This is a brief version of the full publication which is observing a 5 year Cohort Study – the outline is below & full published document can be found in our “Published Documents Section”
STUDY NOTES BELOW
The physical examination assessed:
The figures show groups with different types of pain trajectories:
The mildest trajectory group (group A) was set as the reference group. Compared with this group, participants with a higher BMI, lower level of education, greater comorbidity, higher WOMAC physical function score, and knee joint space tenderness had increased risks for pain trajectories characterised by greater pain.
For patients with moderate, severe, or progressing pain, it seems justifiable to maintain a proactive management plan and offer re-assessments of pain and function limitations after at least 1 year. In that way, GPs can better assess which pain trajectory the patient is most likely to follow and can act accordingly — by promoting weight loss, prescribing pain medication, or referring patients for specialist treatment.
REF: Bastick et al. Defining knee pain trajectories in early symptomatic knee osteoarthritis in primary care: 5-year results from a nationwide prospective cohort study (CHECK). British Journal of General Practice, Online First 2015