Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studies
Objective: To enable person-centered care, considering beliefs, needs, and priorities of individuals with osteoarthritis (OA) is crucial. Nevertheless, concepts that they consider important are not fully recapitulated in assessment and care. The aim of this study was to clarify how individuals with...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Osteoarthritis and Cartilage Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2665913125000263 |
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| author | Sylvain Mathieu Alice Courties Céline Mathy Serge Perrot Françoise Alliot Launois Stanislas Moumbe Nathan Foulquier Jérémie Sellam Rinie Geenen |
| author_facet | Sylvain Mathieu Alice Courties Céline Mathy Serge Perrot Françoise Alliot Launois Stanislas Moumbe Nathan Foulquier Jérémie Sellam Rinie Geenen |
| author_sort | Sylvain Mathieu |
| collection | DOAJ |
| description | Objective: To enable person-centered care, considering beliefs, needs, and priorities of individuals with osteoarthritis (OA) is crucial. Nevertheless, concepts that they consider important are not fully recapitulated in assessment and care. The aim of this study was to clarify how individuals with OA conceive, experience, and manage their OA and pain. Design: A systematic literature review was conducted including qualitative studies (interviews, focus groups, open questionnaires) regardless of OA joint location. Verbatim quotations relating to OA and OA-related pain were collected and merged in codes. Themes and categories relating to these codes were defined. Results: The seven databases yielded a total of 9585 studies of which 79 qualitative studies were selected. Analysis of 667 verbatim quotations of 2009 participants led to 117 codes and 24 themes. Themes were grouped into 2 categories, ‘features’ and ‘management’. ‘Features’ encompassed experiences ranging from common challenges (e.g., adjust to reduced function) to high impact outcomes needing therapeutic attention (e.g., devastating pain). The ‘management’ category captured positive and negative conceptions associated with pharmacological and cognitive-behavioral self-management, psychoeducation, and interventions. Themes from both categories were classified into four domains: symptoms, functioning, psychological, and social. A fifth domain ‘disease’ was also used to categorize the themes under ‘features’. Conclusions: Several themes reported by OA individuals are hardly represented in current assessment and recommendations, e.g., fatigue, sleep disturbance, psychosocial impact, and effects on family and caregivers. The reviewed beliefs, needs, and priorities may support individualized screening, complement existing assessment instruments, and can help refine interventions and psychoeducational materials. |
| format | Article |
| id | doaj-art-a47f14f4642d4afbbedd0e0dfd77e000 |
| institution | Kabale University |
| issn | 2665-9131 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Osteoarthritis and Cartilage Open |
| spelling | doaj-art-a47f14f4642d4afbbedd0e0dfd77e0002025-08-20T03:47:41ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-06-017210059010.1016/j.ocarto.2025.100590Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studiesSylvain Mathieu0Alice Courties1Céline Mathy2Serge Perrot3Françoise Alliot Launois4Stanislas Moumbe5Nathan Foulquier6Jérémie Sellam7Rinie Geenen8Department of Rheumatology, Hôpital Gabriel Montpied, 63000 Clermont-Ferrand, France; Insrm U-1107, NeuroDol, Clermont-Ferrand, France; Corresponding author. Department of Rheumatology, Hôpital Gabriel Montpied, 58 rue Montalembert, 63000 Clermont-Ferrand, France.Department of Rheumatology, Saint-Antoine Hospital, Assistance Publique – Hôpitaux de Paris (AP-HP), Sorbonne Université, Centre de Recherche Saint-Antoine, Inserm UMRS_938, 75012 Paris, FranceThe Osteoarthritis Foundation, Boncelles, BelgiumPain Center, Inserm U987, Hôpital Cochin, University of Paris Cité, Paris, FranceAssociation Française de Lutte Antirhumatismale (AFLAR), Paris, FrancePatient Research Partner, Department of Rheumatology, Saint-Antoine Hospital, Assistance Publique – Hôpitaux de Paris (AP-HP), Sorbonne Université, Centre de Recherche, FranceLBAI, UMR1227, Univ Brest, Inserm, 9 Rue Felix Le Dantec, Brest, 29200, FranceDepartment of Rheumatology, Saint-Antoine Hospital, Assistance Publique – Hôpitaux de Paris (AP-HP), Sorbonne Université, Centre de Recherche Saint-Antoine, Inserm UMRS_938, 75012 Paris, FranceDepartment of Psychology, Utrecht University, Heidelberglaan 1, 3584 CS Utrecht, the NetherlandsObjective: To enable person-centered care, considering beliefs, needs, and priorities of individuals with osteoarthritis (OA) is crucial. Nevertheless, concepts that they consider important are not fully recapitulated in assessment and care. The aim of this study was to clarify how individuals with OA conceive, experience, and manage their OA and pain. Design: A systematic literature review was conducted including qualitative studies (interviews, focus groups, open questionnaires) regardless of OA joint location. Verbatim quotations relating to OA and OA-related pain were collected and merged in codes. Themes and categories relating to these codes were defined. Results: The seven databases yielded a total of 9585 studies of which 79 qualitative studies were selected. Analysis of 667 verbatim quotations of 2009 participants led to 117 codes and 24 themes. Themes were grouped into 2 categories, ‘features’ and ‘management’. ‘Features’ encompassed experiences ranging from common challenges (e.g., adjust to reduced function) to high impact outcomes needing therapeutic attention (e.g., devastating pain). The ‘management’ category captured positive and negative conceptions associated with pharmacological and cognitive-behavioral self-management, psychoeducation, and interventions. Themes from both categories were classified into four domains: symptoms, functioning, psychological, and social. A fifth domain ‘disease’ was also used to categorize the themes under ‘features’. Conclusions: Several themes reported by OA individuals are hardly represented in current assessment and recommendations, e.g., fatigue, sleep disturbance, psychosocial impact, and effects on family and caregivers. The reviewed beliefs, needs, and priorities may support individualized screening, complement existing assessment instruments, and can help refine interventions and psychoeducational materials.http://www.sciencedirect.com/science/article/pii/S2665913125000263OsteoarthritisPainPatient-centered careQualitative research |
| spellingShingle | Sylvain Mathieu Alice Courties Céline Mathy Serge Perrot Françoise Alliot Launois Stanislas Moumbe Nathan Foulquier Jérémie Sellam Rinie Geenen Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studies Osteoarthritis and Cartilage Open Osteoarthritis Pain Patient-centered care Qualitative research |
| title | Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studies |
| title_full | Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studies |
| title_fullStr | Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studies |
| title_full_unstemmed | Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studies |
| title_short | Features and management of osteoarthritis from the perspective of individuals with osteoarthritis: A systematic review of qualitative studies |
| title_sort | features and management of osteoarthritis from the perspective of individuals with osteoarthritis a systematic review of qualitative studies |
| topic | Osteoarthritis Pain Patient-centered care Qualitative research |
| url | http://www.sciencedirect.com/science/article/pii/S2665913125000263 |
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