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Table 1 Socio-demographic and clinical characteristics of participants consulting for a knee complaint according to diagnostic concordance between health providers (n = 279)

From: Higher psychological distress in patients seeking care for a knee disorder is associated with diagnostic discordance between health care providers: a secondary analysis of a diagnostic concordance study

 

Discordant diagnosis (n = 78)

Concordant diagnosis (n = 201)

Between-group differences (p)

OR (95% CI)

P

n (%)

Mean (SD)

n (%)

Mean (SD)

Age

 

45.7 (13.6)

 

50.4 (16.5)

0.03*

0.98 (0.96–0.998)

0.03*

Gender

 Woman

46 (59.0)

 

115 (57.2)

 

0.79

 

BMI (kg/m2)

 

29.5 (6.5)

 

29.3 (6.6)

0.81

 

Employment status

 Employed

53 (67.9)

 

121 (60.2)

 

0.008*

1.4 (0.8–2.4)

0.2

 Sick leave

12 (15.4)

 

14 (7.0)

 

2.4 (1.1–5.5)

0.03*

 Retired

5 (6.4)

 

42 (20.9)

 

0.26 (0.10–0.68)

0.006*

 Unemployed

8 (10.3)

 

24 (11.9)

 

0.84 (0.36–2.0)

0.7

Work physical demand

 1/ Sitting

20 (25.6)

 

63 (31.3)

 

0.02*

1.2 (1.0–1.5)

0.08

 2/ Light

12 (15.4)

 

20 (10.0)

 

 3/ Moderate

0

 

0

 

 4/ High

31 (39.7)

 

51 (25.4)

 

Duration of symptoms

  ≤ 1 month

7 (9.0)

 

10 (5.0)

 

0.21

 

  > 1 month

71 (91.0)

 

191 (95.0)

 

Onset Mechanism

 1/ Traumatic

35 (44.9)

 

52 (25.9)

 

0.002*

0.43 (0.25–0.74)

0.002*

 2/ Progressive

43 (55.1)

 

149 (74.1)

 

Pain Location

 Diffuse

33 (42.3)

 

81 (40.3)

 

0.76

 

 Located

45 (57.7)

 

120 (59.7)

 

Use of WA

 Yes

8 (10.3)

 

21 (10.4)

 

0.96

 

First consultation

 Yes

22 (28.2)

 

37 (18.4)

 

0.07

 

Personal income (n = 177)

  ≤ 30 000$

23 (47.9)

 

69 (53.5)

 

0.51

 

  > 30 000$

25 (52.1)

 

60 (46.5)

 

Timing of symptoms onset if traumatic onset

 Pain appeared immediatly

30 (85.7)

 

47 (95.9)

 

0.1

 

 Pain appeared with a delay

5 (14.3)

 

2 (4.1)

 

Timing of apparition of joint swelling if present

  < 2 h after trauma

13 (43.3)

 

18 (45.0)

 

0.9

 

  > 2 h after trauma

17 (56.7)

 

22 (55.0)

 

Bilateral symptoms:

 1/ No

70 (89.7)

 

156 (77.6)

 

0.02*

0.40 (0.18–0.89)

0.02*

 2/ Yes

8 (10.3)

 

45 (22.4)

 

Number of comorbidities

 

0.7 (0.9)

 

1.0 (1.0)

0.01*

0.69 (0.51–0.93)

0.02*

MRI results available at the time of consultation

43 (55.1)

 

72 (35.8)

 

0.003*

2.2 (1.3–3.7)

0.004*

Diagnosis

 Knee Osteoarthritis

22 (28.2)

 

95 (47.3)

 

 < 0.001*

0.44 (0.25–0.77)

0.004*

 Patellofemoral syndrome

15 (19.2)

 

44 (21.9)

 

0.85 (0.44–1.64)

0.6

 Meniscal injury

16 (20.5)

 

38 (18.9)

 

1.1 (0.6–2.1)

0.8

 ACL injury

10 (12.8)

 

17 (8.5)

 

1.6 (0.7–3.6)

0.3

 Other knee injurya

15 (19.2)

 

7 (3.5)

 

6.6 (2.6–16.9)

 < 0.001*

Number of diagnoses

 1/ One diagnosis

43 (55.1)

 

156 (77.6)

 

 < 0.001*

2.8 (1.6–4.9)

 < 0.001*

 2/ Two or more diagnoses

35 (44.9)

 

45 (22.4)

 

KOOS Symptoms (/100)b

 

72.2 (17.2)

 

69.2 (19.8)

0.26

  

KOOS Pain (/100)b

 

58.6 (19.9)

 

58.5 (20.0)

0.97

  

KOOS Activities of daily living function (/100)b

 

65.6 (22.1)

 

66.0 (22.0)

0.89

  

KOOS Sports and recreation function (/100)b

 

25.3 (22.6)

 

30.0 (26.1)

0.17

  

KOOS Quality of life (/100)b

 

38.1 (20.2)

 

38.6 (19.7)

0.86

  
  1. X Mean, SD Standard deviation, OR Odd ratio (associated to diagnostic discordance), 95% CI Confidence Interval, p Level of significance, BMI Body mass index, WA Walking aid, First consultation First consultation for knee pain or disorder, KOOS Knee Injury and Osteoarthritis Outcome Score
  2. *p < 0,05
  3. aOther knee injury include all diagnosis that could not be classified in the following categories: Knee Osteoarthritis, Anterior Cruciate Ligament injury, Meniscal injury, Patellofemoral Syndrome
  4. bA higher score on the KOOS scale indicates lower disability