four overarching themes: Insidious and Episodic Onset, Diverse Early Symptoms, Must be Something Else, and Adjustments. Participants described the gradual and intermittent way in which symptoms of knee OA developed over many years; many could not identify a specific starting point. Participants described diverse initial knee symptoms, including activity-exacerbated joint pain, stiffness and crepitus. Most participants dismissed early symptoms or rationalized their presence, employing various strategies to enable continued participation in recreational and daily activities. Few sought medical attention until physical functioning was demonstrably impacted. Conclusions: The earliest symptoms of knee OA are frequently insidious in onset, episodic and present long before individuals present to health professionals. These results highlight challenges to identifying people with knee OA early and support the development of specific classification criteria for EsSKOA to capture individuals at an early stage.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
Keyword
- Knee osteoarthritis
- Patient-orientated research
- Qualitative research
- Symptoms
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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King, L. K.
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Mahmoudian, A.
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Waugh, E. J.
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Stanaitis, I.
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Gomes, M.
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Hung, V.
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show more...
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MacKay, C.
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Liew, J. W.
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Wang, Q.
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Turkiewicz, A.
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Haugen, I. K.
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Appleton, C. T.
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Lohmander, S.
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Englund, M.
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Runhaar, J.
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Neogi, T.
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Hawker, G. A.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Rheumatology and ...
- Articles in the publication
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Osteoarthritis a ...
- By the university
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Lund University