Rheumatology Medical News about Osteoarthritis, Disability, Function

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Measurement of change in function and disability in osteoarthritis: Current approaches and future challenges
Current Opinion in Rheumatology, 08/17/09

Jordan KP et al. – Review concludes that measuring functional change is rightly recognized as critically important in osteoarthritis (OA) research. Key challenges that remain include capturing wider elements of disability such as ability to participate in everyday life, and in better capturing the longer, episodic nature of disability in osteoarthritis.

Methods

An assessment of the current approaches in using objective and self-report measures to determine change in function and disability in OA and to identify key future challenges

Results

New approaches to measuring function continue to evolve
However, trials and observational studies typically adopt conventional self-report instruments of physical function as their primary outcome
A range of objective measures are also used, but needs greater standardization
There have been some moves towards measuring participation in areas of life such as social activities and work
Approaches to take more account of areas of function and extent of change perceived by the patient to be important are increasing but are not standardized
Follow-up of participants has tended to be short and infrequent

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