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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
Full text How to cite this article

Language: Spanish
References: 25
Page: 93-98
PDF size: 122.72 Kb.


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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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Arch Med Fam. 2005;7