The views expressed in this paper are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.
Health-related quality of life and health service use among older adults with osteoarthritis†
Article first published online: 3 JUN 2004
Copyright © 2004 by the American College of Rheumatology
Arthritis Care & Research
Volume 51, Issue 3, pages 326–331, 15 June 2004
How to Cite
Dominick, K. L., Ahern, F. M., Gold, C. H. and Heller, D. A. (2004), Health-related quality of life and health service use among older adults with osteoarthritis. Arthritis & Rheumatism, 51: 326–331. doi: 10.1002/art.20390
- Issue published online: 3 JUN 2004
- Article first published online: 3 JUN 2004
- Manuscript Accepted: 4 JUL 2003
- Manuscript Received: 26 JAN 2002
- Centers for Disease Control and Prevention and Association of Teachers of Preventive Medicine. Grant Number: TS213
- Department of Veterans Affairs, Veterans Health Administration, HSR&D Service
- Older adults;
- Health services research;
To examine the relationship between health-related quality of life (HRQOL) and health service use among older adults with osteoarthritis (OA).
Subjects were 9,043 Medicare-enrolled survey respondents with a prior International Classification of Diseases, Ninth Revision code for OA. Analyses examined the relationship of 5 Centers for Disease Control and Prevention HRQOL items (general health, mental health, pain, activity limitation, and sleep) to physician visits, prescription analgesic or antiinflammatory use, and arthroplasty during 1 year of followup.
In analyses controlling for demographic and health-related variables, greater pain frequency was associated with increased odds of visiting a physician, using analgesic or antiinflammatory drugs, and having arthroplasty (P < 0.001). Poorer general health was associated with increased odds of analgesic or antiinflammatory use but decreased odds of arthroplasty (P < 0.01). More days of activity limitation and poor mental health were associated with decreased odds of analgesic or antiinflammatory use (P < 0.01).
These HRQOL variables, especially pain frequency, can be valuable tools for estimating future health care use among older adults with OA.