AutomedicationFrancoV1, Main, Exploration, bibRecord, 000928

Getting Better or Getting Well? The Patient Acceptable Symptom State (PASS) Better Predicts Patient's Satisfaction than the Decrease of Pain, in Knee Osteoarthritis Subjects Treated with Viscosupplementation.

Identifieur interne : 000928 ( Main/Exploration ); précédent : 000927; suivant : 000929

Getting Better or Getting Well? The Patient Acceptable Symptom State (PASS) Better Predicts Patient's Satisfaction than the Decrease of Pain, in Knee Osteoarthritis Subjects Treated with Viscosupplementation.

Auteurs : Thierry Conrozier [France] ; Matthieu Monet [France] ; Anne Lohse [France] ; Raghu Raman [Royaume-Uni]

Source :

Cartilage [ 1947-6043 ] ; 2018.

RBID : pubmed:28800711

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Gonarthrose (psychologie), Gonarthrose (thérapie), Humains (MeSH), Indice de gravité de la maladie (MeSH), Injections articulaires (MeSH), Mesure de la douleur (psychologie), Mesures des résultats rapportés par les patients (MeSH), Mâle (MeSH), Résultat thérapeutique (MeSH), Satisfaction des patients (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Viscosupplémentation (psychologie), Viscosuppléments (usage thérapeutique), Évaluation des symptômes (méthodes), Évaluation des symptômes (psychologie).
MESH :
- méthodes : Évaluation des symptômes.
- psychologie : Gonarthrose, Mesure de la douleur, Viscosupplémentation, Évaluation des symptômes.
- thérapie : Gonarthrose.
- usage thérapeutique : Viscosuppléments.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice de gravité de la maladie, Injections articulaires, Mesures des résultats rapportés par les patients, Mâle, Résultat thérapeutique, Satisfaction des patients, Sujet âgé, Sujet âgé de 80 ans ou plus.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Female (MeSH), Humans (MeSH), Injections, Intra-Articular (MeSH), Male (MeSH), Middle Aged (MeSH), Osteoarthritis, Knee (psychology), Osteoarthritis, Knee (therapy), Pain Measurement (psychology), Patient Reported Outcome Measures (MeSH), Patient Satisfaction (MeSH), Severity of Illness Index (MeSH), Symptom Assessment (methods), Symptom Assessment (psychology), Treatment Outcome (MeSH), Viscosupplementation (psychology), Viscosupplements (therapeutic use).
MESH :
- chemical , therapeutic use : Viscosupplements.
- methods : Symptom Assessment.
- psychology : Osteoarthritis, Knee, Pain Measurement, Symptom Assessment, Viscosupplementation.
- therapy : Osteoarthritis, Knee.
- Adult, Aged, Aged, 80 and over, Female, Humans, Injections, Intra-Articular, Male, Middle Aged, Patient Reported Outcome Measures, Patient Satisfaction, Severity of Illness Index, Treatment Outcome.

Abstract

Background In the management of knee osteoarthritis (OA), patient-reported-outcomes (PROs) are being developed for relevant assessment of pain. The patient acceptable symptom state (PASS) is a relevant cutoff, which allows classifying patients as being in "an acceptable state" or not. Viscosupplementation is a therapeutic modality widely used in patients with knee OA that many patients are satisfied with despite meta-analyses give conflicting results. Objectives To compare, 6 months after knee viscosupplementation, the percentage of patients who reached the PASS threshold (PASS +) with that obtained from other PROs. Methods Data of 53 consecutive patients treated with viscosupplementation (HANOX-M-XL) and followed using a standardized procedure, were analyzed at baseline and month 6. The PROs were Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function, patient's global assessment of pain (PGAP), patient's self-assessment of satisfaction, PASS for WOMAC pain and PGAP. Results At baseline, WOMAC pain and PGAP (range 0-10) were 4.6 (1.1) and 6.0 (1.1). At month 6, they were 1.9 (1.2) and 3.1 (5) ( P < 0.0001). At 6 months, 83% of patients were "PASS + pain," 100% "PASS + function," 79% "PASS + PGAP," 79% were satisfied, and 73.6% experienced a ≥50% decrease in WOMAC pain. Among "PASS + pain" and "PASS + PGAP" subjects, 90% and 83.3% were satisfied with the treatment, respectively. Conclusion In daily practice, clinical response to viscosupplementation slightly varies according to PROs. "PASS + PGAP" was the most related to patient satisfaction.

DOI: 10.1177/1947603517723072
PubMed: 28800711
PubMed Central: PMC6139588

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000A72
to stream Main, to step Curation: 000A72

Le document en format XML

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<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Injections, Intra-Articular (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
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<term>Osteoarthritis, Knee (therapy)</term>
<term>Pain Measurement (psychology)</term>
<term>Patient Reported Outcome Measures (MeSH)</term>
<term>Patient Satisfaction (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Symptom Assessment (methods)</term>
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<term>Femelle (MeSH)</term>
<term>Gonarthrose (psychologie)</term>
<term>Gonarthrose (thérapie)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Injections articulaires (MeSH)</term>
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<term>Mesures des résultats rapportés par les patients (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
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<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
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<term>Viscosuppléments (usage thérapeutique)</term>
<term>Évaluation des symptômes (méthodes)</term>
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<term>Mesure de la douleur</term>
<term>Viscosupplémentation</term>
<term>Évaluation des symptômes</term>
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<term>Pain Measurement</term>
<term>Symptom Assessment</term>
<term>Viscosupplementation</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intra-Articular</term>
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<term>Patient Reported Outcome Measures</term>
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<front><div type="abstract" xml:lang="en">Background In the management of knee osteoarthritis (OA), patient-reported-outcomes (PROs) are being developed for relevant assessment of pain. The patient acceptable symptom state (PASS) is a relevant cutoff, which allows classifying patients as being in "an acceptable state" or not. Viscosupplementation is a therapeutic modality widely used in patients with knee OA that many patients are satisfied with despite meta-analyses give conflicting results. Objectives To compare, 6 months after knee viscosupplementation, the percentage of patients who reached the PASS threshold (PASS +) with that obtained from other PROs. Methods Data of 53 consecutive patients treated with viscosupplementation (HANOX-M-XL) and followed using a standardized procedure, were analyzed at baseline and month 6. The PROs were Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function, patient's global assessment of pain (PGAP), patient's self-assessment of satisfaction, PASS for WOMAC pain and PGAP. Results At baseline, WOMAC pain and PGAP (range 0-10) were 4.6 (1.1) and 6.0 (1.1). At month 6, they were 1.9 (1.2) and 3.1 (5) ( P < 0.0001). At 6 months, 83% of patients were "PASS + pain," 100% "PASS + function," 79% "PASS + PGAP," 79% were satisfied, and 73.6% experienced a ≥50% decrease in WOMAC pain. Among "PASS + pain" and "PASS + PGAP" subjects, 90% and 83.3% were satisfied with the treatment, respectively. Conclusion In daily practice, clinical response to viscosupplementation slightly varies according to PROs. "PASS + PGAP" was the most related to patient satisfaction.</div>
</front>
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<DateCompleted><Year>2019</Year>
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<Title>Cartilage</Title>
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<ArticleTitle>Getting Better or Getting Well? The Patient Acceptable Symptom State (PASS) Better Predicts Patient's Satisfaction than the Decrease of Pain, in Knee Osteoarthritis Subjects Treated with Viscosupplementation.</ArticleTitle>
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<Abstract><AbstractText>Background In the management of knee osteoarthritis (OA), patient-reported-outcomes (PROs) are being developed for relevant assessment of pain. The patient acceptable symptom state (PASS) is a relevant cutoff, which allows classifying patients as being in "an acceptable state" or not. Viscosupplementation is a therapeutic modality widely used in patients with knee OA that many patients are satisfied with despite meta-analyses give conflicting results. Objectives To compare, 6 months after knee viscosupplementation, the percentage of patients who reached the PASS threshold (PASS +) with that obtained from other PROs. Methods Data of 53 consecutive patients treated with viscosupplementation (HANOX-M-XL) and followed using a standardized procedure, were analyzed at baseline and month 6. The PROs were Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain and function, patient's global assessment of pain (PGAP), patient's self-assessment of satisfaction, PASS for WOMAC pain and PGAP. Results At baseline, WOMAC pain and PGAP (range 0-10) were 4.6 (1.1) and 6.0 (1.1). At month 6, they were 1.9 (1.2) and 3.1 (5) ( P < 0.0001). At 6 months, 83% of patients were "PASS + pain," 100% "PASS + function," 79% "PASS + PGAP," 79% were satisfied, and 73.6% experienced a ≥50% decrease in WOMAC pain. Among "PASS + pain" and "PASS + PGAP" subjects, 90% and 83.3% were satisfied with the treatment, respectively. Conclusion In daily practice, clinical response to viscosupplementation slightly varies according to PROs. "PASS + PGAP" was the most related to patient satisfaction.</AbstractText>
</Abstract>
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<ForeName>Thierry</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>1 Department of Rheumatology, Hôpital Nord Franche-Comté, Belfort, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Monet</LastName>
<ForeName>Matthieu</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>1 Department of Rheumatology, Hôpital Nord Franche-Comté, Belfort, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lohse</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>1 Department of Rheumatology, Hôpital Nord Franche-Comté, Belfort, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Raman</LastName>
<ForeName>Raghu</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>2 Academic Department of Orthopaedics, Hull and East Yorkshire NHS Trust Castle Hill Hospital, Cottingham, UK.</Affiliation>
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Getting Better or Getting Well? The Patient Acceptable Symptom State (PASS) Better Predicts Patient's Satisfaction than the Decrease of Pain, in Knee Osteoarthritis Subjects Treated with Viscosupplementation.

Getting Better or Getting Well? The Patient Acceptable Symptom State (PASS) Better Predicts Patient's Satisfaction than the Decrease of Pain, in Knee Osteoarthritis Subjects Treated with Viscosupplementation.

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