Younger age is associated with greater pain expression among patients with knee or hip osteoarthritis scheduled for a joint arthroplasty

BMC Musculoskeletal Disorders
Josefina Skogö NyvangMargareta Hedström

Abstract

This study describes how patients with knee or hip osteoarthritis (OA), scheduled for arthroplasty, characterize their pain qualitatively and quantitatively and investigates whether differences exist in pain expression between younger and older patients, and between men and women. One hundred eight patients scheduled for a joint arthroplasty completed the Knee Injury and Osteoarthritis Outcome Score (KOOS) or Hip Disability and Osteoarthritis Outcome Score (HOOS) and a health-related quality of life question. Pain was assessed using the visual analogue scale (VAS), KOOS/HOOS and the Pain-o-Meter (POM) consisting of 12 sensory and 11 affective words (POM-Words). Frequency of analgesics use was assessed and preoperative radiographs were graded. ANOVA was used to test differences in pain expression with age (< 65 vs. ≥65 years), sex, and affected joint as independent factors. Patients < 65 years of age used more affective words (POM) and words with higher affective intensity (median scores 8 (3-39), 5.5 (2-27) respectively), than older patients, despite having less radiographically advanced OA. They also reported more symptoms (KOOS/HOOS) than older patients. However, pain ratings, as measured by VAS and KOOS/HOOS pain, did not di...Continue Reading

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Citations

Jul 16, 2021·Bone & Joint Open·Stephen Gerard ZakRan Schwarzkopf
Dec 8, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Sean B SequeiraJames A Browne

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Software Mentioned

POM
Words
Pain - o - Meter ( POM )

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