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Titre : | Association Between Physical Therapy and Risk of Coronary Artery Disease and Dyslipidemia Among Osteoarthritis Patients: A Nationwide Database Study (2016) |
Auteurs : | Huan-Jui Yeh ; Yiing-Jenq Chou ; Nan-Ping Yang |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/1, 2016) |
Article en page(s) : | pp. 8-16 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthrose ; Comorbidité ; Dyslipidémies ; Rééducation et réadaptation |
Mots-clés: | Comorbidity ; Dyslipidemias ; Osteoarthritis ; Physical therapy modalities ; Techniques de physiothérapie |
Résumé : |
Objective To provide empirical evidence on the effect of early physical therapy (PT) within the first year of osteoarthritis (OA) diagnosis on reduction in OA-related comorbidities in patients with OA. Design Retrospective cohort study. Setting The study was conducted using a nationally representative sample of 1 million National Health Insurance enrollees. Participants Newly diagnosed patients with OA (N=13,545). One-to-one propensity score matching was used to match patients who received PT within the first year of OA diagnosis (PT group; n=3403) with an equal number of patients with OA who did not receive PT (non-PT group). Interventions Not applicable. Main Outcome Measures The 4-year cumulative risk of comorbidities including coronary artery disease (CAD), diabetes mellitus, dyslipidemia, osteoporosis, gastrointestinal tract ulcer, and renal failure was estimated. A Cox proportional hazards regression analysis was performed to identify the dose-response relation between the PT dosage and the risk of OA-related comorbidities. Results A total of 3403 patients (25.1%) received PT within the first year of OA diagnosis. The PT group had a significantly lower 4-year cumulative risk of dyslipidemia (P=.05) and a potentially lower 4-year cumulative risk of CAD (P=.09). After adjusting for other potential confounders, the Cox proportional hazards regression analysis showed that patients with OA who received a high PT dosage had a low risk of CAD and dyslipidemia. Conclusions Patients with OA who received PT had a lower risk of OA-related comorbidities such as dyslipidemia or CAD. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931501076X |