2005, Number 3
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Arch Med Fam 2005; 7 (3)
Osteoarthritis Management in Family Practice and Orthopedia
Pavía-Mota E, Larios-González MG, Briceño-Cortés G
Language: Spanish
References: 25
Page: 93-98
PDF size: 122.72 Kb.
ABSTRACT
Objectives. Our aim was to know osteoarthritis prevalence at the out-patient orthopedics consulting room at
the ISSSTE hospital in Irapuato, Guanajuato, Mexico.
Design. Our study design was retrospective and
cross-sectional.
Materials and Methods. Out-patient external orthopedics consulting room records from July
to December 2004 were reviewed, analyzing the prevalence of osteoarthritis and the real needs of these
patients.
Results: A total of 14.8% of all patients at the Orthopedic Service presented osteoarthritis; 73%
were females, and 27%, males. According to joint pain, the most frequent was knee joint with 57.6%. The
majority of the patients were 50–59 years of age. Cost of medical care at the specialist out-patient clinic
doubles that of the family out-patient clinic. A total of 3.5% of the entire population required a surgical
procedure.
Conclusions: Control and care for the patient with osteoarthritis must be performed by the Family Materials and Methods. Out-patient external orthopedics consulting room records from July
to December 2004 were reviewed, analyzing the prevalence of osteoarthritis and the real needs of these
patients.
Results: A total of 14.8% of all patients at the Orthopedic Service presented osteoarthritis; 73%
were females, and 27%, males. According to joint pain, the most frequent was knee joint with 57.6%. The
majority of the patients were 50–59 years of age. Cost of medical care at the specialist out-patient clinic
doubles that of the family out-patient clinic. A total of 3.5% of the entire population required a surgical
procedure.
Conclusions: Control and care for the patient with osteoarthritis must be performed by the Family Physician. Medical education in Mexico and Institutional Medicine lacks this approach. Out-patient treatment
by orthopedists includes conservative therapy, increased waiting time, a tigh agenda, and a deficient quality
of attention.
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