Gewählte Publikation:
Kaltenbach, A.
Cardiovascular Risk Factors and Osteoarthritis
Humanmedizin; [ Diplomarbeit/Master Thesis ] Medical University of Graz; 2010. pp.102.
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
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Glehr Mathias
-
Leithner Andreas
- Altmetrics:
- Abstract:
- Background: Joint disorders and cardiovascular risk factors are among the most
common medical conditions in our society. The aim of the study was to identify
whether those entities are related to each other. Furthermore, it was investigated
in which way these patients are supported by their general practitioner.
Additionally, it was analyzed whether psychological comorbidities come along with
joint disorders.
Material and Methods: This study was a part of the multicentered European
Practice Assessment (EPA) of cardiovascular risk management. Several tools
were used in order to evaluate cardiovascular risk factors. In total, 38 Austrian
general practitioners recruited 1118 patients who were divided into 3 groups
according to their cardiovascular risk profile. The general practitioner filled in a
questionnaire concerning important medical data on the patient. The
cardiovascular risk was calculated on the basis of the SCORE risk chart
established by the European Society of Cardiology. In addition to the EPA tools,
Austrian patients were asked to complete the Oxford Knee and Hip Score
questionnaires in order to evaluate their functional joint status. Statistical
evaluation was performed using correlation and regression analyses.
Results: Only half of the general practitioners (GP) had documented in their
charts that their patients suffered from pain to their knee or hip in the past four
weeks. Patients with a higher GP consultation frequency had a lower risk of a
cardiovascular event. There were significant differences in age, gender, BMI and
functional joint status between the three cardiovascular risk groups. BMI is a good
predictor for the knee function. There were no significant correlations between joint
disorders and cardiovascular risk as well as lifestyle factors. Still, there was a
significant correlation between joint disorders and depression.
Conclusions: The data showed that communication between GP and patient
could be improved. GPs provide suitable medical care for cardiovascular risk
patients. It could not be proven that joint disorders could also result in a higher
cardiovascular risk profile. Further research on this subject needs to be conducted.