Reference : Aesthetic discomfort in hand osteoarthritis: results from the LIège Hand Osteoarthrit...
Scientific journals : Article
Human health sciences : General & internal medicine
http://hdl.handle.net/2268/189710
Aesthetic discomfort in hand osteoarthritis: results from the LIège Hand Osteoarthritis Cohort (LIHOC)
English
Neuprez, Audrey [Université de Liège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé >]
Bruyère, Olivier mailto [Université de Liège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé >]
MAHEU, E. []
Dardenne, Nadia mailto [Université de Liège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé >]
Burlet, N. []
D'HOOGHE, P. []
DISTECHE, Stephan [Centre Hospitalier Universitaire de Liège - CHU > > Médecine de l'appareil locomoteur >]
Reginster, Jean-Yves mailto [Université de Liège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé >]
2015
Arthritis Research and Therapy
BioMed Central
17
346
Yes (verified by ORBi)
International
1478-6354
1478-6362
London
United Kingdom
[en] hand osteoarthritis ; erosive ; aesthetic discomfort ; quality of life
[en] Introduction: The primary complaint of patients with hand osteoarthritis (OA) is frequently the inelegant
appearance of their hands. Only one study has been conducted to assess the magnitude of and identify the
determinants of aesthetic discomfort in hand OA.
Methods: The LIège Hand Osteoarthritis Cohort is a prospective cohort of 203 patients diagnosed with hand OA.
At baseline, these patients rated their aesthetic discomfort on a 100-mm visual analogue scale (VAS) and used a
Likert scale (range 0–7) to quantify the magnitude of their aesthetic damage.
Results: The median value of the aesthetic discomfort VAS was 35.0 [interquartile range (Q1–Q3) 6.0–59.0]. The
median damage was rated 3.0 (Q1–Q3 1.0–4.0), corresponding to a moderate level. Both were significantly
(p < 0.02) associated with the female gender, the duration of hand OA, the radiological severity of OA
(Verbruggen–Veys and Kellgren–Lawrence scales) and pain, disability, or stiffness [Australian Canadian Osteoarthritis
Hand Index (AUSCAN) and Functional Index for Hand Osteoarthritis ]. After a stepwise analysis, the parameters
correlated to the aesthetic discomfort were the presence of erosive joints (p = 0.0048), the AUSCAN score (p < 0.0001),
the number of joints with severe radiological damage (p = 0.023), and gender (p = 0.0009). For aesthetic damage, the
parameters associated were AUSCAN score (p < 0.0001), duration of hand OA >10 years (p = 0.001), and presence of
erosive joints (p < 0.0001). Compared with patients with low aesthetic discomfort (VAS ≤33 mm), those with the
highest discomfort (VAS ≥66 mm) had more erosive OA (p = 0.014), a higher Verbruggen and Veys score (p = 0.0039),
and a higher AUSCAN score (p < 0.001).
Conclusions: Aesthetic discomfort and damage are significant complaints in patients with hand OA. The determinants
of the magnitude of these are gender, radiological severity, duration of hand OA, presence of erosive joints, and impact
on pain, function, and stiffness as assessed with the AUSCAN.
http://hdl.handle.net/2268/189710
10.1186/s13075-015-0807-y

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