Hill Daniel, Boyd Andrew, Board Tim
Wrightington Hospital, Appley Bridge, Wigan, Lancashire, WN6 9EP, UK.
Clinical Priority Champion: Physical Activity and Lifestyle, Royal College of General Practitioners, London, UK.
Eur J Orthop Surg Traumatol. 2018 Aug;28(6):1183-1189. doi: 10.1007/s00590-018-2184-0. Epub 2018 Apr 25.
The aim of this survey was to explore general practitioners' opinions and practices regarding the management of symptomatic knee osteoarthritis in obesity.
Questionnaires were sent electronically to members of the Royal College of General Practitioners specialty interest groups: GPs with an Interest in Nutrition Group and the Physical Activity and Life Style group.
The response rate was 75% (142/190). The majority stated weight loss should be the first-line treatment. Half stated that community interventions were effective, and three quarters stated that bariatric surgery should be available to these patients. Two-thirds reported that their knowledge and training around obesity management was insufficient.
Our survey has shown a variation in the opinions and practices amongst respondents on the management of symptomatic knee osteoarthritis in obesity. Given the projected obesity epidemic, greater training and resources are required in the community setting to enable effective management. There is support for the creation of combined ortho-bariatric services.
本次调查旨在探究全科医生对肥胖患者症状性膝骨关节炎管理的看法与实践。
通过电子邮件向皇家全科医师学院专业兴趣小组的成员发送问卷：对营养感兴趣的全科医生小组以及身体活动与生活方式小组。
回复率为75%（142/190）。大多数人表示减肥应作为一线治疗方法。半数人认为社区干预有效，四分之三的人表示这些患者应可接受减肥手术。三分之二的人报告称他们在肥胖管理方面的知识和培训不足。
我们的调查显示，受访者在肥胖患者症状性膝骨关节炎管理的看法和实践上存在差异。鉴于预计的肥胖流行趋势，社区环境中需要更多培训和资源以实现有效管理。创建联合骨科-减肥服务受到支持。
