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Factors associated with fatigue in hip and/or knee osteoarthritis: a systematic review and best evidence synthesis.
Fawole, Henrietta O; Idowu, Opeyemi A; Abaraogu, Ukachukwu O; Dell'Isola, Andrea; Riskowski, Jody L; Oke, Kayode I; Adeniyi, Ade F; Mbada, Chidozie E; Steultjens, Martijn P; Chastin, Sebastien F M.
Afiliación
  • Fawole HO; Centre for Living, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
  • Idowu OA; Department of Physiotherapy, College of Medical Sciences, University of Benin, Benin-city.
  • Abaraogu UO; Department of Physiotherapy, College of Medical Sciences, University of Benin, Benin-city.
  • Dell'Isola A; Centre for Living, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
  • Riskowski JL; Department of Medical Rehabilitation, University of Nigeria, Enugu, Nigeria.
  • Oke KI; Department of Clinical Sciences, Orthopaedics, Clinical Epidemiology Unit, Faculty of Medicine, Lund University, Lund, Sweden.
  • Adeniyi AF; Centre for Living, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
  • Mbada CE; Department of Physiotherapy, College of Medical Sciences, University of Benin, Benin-city.
  • Steultjens MP; Department of Physiotherapy, University of Ibadan, Oyo State.
  • Chastin SFM; Department of Medical Rehabilitation, Obafemi Awolowo University, Osun State, Nigeria.
Rheumatol Adv Pract ; 5(1): rkab013, 2021.
Article en En | MEDLINE | ID: mdl-33928211
OBJECTIVE: The aim was systematically to identify and evaluate factors related to fatigue in individuals with hip and/or knee OA. METHODS: A systematic literature search was conducted using AMED, CINAHL, MEDLINE, ProQuest and Web of Science Core Collections databases. Inclusion criteria comprised cross-sectional, case-control or longitudinal studies on patients with a diagnosis of hip and/or knee OA that included self-reported fatigue measures. Study quality was assessed using the National Heart, Lung and Blood Institute quality appraisal tool, and factors were synthesized within a bio-behavioural framework. Study designs and quality were combined to determine current evidence levels using best evidence synthesis grading. The full review protocol is available from PROSPERO (PROSPERO 2019: CRD42019138571). RESULTS: Twenty-four studies were included, of which 19 were high, 4 moderate and 1 low quality. There was strong evidence of an association between poor self-reported physical function and high depressive symptoms with higher fatigue. Moderate evidence of an association was found between severe pain, high numbers of co-morbidities and low physical activity levels with higher fatigue. There was moderate or limited evidence of no association between most sociodemographic factors and radiographic OA severity with fatigue. CONCLUSION: Targets for fatigue management might include improving physical function, reducing depressive symptoms, pain and co-morbidities, and increasing physical activity levels. There is a need for more rigorous longitudinal studies to understand the causal effect of fatigue determinants within the hip and knee OA populations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Observational_studies / Policy_brief / Prognostic_studies / Risk_factors_studies / Systematic_reviews Aspecto: Implementation_research Idioma: En Revista: Rheumatol Adv Pract Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline / Observational_studies / Policy_brief / Prognostic_studies / Risk_factors_studies / Systematic_reviews Aspecto: Implementation_research Idioma: En Revista: Rheumatol Adv Pract Año: 2021 Tipo del documento: Article Pais de publicación: Reino Unido