Content analysis of diagnosis and treatment of osteoarthritis in general media in Spain

  • Pedro Alfonso Domínguez Vera Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, España; Departamento de Educación Física y Deporte, Facultad de Educación, Universidad de Sevilla, España
  • Luis Carrasco Páez Departamento de Educación Física y Deporte, Facultad de Educación, Universidad de Sevilla, España
Keywords: osteoarthritis, treatment, recommendations, diagnosis, health communication, press

Abstract

Introduction: Osteoarthritis (OA) is one of the leading causes of disability and has a significant socioeconomic impact on public healthcare. Given the chronic nature of OA and the lack of effective treatments, patients often seek information from the media. Objectives: To describe and evaluate the quality of information on the diagnosis and treatment of OA published in Spanish generalist media, as well as to know the type of information source consulted for the publications evaluated. Methodology: A search was conducted in five Spanish generalist newspapers (El País, El Mundo, La Vanguardia, 20minutos, and ABC) from 2018 to 2022, including their digital versions. A comparative analysis of the quality of recommendations was carried out using the clinical guideline of the National Institute for Health and Care Excellence (NICE). Results: A total of 67 articles were included. 94.1% of the articles that defined OA did so exclusively in terms of the etiology of joint cartilage degeneration. The most frequent treatment recommendation (47.6%) was pharmacological treatment. 52.2% of the sources used were based on specialist healthcare professionals. Conclusion: The analysis of articles published in the press revealed a prevailing trend of presenting an outdated, mechanistic definition of OA focused on cartilage wear. The recommendations presented a low level of agreement with scientific evidence.

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References

Alyami, A. H., Alswat, M. M., Omer, I. A., Ahmed, M. E. H., Alshammari, S. H., Alsaggaf, K. W., Amoudi, J. H., y Aljafari, D. A. (2020). General population knowledge about osteoarthritis and its related risk factors in Jeddah Saudi Arabia. Saudi Medical Journal, 41(5), 516–523. https://doi.org/10.15537/smj.2020.5.25061

Attur, M. G., Dave, M., Akamatsu, M., Katoh, M., y Amin, A. R. (2002). Osteoarthritis or osteoarthrosis: the definition of inflammation becomes a semantic issue in the genomic era of molecular medicine. Osteoarthritis and Cartilage, 10(1), 1–4. https://doi.org/10.1053/joca.2001.0488

Bannuru, R. R., Osani, M. C., Vaysbrot, E. E., Arden, N. K., Bennell, K., Bierma-Zeinstra, S. M. A., Kraus, V. B., Lohmander, L. S., Abbott, J. H., Bhandari, M., Blanco, F. J., Espinosa, R., Haugen, I. K., Lin, J., Mandl, L. A., Moilanen, E., Nakamura, N., Snyder-Mackler, L., Trojian, T., Underwood, M., … McAlindon, T. E. (2019). OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis and Cartilage, 27(11), 1578–1589. https://doi.org/10.1016/j.joca.2019.06.011

Bernal-Delgado, E., Garcia-Armesto, S., Oliva, J., Sanchez Martinez, F. I., Repullo, J. R., Pena-Longobardo, L. M., Ridao-Lopez, M., y Hernandez-Quevedo, C. (2018). Spain: Health System Review. Health Systems in Transition, 20(2), 1–179. https://eurohealthobservatory.who.int/

Blanco, F. J., Silva-Díaz, M., Quevedo Vila, V., Seoane-Mato, D., Pérez Ruiz, F., Juan-Mas, A., Pego-Reigosa, J. M., Narváez, J., Quilis, N., Cortés, R., Romero Pérez, A., Fábregas Canales, D., Font Gayá, T., Bordoy Ferrer, C., Sánchez-Piedra, C., Díaz-González, F., Bustabad-Reyes, S., y EPISER2016 Project Working Group (2021). Prevalence of symptomatic osteoarthritis in Spain: EPISER2016 study. Reumatología clínica, 17(8), 461–470. https://doi.org/10.1016/j.reumae.2020.01.005

Brophy, R. H., y Fillingham, Y. A. (2022). AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty), Third Edition. The Journal of the American Academy of Orthopaedic Surgeons, 30(9), e721–e729. https://doi.org/10.5435/JAAOS-D-21-01233

Cagnin, A., Choinière, M., Bureau, N. J., Durand, M., Mezghani, N., Gaudreault, N., y Hagemeister, N. (2020). A multi-arm cluster randomized clinical trial of the use of knee kinesiography in the management of osteoarthritis patients in a primary care setting. Postgraduate Medicine, 132(1), 91–101. https://doi.org/10.1080/00325481.2019.166545753

Catalán-Matamoros, D. (2015). Periodismo en salud: análisis de los públicos, formatos y efectos. Panacea, 16(42), 217–224. https://dialnet.unirioja.es/servlet/articulo?codigo=5350801

Chen, D., Shen, J., Zhao, W., Wang, T., Han, L., Hamilton, J. L., y Im, H. J. (2017). Osteoarthritis: toward a comprehensive understanding of pathological mechanism. Bone Research, 5, 16044. https://doi.org/10.1038/boneres.2016.44

Chu, I. J. H., Lim, A. Y. T., y Ng, C. L. W. (2018). Effects of meaningful weight loss beyond symptomatic relief in adults with knee osteoarthritis and obesity: a systematic review and meta-analysis. Obesity Reviews, 19(11), 1597–1607. https://doi.org/10.1111/obr.12726

da Costa, B. R., Reichenbach, S., Keller, N., Nartey, L., Wandel, S., Jüni, P., y Trelle, S. (2017). Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: a network meta-analysis. The Lancet, 390(10090), e21–e33. https://doi.org/10.1016/S0140-6736(17)31744-0

Dobson, G. P., Letson, H. L., Grant, A., McEwen, P., Hazratwala, K., Wilkinson, M., y Morris, J. L. (2018). Defining the osteoarthritis patient: back to the future. Osteoarthritis and Cartilage, 26(8), 1003–1007. https://doi.org/10.1016/j.joca.2018.04.018

Esculier, J. F., Besomi, M., Silva, D. O., Passigli, S., Rathleff, M. S., Van Middelkoop, M., Barton, C., Callaghan, M. J., Harkey, M. S., Hoens, A. M., Krowchuk, N. M., Teoli, A., Vicenzino, B., Willy, R. W., y Hunt, M. A. (2022). Do the General Public and Health Care Professionals Think That Running Is Bad for the Knees? A Cross-sectional International Multilanguage Online Survey. Orthopaedic Journal of Sports Medicine, 10(9), 23259671221124141. https://doi.org/10.1177/23259671221124141

Fan, B., Liu, S., Pei, G., Wu, Y., y Zhu, L. (2021). Why Do You Trust News? The Event-Related Potential Evidence of Media Channel and News Type. Frontiers in Psychology, 12, 663485. https://doi.org/10.3389/fpsyg.2021.663485

García Hernández, M. (2021). La prevención y el tratamiento del dolor de espalda en la prensa generalista española. Revista Española de Comunicación en Salud, 12(1), 19-42. https://doi.org/10.20318/recs.2021.5592

Goff, A. J., De Oliveira Silva, D., Merolli, M., Bell, E. C., Crossley, K. M., y Barton, C. J. (2021). Patient education improves pain and function in people with knee osteoarthritis with better effects when combined with exercise therapy: a systematic review. Journal of Physiotherapy, 67(3), 177–189. https://doi.org/10.1016/j.jphys.2021.06.011

Hart D. A. (2022). Osteoarthritis as an Umbrella Term for Different Subsets of Humans Undergoing Joint Degeneration: The Need to Address the Differences to Develop Effective Conservative Treatments and Prevention Strategies. International Journal of Molecular Sciences, 23(23), 15365. https://doi.org/10.3390/ijms232315365

Hunter, D. J., y Bierma-Zeinstra, S. (2019). Osteoarthritis. The Lancet, 393(10182), 1745–1759. https://doi.org/10.1016/S0140-6736(19)30417-9

Jellison, S. S., Bibens, M., Checketts, J., y Vassar, M. (2018). Using Google Trends to assess global public interest in osteoarthritis. Rheumatology International, 38(11), 2133–2136. https://doi.org/10.1007/s00296-018-4158-2

Johnson, V. A., y Hunter, D. J. (2014). The epidemiology of osteoarthritis. Best Practice & Research: Clinical Rheumatology, 28(1), 5–15. https://doi.org/10.1016/j.berh.2014.01.004

Kean, W. F., Kean, R., y Buchanan, W. W. (2004). Osteoarthritis: symptoms, signs and source of pain. Inflammopharmacology, 12(1), 3–31. https://doi.org/10.1163/156856004773121347

Kloppenburg, M., Kroon, F. P., Blanco, F. J., Doherty, M., Dziedzic, K. S., Greibrokk, E., Haugen, I. K., Herrero-Beaumont, G., Jonsson, H., Kjeken, I., Maheu, E., Ramonda, R., Ritt, M. J., Smeets, W., Smolen, J. S., Stamm, T. A., Szekanecz, Z., Wittoek, R., y Carmona, L. (2019). 2018 update of the EULAR recommendations for the management of hand osteoarthritis. Annals of the Rheumatic Diseases, 78(1), 16–24. https://doi.org/10.1136/annrheumdis-2018-213826

Kraus, V. B., Blanco, F. J., Englund, M., Karsdal, M. A., y Lohmander, L. S. (2015). Call for standardized definitions of osteoarthritis and risk stratification for clinical trials and clinical use. Osteoarthritis and Cartilage, 23(8), 1233–1241. https://doi.org/10.1016/j.joca.2015.03.036

Lee, W. S., Kim, H. J., Kim, K. I., Kim, G. B., y Jin, W. (2019). Intra-Articular Injection of Autologous Adipose Tissue-Derived Mesenchymal Stem Cells for the Treatment of Knee Osteoarthritis: A Phase IIb, Randomized, Placebo-Controlled Clinical Trial. Stem Cells Translational Medicine, 8(6), 504–511. https://doi.org/10.1002/sctm.18-0122

Leifer, V. P., Katz, J. N., y Losina, E. (2022). The burden of OA-health services and economics. Osteoarthritis and Cartilage, 30(1), 10–16. https://doi.org/10.1016/j.joca.2021.05.007

Lim, Y. Z., Wong, J., Hussain, S. M., Estee, M. M., Zolio, L., Page, M. J., Harrison, C. L., Wluka, A. E., Wang, Y., y Cicuttini, F. M. (2022). Recommendations for weight management in osteoarthritis: A systematic review of clinical practice guidelines. Osteoarthritis and Cartilage Open, 4(4), 100298. https://doi.org/10.1016/j.ocarto.2022.100298

Loeser, R. F., Goldring, S. R., Scanzello, C. R., y Goldring, M. B. (2012). Osteoarthritis: a disease of the joint as an organ. Arthritis and Rheumatism, 64(6), 1697–1707. https://doi.org/10.1002/art.34453

Man, G. S., y Mologhianu, G. (2014). Osteoarthritis pathogenesis - a complex process that involves the entire joint. Journal of medicine and life, 7(1), 37–41.

Ministerio de Sanidad, Consumo y Bienestar Social. Plan para la Protección de la Salud frente a las Pseudoterapias (2018). https://www.lamoncloa.gob.es/serviciosdeprensa/notasprensa/sanidad/Documents/141118PlanProtecci%C3%B3n_pseudoterapias.pdf

Motta, F., Barone, E., Sica, A., y Selmi, C. (2022). Inflammaging and Osteoarthritis. Clinical reviews in allergy & immunology, 10.1007/s12016-022-08941-1. Advance online publication. https://doi.org/10.1007/s12016-022-08941-1

National Institute for Health and Care Excellence (NICE). (2022, October 19). Osteoarthritis in over 16s: diagnosis and management. NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK588843/

Nelson, A. E., Allen, K. D., Golightly, Y. M., Goode, A. P., y Jordan, J. M. (2014). A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative. Seminars in Arthritis and Rheumatism, 43(6), 701–712. https://doi.org/10.1016/j.semarthrit.2013.11.012

Oh, S. L., Kim, D. Y., Bae, J. H., y Lim, J. Y. (2021). Effects of rural community-based integrated exercise and health education programs on the mobility function of older adults with knee osteoarthritis. Aging Clinical and Experimental Research, 33(11), 3005–3014. https://doi.org/10.1007/s40520-020-01474-7

Prodromidis, A. D., Charalambous, C. P., Moran, E., Venkatesh, R., y Pandit, H. (2022). The role of Platelet-Rich Plasma (PRP) intraarticular injections in restoring articular cartilage of osteoarthritic knees. A systematic review and meta-analysis. Osteoarthritis and Cartilage Open, 4(4), 100318. https://doi.org/10.1016/j.ocarto.2022.100318

Rasmussen S. (2018). NSAIDs are superior to paracetamol for osteoarthritic pain and function in a network meta-analysis. BMJ Evidence-Based Medicine, 23(1), 40–41. https://doi.org/10.1136/ebmed-2017-110878

Roemer, F. W., Guermazi, A., Demehri, S., Wirth, W., y Kijowski, R. (2022). Imaging in Osteoarthritis. Osteoarthritis and Cartilage, 30(7), 913–934. https://doi.org/10.1016/j.joca.2021.04.01855

Sakellariou, G., Conaghan, P. G., Zhang, W., Bijlsma, J. W. J., Boyesen, P., D’Agostino, M. A., Doherty, M., Fodor, D., Kloppenburg, M., Miese, F., Naredo, E., Porcheret, M., y Iagnocco, A. (2017). EULAR recommendations for the use of imaging in the clinical management of peripheral joint osteoarthritis. Annals of the Rheumatic Diseases, 76(9), 1484–1494. https://doi.org/10.1136/annrheumdis-2016-210815

Salmon, J. H., Rat, A. C., Sellam, J., Michel, M., Eschard, J. P., Guillemin, F., Jolly, D., y Fautrel, B. (2016). Economic impact of lower-limb osteoarthritis worldwide: a systematic review of cost-of-illness studies. Osteoarthritis and Cartilage, 24(9), 1500–1508. https://doi.org/10.1016/j.joca.2016.03.012

Sampath, S. J. P., Venkatesan, V., Ghosh, S., y Kotikalapudi, N. (2023). Obesity, Metabolic Syndrome, and Osteoarthritis—An Updated Review. Current Obesity Reports, 12(3), 308-331. https://doi.org/10.1007/s13679-023-00520-5

Schmitz, C., Alt, C., Pearce, D. A., Furia, J. P., Maffulli, N., y Alt, E. U. (2022). Methodological Flaws in Meta-Analyses of Clinical Studies on the Management of Knee Osteoarthritis with Stem Cells: A Systematic Review. Cells, 11(6), 965. https://doi.org/10.3390/cells11060965

Sconza, C., Respizzi, S., Virelli, L., Vandenbulcke, F., Iacono, F., Kon, E., y Di Matteo, B. (2020). Oxygen-Ozone Therapy for the Treatment of Knee Osteoarthritis: A Systematic Review of Randomized Controlled Trials. Arthroscopy, 36(1), 277–286. https://doi.org/10.1016/j.arthro.2019.05.043

Suarez-Lledo, V., y Alvarez-Galvez, J. (2021). Prevalence of Health Misinformation on Social Media: Systematic Review. Journal of Medical Internet Research, 23(1), e17187. https://doi.org/10.2196/17187

Sun, A. R., Panchal, S. K., Friis, T., Sekar, S., Crawford, R., Brown, L., Xiao, Y., y Prasadam, I. (2017). Obesity-associated metabolic syndrome spontaneously induces infiltration of pro-inflammatory macrophage in synovium and promotes osteoarthritis. PLOS ONE, 12(8), e0183693. https://doi.org/10.1371/journal.pone.0183693

Tanchev, P. (2017). Osteoarthritis or Osteoarthrosis: Commentary on Misuse of Terms. Reconstructive Review, 7(1). https://doi.org/10.15438/rr.7.1.178

Thijssen, E., van Caam, A., y van der Kraan, P. M. (2015). Obesity and osteoarthritis, more than just wear and tear: pivotal roles for inflamed adipose tissue and dyslipidaemia in obesity-induced osteoarthritis. Rheumatology, 54(4), 588–600. https://doi.org/10.1093/rheumatology/keu464

Underwood M. R. (2004). Community management of knee pain in older people: is knee pain the new back pain?. Rheumatology (Oxford, England), 43(1), 2–3. https://doi.org/10.1093/rheumatology/keg439

Wandel, S., Jüni, P., Tendal, B., Nüesch, E., Villiger, P. M., Welton, N. J., Reichenbach, S., y Trelle, S. (2010). Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analysis. BMJ, 341, c4675. https://doi.org/10.1136/bmj.c4675

Welsch, P., Petzke, F., Klose, P., y Häuser, W. (2020). Opioids for chronic osteoarthritis pain: An updated systematic review and meta-analysis of efficacy, tolerability and safety in randomized placebo-controlled studies of at least 4 weeks double-blind duration. European Journal of Pain, 24(4), 685–703. https://doi.org/10.1002/ejp.1522

Wood, G., Neilson, J., Cottrell, E., y Hoole, S. P. (2023). Osteoarthritis in people over 16: diagnosis and management—updated summary of NICE guidance. BMJ, p24. https://doi.org/10.1136/bmj.p24

Wylde, V., Beswick, A., Bruce, J., Blom, A., Howells, N., y Gooberman-Hill, R. (2018). Chronic pain after total knee arthroplasty. EFORT Open Reviews, 3(8), 461–470. https://doi.org/10.1302/2058-5241.3.180004

Zeng, J., Franklin, D. K., Das, A., y Hirani, V. (2023). The effects of dietary patterns and food groups on symptomatic osteoarthritis: A systematic review. Nutrition & Dietetics, 80(1), 21–43. https://doi.org/10.1111/1747-0080.12781

Published
2024-11-27
How to Cite
Domínguez Vera, P. A., & Carrasco Páez, L. (2024). Content analysis of diagnosis and treatment of osteoarthritis in general media in Spain. Revista Española De Comunicación En Salud , 15(2), 40-55. https://doi.org/10.20318/recs.2024.8170
Section
Originals