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Osteoarthritis: Patient Expectations about Future Pain, Stiffness and Function.

Marie-Rose Dwek1, Hayley McBain1,2, Sophie Cleanthous3

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Osteoarthritis patients generally expect future symptom improvement, but predictors for these positive expectations differ for short-term and long-term outlooks. Further research is needed to identify factors influencing patient expectations for better condition management.

Keywords:
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Area of Science:

  • Rheumatology
  • Clinical Psychology
  • Health Outcomes Research

Background:

  • Osteoarthritis (OA) significantly impacts patients' quality of life, affecting pain, stiffness, and physical function.
  • Understanding patient expectations is crucial for effective OA management and treatment adherence.

Purpose of the Study:

  • To compare current OA symptom reports with future expectations (1 and 5 years).
  • To identify predictors of positive expectations regarding pain, stiffness, and physical function in OA patients.

Main Methods:

  • Eighty OA patients completed the Western Ontario and McMaster Osteoarthritis Index (WOMAC) for current and expected future symptoms.
  • Baseline assessments included illness perceptions, coping styles, quality of life, and psychological factors.
  • Statistical analyses involved intra-class correlations, paired t-tests, and univariate/multivariate logistic regressions.

Main Results:

  • Most patients reported positive expectations for future OA symptoms.
  • Predictors for one- and five-year expectations showed some variation.
  • Current health status significantly influenced five-year expectations but not one-year expectations.

Conclusions:

  • Positive expectations are common among OA patients, but their predictors vary over time.
  • Further investigation into factors driving positive expectations is essential for optimizing OA management strategies.