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The impact of waiting time for orthopaedic consultation on pain levels in individuals with osteoarthritis: a systematic review and meta-analysis.
Patten, R K; Tacey, A; Bourke, M; Smith, C; Pascoe, M; Vogrin, S; Parker, A; McKenna, M J; Tran, P; De Gori, M; Said, C M; Apostolopoulos, V; Lane, R; Woessner, M N; Levinger, I.
Afiliación
  • Patten RK; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Rhiannon.patten@vu.edu.au.
  • Tacey A; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Alexander.tacey@vu.edu.au.
  • Bourke M; Institute for Health and Sport, Victoria University, Melbourne, Australia; School of Occupational Therapy, Faculty of Health Sciences, Western University, London, Canada. Electronic address: mbourke5@uwo.ca.
  • Smith C; Institute for Health and Sport, Victoria University, Melbourne, Australia; School of Medical and Health Sciences, Edith Cowan University, Perth, Australia; Australian Institute for Musculoskeletal Science (AIMSS), Victoria University, University of Melbourne and Western Health, Melbourne, Australia.
  • Pascoe M; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Michaela.pascoe@vu.edu.au.
  • Vogrin S; Department of Medicine, The University of Melbourne, Victoria, Australia; Australian Institute for Musculoskeletal Science (AIMSS), Victoria University, University of Melbourne and Western Health, Melbourne, Australia. Electronic address: Sara.vogrin@unimelb.edu.au.
  • Parker A; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Alex.parker@vu.edu.au.
  • McKenna MJ; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Michael.mckenna@vu.edu.au.
  • Tran P; Institute for Health and Sport, Victoria University, Melbourne, Australia; Australian Institute for Musculoskeletal Science (AIMSS), Victoria University, University of Melbourne and Western Health, Melbourne, Australia; Department of Orthopaedic Surgery, Western Health, Melbourne, Australia. Electro
  • De Gori M; Physiotherapy, Western Health, Melbourne, Australia. Electronic address: Mary.DeGori@wh.org.au.
  • Said CM; Australian Institute for Musculoskeletal Science (AIMSS), Victoria University, University of Melbourne and Western Health, Melbourne, Australia; Physiotherapy, Western Health, Melbourne, Australia; Physiotherapy, Melbourne School of Health Sciences, University of Melbourne, Melbourne, Australia. Ele
  • Apostolopoulos V; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Vasso.apostolopoulos@vu.edu.au.
  • Lane R; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Rebecca.lane@vu.edu.au.
  • Woessner MN; Institute for Health and Sport, Victoria University, Melbourne, Australia. Electronic address: Mary.woessner@vu.edu.au.
  • Levinger I; Institute for Health and Sport, Victoria University, Melbourne, Australia; Australian Institute for Musculoskeletal Science (AIMSS), Victoria University, University of Melbourne and Western Health, Melbourne, Australia. Electronic address: Itamar.levinger@vu.edu.au.
Osteoarthritis Cartilage ; 30(12): 1561-1574, 2022 12.
Article en En | MEDLINE | ID: mdl-35961505
OBJECTIVE: Time spent waiting for access to orthopaedic specialist health services has been suggested to result in increased pain in individuals with osteoarthritis (OA). We assessed whether time spent on an orthopaedic waiting list resulted in a detrimental effect on pain levels in patients with knee or hip OA. METHODS: We searched Ovid MEDLINE, EMBASE and EBSCOhost databases from inception until September 2021. Eligible articles included individuals with OA on an orthopaedic waitlist and not receiving active treatment, and reported pain measures at two or more time points. Random-effects meta-analysis was used to estimate the pooled effect of waiting time on pain levels. Meta-regression was used to determine predictors of effect size. RESULTS: Thirty-three articles were included (n = 2,490 participants, 67 ± 3 years and 62% female). The range of waiting time was 2 weeks to 2 years (20.8 ± 18.8 weeks). There was no significant change in pain over time (effect size = 0.082, 95% CI = -0.009, 0.172), nor was the length of time associated with longitudinal changes in pain over time (ß = 0.004, 95% CI = -0.005, 0.012). Body mass index was a significant predictor of pain (ß = -0.043, 95% CI = -0.079, 0.006), whereas age and sex were not. CONCLUSIONS: Pain remained stable for up to 1 year in patients with OA on an orthopaedic waitlist. Future research is required to understand whether pain increases in patients waiting longer than 1 year.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ortopedia / Osteoartritis de la Cadera / Osteoartritis de la Rodilla Tipo de estudio: Etiology_studies / Systematic_reviews Límite: Female / Humans / Male Idioma: En Revista: Osteoarthritis Cartilage Asunto de la revista: ORTOPEDIA / REUMATOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ortopedia / Osteoartritis de la Cadera / Osteoartritis de la Rodilla Tipo de estudio: Etiology_studies / Systematic_reviews Límite: Female / Humans / Male Idioma: En Revista: Osteoarthritis Cartilage Asunto de la revista: ORTOPEDIA / REUMATOLOGIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido