Pain Management in Knee Osteoarthritis: Insights from an Exploratory Online Survey of Italian Patients and Physicians.

Bibliographic Details
Title: Pain Management in Knee Osteoarthritis: Insights from an Exploratory Online Survey of Italian Patients and Physicians.
Authors: Iolascon, Giovanni, Migliore, Alberto, Beretta, Giovanna, Bernetti, Andrea, Bortolotti, Roberto, Celano, Antonella, Giarratano, Antonino, Marinangeli, Franco, Momoli, Alberto, Sebastiani, Gian Domenico, Tomasini, Andrea, Tonolo, Silvia, Madotto, Fabiana, Di Martino, Alberto, Natoli, Silvia
Source: Healthcare (2227-9032); Oct2024, Vol. 12 Issue 20, p2077, 16p
Subject Terms: KNEE osteoarthritis, SCALE analysis (Psychology), QUALITATIVE research, DISEASE duration, RESEARCH funding, QUESTIONNAIRES, SAMPLE size (Statistics), PHYSICIANS' attitudes, DESCRIPTIVE statistics, SURVEYS, ITALIANS, PAIN management, RESEARCH, PATIENT satisfaction, SOCIODEMOGRAPHIC factors, DATA analysis software, PATIENTS' attitudes, COMORBIDITY
Geographic Terms: ITALY
Abstract: Background: In Italy, knee osteoarthritis (KOA) accounts for over 5 million prevalent cases and requires long-term multidisciplinary management. The most frequent KOA symptom is pain. The aim of the survey is to provide a national overview of the current management of moderate-to-severe pain associated with KOA from both clinicians' and patients' perspectives. Methods: An exploratory qualitative survey was conducted in Italy between July and October 2023. The survey participants were members of four national scientific societies and two patient associations who were invited to participate via email and given an online questionnaire. Questions included a mix of single and multiple responses and scalar items. Results: In total, 1473 clinicians and 150 patients with KOA completed the questionnaire. Patients rated knee pain as both the most burdensome symptom and the most frequent reason for treatment dissatisfaction and seeking consultation. One in two patients declared that they were unsatisfied/little satisfied with the current prescribed analgesic treatments. The clinicians surveyed preferentially prescribed intra-articular hyaluronic acid, oral non-steroidal anti-inflammatory drugs/paracetamol, non-pharmacological intervention, and intra-articular corticosteroids. The clinicians' selection of analgesic therapy often failed to adequately meet patients' expectations for pain relief. Conclusions: Our findings highlight the current unmet needs of patients with KOA in Italy and call for new approaches to effectively optimize the management of KOA-associated pain. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
More Details
ISSN:22279032
DOI:10.3390/healthcare12202077
Published in:Healthcare (2227-9032)
Language:English