Glazier Richard H, Badley Elizabeth M, Wright James G, Coyte Peter C, Williams J Ivan, Harvey Bart, Wilkins Annette L, Hawker Gillian A
Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario, Canada.
J Rheumatol. 2003 Aug;30(8):1846-50.
To determine factors that correlate with recommendations for nonpharmacologic and pharmacologic interventions (comprehensive therapy) in community dwelling adults.
Eligible participants were >/= 55 years of age with hip and knee arthritis symptoms and disability. Comprehensive therapy was classified as a recommendation for exercise and weight loss (if required) and any pharmacotherapy.
Only one-half of participants received a recommendation for comprehensive therapy. Participants who had seen a specialist and a therapist were almost twice as likely to receive a recommendation for comprehensive therapy.
In our setting, many people with hip or knee arthritis were not receiving even minimum recommended treatment. Changes in educational and organizational policies are needed to address this situation.
确定与社区居住成年人非药物和药物干预（综合治疗）建议相关的因素。
符合条件的参与者年龄≥55岁，有髋部和膝部关节炎症状及功能障碍。综合治疗被分类为运动和减重（如有需要）及任何药物治疗的建议。
只有一半的参与者收到综合治疗的建议。看过专科医生和治疗师的参与者接受综合治疗建议的可能性几乎是其他人的两倍。
在我们的研究环境中，许多髋部或膝部关节炎患者甚至未接受最低推荐治疗。需要改变教育和组织政策来应对这种情况。
