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Table 2 Uptake of the NICE recommended treatments in the past 12 months, overall and stratified by age groups

From: Uptake of the NICE osteoarthritis guidelines in primary care: a survey of older adults with joint pain

 

Total (n = 4059)

45-54y n (%)

55-64y n (%)

65-74y n (%)

≥75y

n (%)

n

% (95% CI)

Core treatments

***Written informationa

934

23.0 (21.7,24.3)

190 (24.7)

298 (26.2)

267 (21.8)

179 (19.3)

**Muscle strengthening exercises

532

13.1 (12.1,14.1)

113 (14.7)

172 (15.1)

150 (12.2)

97 (10.5)

*Aerobic fitness exercise

154

3.8 (3.2,4.4)

36 (4.7)

44 (3.9)

55 (4.5)

19 (2.0)

 Dieting to lose weightb

261

9.4 (8.3,10.5)

37 (7.1)

90 (10.9)

99 (11.4)

35 (6.4)

1st and 2nd line pharmacological treatment

***Paracetamol

1270

31.3 (29.9,32.7)

149 (19.4)

283 (24.9)

395 (32.2)

443 (47.7)

***Anti-inflammatory creams/gels e.g. topical NSAIDs

1055

26.0 (24.7,27.4)

150 (19.5)

243 (21.4)

341 (27.8)

321 (34.6)

*Capsaicin cream

66

1.6 (1.2,2.0)

4 (0.5)

22 (1.9)

21 (1.7)

19 (2.0)

***Anti-inflammatory tablets e.g. oral NSAIDs

1276

31.4 (30.0,32.8)

306 (39.7)

406 (35.7)

366 (29.9)

198 (21.3)

***Stronger painkillers e.g. opioids, compound analgesics

1641

40.4 (38.9,41.9)

263 (34.2)

416 (36.6)

535 (43.7)

427 (46.0)

 Intra-articular corticosteroid injection

463

11.4 (10.4,12.4)

81 (10.5)

146 (12.9)

131 (10.7)

105 (11.3)

Adjunctive treatment

 Warmth, heat or cold application

334

8.2 (7.4,9.0)

57 (7.4)

105 (9.2)

95 (7.8)

77 (8.3)

***Walking aids

676

16.7 (15.6,17.8)

64 (8.3)

122 (10.7)

179 (14.6)

311 (33.5)

***Assistive devices

301

7.4 (6.6,8.2)

24 (3.1)

44 (3.9)

75 (6.1)

158 (17.0)

 Transcutaneous electric nerve stimulation (TENS)

127

3.1 (2.6,3.6)

22 (2.9)

41 (3.6)

37 (3.0)

27 (2.9)

 Shock-absorbing shoes or insoles

247

6.1 (5.4,6.8)

41 (5.3)

63 (5.5)

81 (6.6)

62 (6.7)

 Appliances and support and braces

265

6.5 (5.7,7.3)

52 (6.8)

80 (7.0)

59 (4.8)

74 (8.0)

Service use

 Joint arthroplasty/operation

365

9.0 (8.1,9.9)

73 (9.5)

105 (9.2)

102 (8.3)

85 (9.2)

***Manual therapy

998

24.6 (23.3,25.9)

219 (28.4)

311 (27.4)

282 (23.0)

186 (20.0)

  1. aWritten information is a composite variable derived from the addition of responses of participants who used information about treatments, information about self-management and information about OA when they consulted with joint pain
  2. bRestricted to obese/overweight participants (n = 2767)
  3. Treatment association with age is indicated by: *p < 0.05, **p < 0.01, ***p < 0.001 (by chi square test for trend)