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GP management of osteoarthritic pain in Hong Kong

Author(s)
Lee, Albert  
Author(s)
Tsang, C. K. K.
Siu, H.-K.
Date Issued
2008
Publisher
The Royal Australian College of General Practitioners
Journal
Australian Family Physician
Volume
37
Issue
10
Start page
874
End page
878
Abstract
Background Limited information is available about general practitioners’ knowledge, attitude and practice in treating osteoarthritis. This study sought to better understand GPs’ management of mild to moderate osteoarthritis in Hong Kong. Methods A cross sectional survey of GPs using a structured questionnaire mailed in three stages. Results A total of 225 questionnaires were returned. Paracetamol was considered to be an analgesic with lower toxicity and cost, and fewer drug interactions than others; it was also seen to have poor efficacy, short duration of action, and low patient compliance. Most GPs would consider nonselective nonsteroidal anti-inflammatory drugs as first line treatment, followed by paracetamol. Cyclooxygenase-2 inhibitors, physiotherapy and exercise were favoured as second line treatments. Most GPs would choose paracetamol for patients with comorbid conditions. Discussion General practitioners in Hong Kong have positive views on using simple analgesia and nonpharmacological treatments. Use of paracetamol was particularly preferred for older people and those with comorbidities.
URI
https://repository.sfu.edu.hk/handle/sfu/5173
SFU Affiliated Publication
No
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