Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study

Background: Physical therapy (PT) is recommended as first-line management for osteoarthritis (OA). The purpose of this study was to assess the PT use among adults with OA and those without (Non-OA) and subsequently identify associated factors among these populations. Methods: This cross-sectional st...

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Autores principales:	Kim Elisa Sussmann, Hannes Jacobs, Falk Hoffmann
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	osteoarthritis physical therapy associated factors health services Medicine R
Acceso en línea:	https://doaj.org/article/879c9a477a2c4b6185d77b1afe7ec3cd
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spelling	oai:doaj.org-article:879c9a477a2c4b6185d77b1afe7ec3cd2021-11-25T17:45:59ZPhysical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study10.3390/healthcare91115442227-9032https://doaj.org/article/879c9a477a2c4b6185d77b1afe7ec3cd2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1544https://doaj.org/toc/2227-9032Background: Physical therapy (PT) is recommended as first-line management for osteoarthritis (OA). The purpose of this study was to assess the PT use among adults with OA and those without (Non-OA) and subsequently identify associated factors among these populations. Methods: This cross-sectional study obtained national data from the population-based German Health Update (GEDA2014/2015-EHIS) study containing 24,016 participants aged 18 years and older. Analyses were stratified by sex, age, socioeconomic status (SES), residence, smoking behavior, body mass index, pain and general health. Multivariate regression analysis was conducted to evaluate factors associated with PT use within the past 12 months. Results: PT was used more frequently in the OA population compared with the Non-OA population (35.8% vs. 18.7%). In both populations, women, participants with high SES, residence in Eastern Germany, severe pain, poor general health and non-smokers received PT more frequently. Multivariate analysis confirmed these findings, in addition to people aged 80 years and older. The influence of SES was higher among OA participants. Conclusion: The underutilization of PT in OA patients (35.8%) was particularly evident among males, people with a low SES and those being older than 60 years, which aids to develop strategies increasing PT use towards guideline-oriented OA management.Kim Elisa SussmannHannes JacobsFalk HoffmannMDPI AGarticleosteoarthritisphysical therapyassociated factorshealth servicesMedicineRENHealthcare, Vol 9, Iss 1544, p 1544 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	osteoarthritis physical therapy associated factors health services Medicine R
spellingShingle	osteoarthritis physical therapy associated factors health services Medicine R Kim Elisa Sussmann Hannes Jacobs Falk Hoffmann Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study
description	Background: Physical therapy (PT) is recommended as first-line management for osteoarthritis (OA). The purpose of this study was to assess the PT use among adults with OA and those without (Non-OA) and subsequently identify associated factors among these populations. Methods: This cross-sectional study obtained national data from the population-based German Health Update (GEDA2014/2015-EHIS) study containing 24,016 participants aged 18 years and older. Analyses were stratified by sex, age, socioeconomic status (SES), residence, smoking behavior, body mass index, pain and general health. Multivariate regression analysis was conducted to evaluate factors associated with PT use within the past 12 months. Results: PT was used more frequently in the OA population compared with the Non-OA population (35.8% vs. 18.7%). In both populations, women, participants with high SES, residence in Eastern Germany, severe pain, poor general health and non-smokers received PT more frequently. Multivariate analysis confirmed these findings, in addition to people aged 80 years and older. The influence of SES was higher among OA participants. Conclusion: The underutilization of PT in OA patients (35.8%) was particularly evident among males, people with a low SES and those being older than 60 years, which aids to develop strategies increasing PT use towards guideline-oriented OA management.
format	article
author	Kim Elisa Sussmann Hannes Jacobs Falk Hoffmann
author_facet	Kim Elisa Sussmann Hannes Jacobs Falk Hoffmann
author_sort	Kim Elisa Sussmann
title	Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study
title_short	Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study
title_full	Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study
title_fullStr	Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study
title_full_unstemmed	Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study
title_sort	physical therapy use and associated factors in adults with and without osteoarthritis—an analysis of the population-based german health update study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/879c9a477a2c4b6185d77b1afe7ec3cd
work_keys_str_mv	AT kimelisasussmann physicaltherapyuseandassociatedfactorsinadultswithandwithoutosteoarthritisananalysisofthepopulationbasedgermanhealthupdatestudy AT hannesjacobs physicaltherapyuseandassociatedfactorsinadultswithandwithoutosteoarthritisananalysisofthepopulationbasedgermanhealthupdatestudy AT falkhoffmann physicaltherapyuseandassociatedfactorsinadultswithandwithoutosteoarthritisananalysisofthepopulationbasedgermanhealthupdatestudy
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Physical Therapy Use and Associated Factors in Adults with and without Osteoarthritis—An Analysis of the Population-Based German Health Update Study

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