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, 26:154 | Cite as

Beloop van functionele status en pijn bij artrose van heup of knie; een literatuuroverzicht

  • G. M. van Dijk
  • C. Veenhof
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  • 119 Downloads

Samenvatting

Er is een systematische review uitgevoerd naar studies die het beloop van functioneren bij patiënten met artrose van de heup of knie beschrijven en mogelijk prognostische factoren identificeren. Hiervoor zijn studies met patiënten met heup- of knieartrose, een follow-up van langer dan zes maanden en uitkomstmaten op het gebied van functionele status en pijn geïncludeerd. Methodologische kwaliteit is bepaald aan de hand van een gestandaardiseerde lijst met elf criteria. Vervolgens is een kwalitatieve data-analyse uitgevoerd. Uiteindelijk zijn achttien studies geïncludeerd, waarvan er vier voldeden aan de criteria voor hoge kwaliteit. Geconcludeerd kan worden, dat pijn en functionele status in heup- en knieartrose langzaam lijken te verslechteren met beperkt bewijs voor verslechtering na drie jaar follow-up. Er werd beperkt bewijs gevonden voor beschermende factoren en risicofactoren. Prognostische factoren bestaan uit biomechanische factoren, psychologische factoren, klinische factoren en behandelingskenmerken. Om het bewijs te versterken is echter meer longitudinaal onderzoek nodig van hoge kwaliteit, dat zich richt op de prognose van functioneren in heup- of knieartrose.

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Copyright information

© Bohn Stafleu van Loghum 2007

Authors and Affiliations

  • G. M. van Dijk
    • 1
  • C. Veenhof
    • 1
  1. 1.

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