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Psychological distress and health-related quality of life in patients with bone marrow edema syndrome.
Ann Transl Med 2019; 7(20):552AT

Abstract

Background

The aim of the study was to investigate psychological distress and health-related quality of life (HrQoL) in patients with bone marrow edema syndrome (BMES) of the hip or knee joint.

Methods

This retrospective study included patients with the diagnosis BMES treated in the period 2016-2017. As well as analyzing the epidemiological data (age, sex, vascular disease, hypertension, etc.), we used the Hospital Anxiety and Depression Scale (HADS) to document anxiety and depression and the five-level version of the EuroQol Group's EQ-5D instrument (EQ-5D-5L) to assess HrQoL and compared it to historical controls of the healthy population.

Results

The study group comprised 56 patients (26 females, 30 males) with a mean age of 55.8 (range, 15-84) years. HADS: there was no difference between the study and control cohorts in the rates of anxiety (P=0.595) or depression (P=0.241). EQ-5D-5L: the HrQoL was significantly lower in the patients with BMES than in the healthy controls both for parameters of the EQ-5D-5L index and in the various age groups. No difference in HrQoL was seen between BMES of the hip and the knee or among the different radiological stages of BMES.

Conclusions

The patients with BMES displayed a clear reduction in HrQoL, but this was not associated with psychological distress with regard to significant anxiety and depression. Patients with BMES and a high score for anxiety and depression are at great risk of chronic pain, and we recommend they should receive psychological counseling.

Authors+Show Affiliations

Orthopaedic Department of the Waldkliniken Eisenberg, Orthopaedic Professorship of the University Hospital Jena, Eisenberg, Germany.Orthopaedic Department of the Waldkliniken Eisenberg, Orthopaedic Professorship of the University Hospital Jena, Eisenberg, Germany.Orthopaedic Department of the Waldkliniken Eisenberg, Orthopaedic Professorship of the University Hospital Jena, Eisenberg, Germany.Orthopaedic Department of the Waldkliniken Eisenberg, Orthopaedic Professorship of the University Hospital Jena, Eisenberg, Germany. Orthopaedic Department, Helios Klinik Blankenhain, Blankenhain, Germany.Orthopaedic Department of the Waldkliniken Eisenberg, Orthopaedic Professorship of the University Hospital Jena, Eisenberg, Germany.Orthopaedic Department of the Waldkliniken Eisenberg, Orthopaedic Professorship of the University Hospital Jena, Eisenberg, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31807533

Citation

Zippelius, Timo, et al. "Psychological Distress and Health-related Quality of Life in Patients With Bone Marrow Edema Syndrome." Annals of Translational Medicine, vol. 7, no. 20, 2019, p. 552.
Zippelius T, Matziolis G, Röhner E, et al. Psychological distress and health-related quality of life in patients with bone marrow edema syndrome. Ann Transl Med. 2019;7(20):552.
Zippelius, T., Matziolis, G., Röhner, E., Windisch, C., Lindemann, C., & Strube, P. (2019). Psychological distress and health-related quality of life in patients with bone marrow edema syndrome. Annals of Translational Medicine, 7(20), p. 552. doi:10.21037/atm.2019.09.115.
Zippelius T, et al. Psychological Distress and Health-related Quality of Life in Patients With Bone Marrow Edema Syndrome. Ann Transl Med. 2019;7(20):552. PubMed PMID: 31807533.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychological distress and health-related quality of life in patients with bone marrow edema syndrome. AU - Zippelius,Timo, AU - Matziolis,Georg, AU - Röhner,Eric, AU - Windisch,Christoph, AU - Lindemann,Chris, AU - Strube,Patrick, PY - 2019/12/7/entrez PY - 2019/12/7/pubmed PY - 2019/12/7/medline KW - Anxiety and depression KW - bone marrow edema syndrome (BMES) KW - health-related quality of life (HrQoL) KW - psychological distress SP - 552 EP - 552 JF - Annals of translational medicine JO - Ann Transl Med VL - 7 IS - 20 N2 - Background: The aim of the study was to investigate psychological distress and health-related quality of life (HrQoL) in patients with bone marrow edema syndrome (BMES) of the hip or knee joint. Methods: This retrospective study included patients with the diagnosis BMES treated in the period 2016-2017. As well as analyzing the epidemiological data (age, sex, vascular disease, hypertension, etc.), we used the Hospital Anxiety and Depression Scale (HADS) to document anxiety and depression and the five-level version of the EuroQol Group's EQ-5D instrument (EQ-5D-5L) to assess HrQoL and compared it to historical controls of the healthy population. Results: The study group comprised 56 patients (26 females, 30 males) with a mean age of 55.8 (range, 15-84) years. HADS: there was no difference between the study and control cohorts in the rates of anxiety (P=0.595) or depression (P=0.241). EQ-5D-5L: the HrQoL was significantly lower in the patients with BMES than in the healthy controls both for parameters of the EQ-5D-5L index and in the various age groups. No difference in HrQoL was seen between BMES of the hip and the knee or among the different radiological stages of BMES. Conclusions: The patients with BMES displayed a clear reduction in HrQoL, but this was not associated with psychological distress with regard to significant anxiety and depression. Patients with BMES and a high score for anxiety and depression are at great risk of chronic pain, and we recommend they should receive psychological counseling. SN - 2305-5839 UR - https://www.unboundmedicine.com/medline/citation/31807533/Psychological_distress_and_health-related_quality_of_life_in_patients_with_bone_marrow_edema_syndrome L2 - https://doi.org/10.21037/atm.2019.09.115 DB - PRIME DP - Unbound Medicine ER -