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Daily functioning and health status in patients with hand osteoarthritis: Fewer differences between women and men than expected

Alltagsfunktionen und Gesundheitszustand von PatientInnen mit Fingerpolyarthrose: Weniger Unterschiede zwischen Frauen und Männern als erwartet

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Zusammenfassung

STUDIENZIEL: Mögliche Unterschiede zwischen Frauen und Männern mit Fingerpolyarthrose hinsichtlich Alltagsfunktionen, Gesundheitszustand und sozioökonomischen Variablen zu untersuchen und zu beschreiben. METHODE: PatientInnen einer Rheumatologischen Ambulanz in Österreich, die die ACR Kriterien für Fingerpolyarthrose erfüllten, wurden nacheinander unselektiert in die Studie eingeschlossen und einmal untersucht. Deskriptive statistische Verfahren und Sub-Gruppen-Analysen wurden durchgeführt um mögliche Unterschiede zwischen Frauen und Männern zu beschreiben. Mittels Regressionsanalyse wurde untersucht, inwieweit die Variablen Geschlecht, Sport betreiben, manuelle Aktivitäten verrichten, Ästhetischen Veränderungen und Alltagsfunktion die Ergebnismessgrößen Schmerz und Vitalität/Lebensfreude vorhersagen können. RESULTATE: 223 (88,1%) Frauen und 30 (11,9%) Männer wurden in die Studie eingeschlossen. Signifikante Unterschiede zwischen Frauen und Männern konnten nur in Verrichtung von Hausarbeit, bei der Selbsteinschätzung von ästhetischen Veränderungen, sowie dem eigenen Netto-Einkommen gezeigt werden. Die Variable Geschlecht leistete zu keinem Regressionsmodell einen signifikanten Beitrag, während z.B. Sport betreiben unabhängig vom Geschlecht ein signifikanten Faktor für die Variable Selbsteinschätzung von Vitalität/Lebensfreude war. Bei der Beurteilung der Röntgenbilder wurden im bei allen Gelenken zusammen, sowie auch nur bei den CMCI-Gelenken keine Unterschiede zwischen Frauen und Männern gefunden. ZUSAMMENFASSUNG: In unserer Studie wurden signifikante Unterschiede zwischen Frauen und Männern mit Fingerpolyarthrose – entgegen unseren Erwartungen – nur bei sozioökonomischen Variablen festgestellt, aber nicht bei Alltagsfunktionen oder Gesundheitszustand.

Summary

OBJECTIVE: To explore and describe potential differences between women and men in functioning, health status and socio-economic variables in hand OA. METHODS: Unselected patients of an Austrian outpatient clinic meeting the ACR criteria for hand OA were consecutively included and assessed once. Descriptive statistics and subgroup analyses were performed for differences between women and men. By regression analysis, we explored whether the variables sex, practice of sports, manual activities, aesthetic changes and functioning in daily life predict the levels of pain and vitality. RESULTS: 223 (88.1%) women and 30 (11.9%) men were included in the study. Significant differences between women and men were found in involvement in housework, aesthetic changes and own net income. Sex did not contribute significantly to any of the regression models, while e.g. involvement in sports was a strong individual contributor to self-reported vitality – irrespective of sex. Total X-ray scores of both hands as well as the involvement of CMCI joints did not show significant differences. CONCLUSION: Our study showed significant differences between women and men with hand OA in socio-economic variables and aesthetic changes. In contrast to our expectations, no other differences between women and men were found in functioning and health status.

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Authors and Affiliations

  1. Division of Rheumatology, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria

    Tanja A. Stamm, Klaus Machold, Stefanie Haider, Michaela Ernst, Alexa Binder & Josef Smolen

  2. Division of Occupational Therapy, Department of Health, University of Applied Sciences, FH Campus Wien, Vienna, Austria

    Tanja A. Stamm & Stefanie Haider

  3. Department of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany

    Enijad Sahinbegovic, Toma Dallos & Jochen Zwerina

  4. 2nd Department of Paediatrics, Comenius University in Bratislava, Bratislava, Slovakia

    Toma Dallos

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  1. Tanja A. Stamm
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  2. Klaus Machold
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  3. Enijad Sahinbegovic
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  4. Stefanie Haider
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  6. Alexa Binder
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  9. Josef Smolen
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Correspondence to Tanja A. Stamm.

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Stamm, T., Machold, K., Sahinbegovic, E. et al. Daily functioning and health status in patients with hand osteoarthritis: Fewer differences between women and men than expected. Wien Klin Wochenschr 123, 603–606 (2011). https://doi.org/10.1007/s00508-011-1597-0

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  • DOI: https://doi.org/10.1007/s00508-011-1597-0

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