Julien Lecorney1, Frank Verhoeven2, Mickaël Chouk1, Xavier Guillot2, Clément Prati2, Daniel Wendling3. 1. Service de rhumatologie, CHRU de Besançon, 2, boulevard Fleming, 25030 Besançon, France. 2. Service de rhumatologie, CHRU de Besançon, 2, boulevard Fleming, 25030 Besançon, France; EA 4267, "PEPITE", FHU INCREASE, université de Franche-Comté, 25030 Besançon, France. 3. Service de rhumatologie, CHRU de Besançon, 2, boulevard Fleming, 25030 Besançon, France; EA 4266 "Agents Pathogènes et Inflammation", université de Franche-Comté, 25030 Besançon, France. Electronic address: dwendling@chu-besancon.fr.
Abstract
OBJECTIVE: Catastrophizing is known to be associated with lower analgesia and results in total knee arthroplasty justifying its evaluation. The aim of this study is to evaluate the correlation between the functional status and the catastrophizing in patients with knee osteoarthritis. METHODS: We included patients consulting for knee osteoarthritis one of the three general practitioners participating in the study or a rheumatologist at University Hospital of Besançon. We excluded those with surgical indication. For each patient we registered the epidemiological data, the radiographic stage, the Lequesne index and the Pain Catastrophizing Score (PCS). The correlation between the different scores was assessed with a Spearman test. RESULTS: Hundred patients were included, 50 patients consulting a general practitioner and 50 consulting a rheumatologist, between November 2015 and April 2016. There were mainly women (57%) with a mean age of 64.8±1.17 years old. The mean radiographic stage was 2.66±0.11 on the Kellgren and Lawrence scale. The Mean PCS was 12.98±1.18 and the mean Lequesne index was 10.46±0.47. Patients seen by rheumatologists had a more important PCS score than those seen by general practitioners, although these patients had statistically equivalent radiographic scale and Lequesne index. There was a weak correlation (r=0.3, P=0.006) between the Lequesne index and the radiographic scale but no correlation between the PCS and the radiographic scale. However, the correlation between the PCS and the Lequesne index was moderate (r=0.47; P<0.0001). CONCLUSION: Psychological factors like catastrophizing correlated with Lequesne index.
OBJECTIVE: Catastrophizing is known to be associated with lower analgesia and results in total knee arthroplasty justifying its evaluation. The aim of this study is to evaluate the correlation between the functional status and the catastrophizing in patients with knee osteoarthritis. METHODS: We included patients consulting for knee osteoarthritis one of the three general practitioners participating in the study or a rheumatologist at University Hospital of Besançon. We excluded those with surgical indication. For each patient we registered the epidemiological data, the radiographic stage, the Lequesne index and the Pain Catastrophizing Score (PCS). The correlation between the different scores was assessed with a Spearman test. RESULTS: Hundred patients were included, 50 patients consulting a general practitioner and 50 consulting a rheumatologist, between November 2015 and April 2016. There were mainly women (57%) with a mean age of 64.8±1.17 years old. The mean radiographic stage was 2.66±0.11 on the Kellgren and Lawrence scale. The Mean PCS was 12.98±1.18 and the mean Lequesne index was 10.46±0.47. Patients seen by rheumatologists had a more important PCS score than those seen by general practitioners, although these patients had statistically equivalent radiographic scale and Lequesne index. There was a weak correlation (r=0.3, P=0.006) between the Lequesne index and the radiographic scale but no correlation between the PCS and the radiographic scale. However, the correlation between the PCS and the Lequesne index was moderate (r=0.47; P<0.0001). CONCLUSION: Psychological factors like catastrophizing correlated with Lequesne index.
Authors: Jean-Lon Chen; Wei-Jen Cheng; Chih-Chi Chen; Shu-Chun Huang; Carl P C Chen; Areerat Suputtitada Journal: Biomed Res Int Date: 2022-05-09 Impact factor: 3.246
Authors: Asimina Lazaridou; Marc O Martel; Marise Cornelius; Olivia Franceschelli; Claudia Campbell; Michael Smith; Jennifer A Haythornthwaite; John R Wright; Robert R Edwards Journal: Pain Med Date: 2019-05-01 Impact factor: 3.750
Authors: Shao Yin; Fengya Zhu; Zhao Li; Deya Che; Liuying Li; Jie Feng; Lu Zhang; Zhenyi Huo Journal: Front Physiol Date: 2022-02-03 Impact factor: 4.566