Prevalence of self-reported knee symptoms and management strategies among elderly individuals from Frederiksberg municipality

Protocol for a prospective and pragmatic Danish cohort study

Elisabeth Marie Ginnerup-Nielsen, Marius Henriksen, Robin Christensen, Berit Lilienthal Heitmann, Roy Altman, Lyn March, Anthony Woolf, Hanne Karlsen, Henning Bliddal*

*Corresponding author for this work

Research output: Contribution to journalJournal articleCommunication

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Abstract

Introduction The Global Burden of Disease 2010 study ranked osteoarthritis (OA) as a leading cause of years lived with disability. With an ageing population, increasing body weight and sedentary lifestyle, a substantial increase especially in knee OA (KOA) is expected. Management strategies for KOA include non-pharmacological, pharmacological and surgical interventions. Meanwhile, over-the-counter pain medications have been discredited as they are associated with several risks with long-term usage. By consequence, the use of exercise and all sorts of complementary and alternative medicine (CAM) for joint pain has increased. The available self-management strategies are plenty, but there is no overview of their use at a population level and whether they are used along with doctors' prescriptions or replace these. The aim of this study is to estimate the population incidence of developing knee symptoms and analyse the association between (and impact of) the use of self-reported preventive measures and knee symptoms. Methods and analysis This prospective cohort study pragmatically recruits individuals from the municipality of Frederiksberg, Denmark. All citizens aged 60-69 years old will be contacted annually for 10 years and asked to participate in a web-based survey. The major outcomes are self-reported knee symptoms and their association with use of various management strategies, including use of non-pharmacological treatments and CAM. Secondary outcomes include the influence of treatments on use of healthcare system and surgical procedures. Descriptive and analytic statistics (eg, logistic regression) will be used to provide summaries about the sample and observations made and the associations between self-management and development of knee symptoms. Ethics and dissemination This study can be implemented without permission from the Health Research Ethics Committee. Permission has been obtained from the Danish Data Protection Agency. Study findings will be disseminated in peer-reviewed journals and presented at relevant conferences. Trial registration number NCT03472300.

Original languageEnglish
Article numbere028087
JournalBMJ Open
Volume9
Issue number9
Number of pages7
ISSN2044-6055
DOIs
Publication statusPublished - 1. Sep 2019

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Knee
Cohort Studies
Population
Sedentary Lifestyle
Computer Security
Knee Osteoarthritis
Research Ethics Committees
Denmark
Ethics
Prescriptions
Logistic Models
Prospective Studies
Exercise
Delivery of Health Care
Incidence
Health

Keywords

  • chronic pain
  • complementary therapies
  • knee
  • osteoarthritis
  • surveys and questionnaires

Cite this

Ginnerup-Nielsen, Elisabeth Marie ; Henriksen, Marius ; Christensen, Robin ; Heitmann, Berit Lilienthal ; Altman, Roy ; March, Lyn ; Woolf, Anthony ; Karlsen, Hanne ; Bliddal, Henning. / Prevalence of self-reported knee symptoms and management strategies among elderly individuals from Frederiksberg municipality : Protocol for a prospective and pragmatic Danish cohort study. In: BMJ Open. 2019 ; Vol. 9, No. 9.
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abstract = "Introduction The Global Burden of Disease 2010 study ranked osteoarthritis (OA) as a leading cause of years lived with disability. With an ageing population, increasing body weight and sedentary lifestyle, a substantial increase especially in knee OA (KOA) is expected. Management strategies for KOA include non-pharmacological, pharmacological and surgical interventions. Meanwhile, over-the-counter pain medications have been discredited as they are associated with several risks with long-term usage. By consequence, the use of exercise and all sorts of complementary and alternative medicine (CAM) for joint pain has increased. The available self-management strategies are plenty, but there is no overview of their use at a population level and whether they are used along with doctors' prescriptions or replace these. The aim of this study is to estimate the population incidence of developing knee symptoms and analyse the association between (and impact of) the use of self-reported preventive measures and knee symptoms. Methods and analysis This prospective cohort study pragmatically recruits individuals from the municipality of Frederiksberg, Denmark. All citizens aged 60-69 years old will be contacted annually for 10 years and asked to participate in a web-based survey. The major outcomes are self-reported knee symptoms and their association with use of various management strategies, including use of non-pharmacological treatments and CAM. Secondary outcomes include the influence of treatments on use of healthcare system and surgical procedures. Descriptive and analytic statistics (eg, logistic regression) will be used to provide summaries about the sample and observations made and the associations between self-management and development of knee symptoms. Ethics and dissemination This study can be implemented without permission from the Health Research Ethics Committee. Permission has been obtained from the Danish Data Protection Agency. Study findings will be disseminated in peer-reviewed journals and presented at relevant conferences. Trial registration number NCT03472300.",
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Prevalence of self-reported knee symptoms and management strategies among elderly individuals from Frederiksberg municipality : Protocol for a prospective and pragmatic Danish cohort study. / Ginnerup-Nielsen, Elisabeth Marie; Henriksen, Marius; Christensen, Robin; Heitmann, Berit Lilienthal; Altman, Roy; March, Lyn; Woolf, Anthony; Karlsen, Hanne; Bliddal, Henning.

In: BMJ Open, Vol. 9, No. 9, e028087, 01.09.2019.

Research output: Contribution to journalJournal articleCommunication

TY - JOUR

T1 - Prevalence of self-reported knee symptoms and management strategies among elderly individuals from Frederiksberg municipality

T2 - Protocol for a prospective and pragmatic Danish cohort study

AU - Ginnerup-Nielsen, Elisabeth Marie

AU - Henriksen, Marius

AU - Christensen, Robin

AU - Heitmann, Berit Lilienthal

AU - Altman, Roy

AU - March, Lyn

AU - Woolf, Anthony

AU - Karlsen, Hanne

AU - Bliddal, Henning

PY - 2019/9/1

Y1 - 2019/9/1

N2 - Introduction The Global Burden of Disease 2010 study ranked osteoarthritis (OA) as a leading cause of years lived with disability. With an ageing population, increasing body weight and sedentary lifestyle, a substantial increase especially in knee OA (KOA) is expected. Management strategies for KOA include non-pharmacological, pharmacological and surgical interventions. Meanwhile, over-the-counter pain medications have been discredited as they are associated with several risks with long-term usage. By consequence, the use of exercise and all sorts of complementary and alternative medicine (CAM) for joint pain has increased. The available self-management strategies are plenty, but there is no overview of their use at a population level and whether they are used along with doctors' prescriptions or replace these. The aim of this study is to estimate the population incidence of developing knee symptoms and analyse the association between (and impact of) the use of self-reported preventive measures and knee symptoms. Methods and analysis This prospective cohort study pragmatically recruits individuals from the municipality of Frederiksberg, Denmark. All citizens aged 60-69 years old will be contacted annually for 10 years and asked to participate in a web-based survey. The major outcomes are self-reported knee symptoms and their association with use of various management strategies, including use of non-pharmacological treatments and CAM. Secondary outcomes include the influence of treatments on use of healthcare system and surgical procedures. Descriptive and analytic statistics (eg, logistic regression) will be used to provide summaries about the sample and observations made and the associations between self-management and development of knee symptoms. Ethics and dissemination This study can be implemented without permission from the Health Research Ethics Committee. Permission has been obtained from the Danish Data Protection Agency. Study findings will be disseminated in peer-reviewed journals and presented at relevant conferences. Trial registration number NCT03472300.

AB - Introduction The Global Burden of Disease 2010 study ranked osteoarthritis (OA) as a leading cause of years lived with disability. With an ageing population, increasing body weight and sedentary lifestyle, a substantial increase especially in knee OA (KOA) is expected. Management strategies for KOA include non-pharmacological, pharmacological and surgical interventions. Meanwhile, over-the-counter pain medications have been discredited as they are associated with several risks with long-term usage. By consequence, the use of exercise and all sorts of complementary and alternative medicine (CAM) for joint pain has increased. The available self-management strategies are plenty, but there is no overview of their use at a population level and whether they are used along with doctors' prescriptions or replace these. The aim of this study is to estimate the population incidence of developing knee symptoms and analyse the association between (and impact of) the use of self-reported preventive measures and knee symptoms. Methods and analysis This prospective cohort study pragmatically recruits individuals from the municipality of Frederiksberg, Denmark. All citizens aged 60-69 years old will be contacted annually for 10 years and asked to participate in a web-based survey. The major outcomes are self-reported knee symptoms and their association with use of various management strategies, including use of non-pharmacological treatments and CAM. Secondary outcomes include the influence of treatments on use of healthcare system and surgical procedures. Descriptive and analytic statistics (eg, logistic regression) will be used to provide summaries about the sample and observations made and the associations between self-management and development of knee symptoms. Ethics and dissemination This study can be implemented without permission from the Health Research Ethics Committee. Permission has been obtained from the Danish Data Protection Agency. Study findings will be disseminated in peer-reviewed journals and presented at relevant conferences. Trial registration number NCT03472300.

KW - chronic pain

KW - complementary therapies

KW - knee

KW - osteoarthritis

KW - surveys and questionnaires

U2 - 10.1136/bmjopen-2018-028087

DO - 10.1136/bmjopen-2018-028087

M3 - Journal article

VL - 9

JO - B M J Open

JF - B M J Open

SN - 2044-6055

IS - 9

M1 - e028087

ER -