FAKTOR RESIKO KEJADIAN OSTOARTHRITIS LUTUT PADA PASIEN YANG BEROBAT DI POLI ORTOPEDI DI RUMAH SAKIT BHAYANGKARA TK. II MEDAN

Authors

  • Evi Melva Frida Manurung Universitas Sari Mutiara Indonesia
  • Donal Nababan Universitas Sari Mutiara Indonesia
  • Mido Ester J. Sitorus Universitas Sari Mutiara Indonesia
  • Kesaktian Manurung Universitas Sari Mutiara Indonesia
  • Evawani Martalena Silitonga Universitas Sari Mutiara Indonesia

DOI:

https://doi.org/10.31004/prepotif.v6i3.7046

Keywords:

Risk Factors, Knee Otoarthritis

Abstract

The specific purpose of this study was to determine the distribution of risk factors (age, gender, body mass index, family history, history of knee injury, hypertension, diabetes mellitus, hypercholesterolemia, smoking, occupation and physical activity) in knee joint OA patients at the Orthopedic Home Clinic. Sick Bhayangkara TK. II Medan from February to June 2022. This study used an observational analytic method with a cross sectional study design. The study was carried out from February to August 2022. The population of this study were knee osteoarthritis patients who were treated at the Orthopedic Poly, Bhayangkara TK Hospital. II Medan totaled 127 people. The sample of this study was knee OA patients with inclusion criteria and willing to be included in the study. Sampling was done by purposive sampling. The number of samples obtained by the slovin formula was obtained as many as 56 respondents. The results of the bivariate analysis showed that there was a significant relationship between age and knee OA (p = 0.010), there was a relationship between gender and knee OA, there was a relationship between body mass index and knee OA (p = 0.027), there was a relationship between a history of knee injury and OA. knee, physical activity was p = 0.004 indicating that there was a relationship between physical activity and knee OA, there was no relationship between diabetes and knee OA (p = 0.279), there was no relationship between hypercholesterolemia and knee OA p = 0.107, there was no relationship between habit smoking with knee OA (p = 0.304), there is no significant relationship between work and knee OA p = 0.269. The results of multivariate analysis showed that the independent variables that influenced knee OA were age (p=0.015) and history of knee injury (p=0.001). The OR value for the age variable is 2.220, this indicates that the risk of knee OA in elderly patients (>45 years) is 2 times greater than in adolescent-adult patients (?45 years). While the OR value on the variable history of knee injury is 0.045. To the Community Further research is needed on other risk factors such as growth disorders (Perthes disease, CDH, CTEV) and multigravida, Further Research Further research is needed on risk factors and the degree of pain on the severity of knee OA based on radiological examination.

References

Abari, I S. 2016. 2016 ACR Revised Criteria for Early Diagnosis of Knee Osteoarthritis. Autoimmune Diseases and Therapeutic Aprroaches. 3(118): 1-5.

Adnan, Z.A., 2009. Kumpulan Makalah Temu Ilmiah: Diagnosis dan Penatalaksanaan Osteoartritis. Hal: 22-24

Al-Johani, A. H., Kachanathu, S. J., Hafez, A. R., Al-Ahaideb, A., Algarni, A. D., Alroumi, A. M., Alenazi, A.M. 2014. Comparative study of hamstring an quadriceps strengthening treatments in the management of knee osteoarthritis. J Phys Ther Sci. 26:817-20.

Almatsier, S. 2003. Prinsip Dasar Ilmu Gizi. Jakarta: PT Gramedia Pustaka Utama.

Ara, R., dan Alam, M. Z. 2011. Pharmacotherapy for osteoarthritis, a review. J Medicine. 12:142-148.

Arnett, T. R., Gibbons, D. C., Utting, J. C., Orriss, I. R., Hoebertz, A., Rosendaal, M., Meghji, S. 2003. Hypoxia is a major stimulator of osteoclast formation and bone resorption. J Cell Physiol. 196:2–8.

Astutik, F. H., Santoso, A., dan Hairrudin. 2014. Hubungan Kendali Glukosa Darah dengan Osteoartritis Lutut pada Pasien DM di RSD Dr. Soebandi. eJurnal Pustaka Kesehatan. 2(2):221-225.

Baecke, J. A., Burema, J., dan Frijters, J. E. R. 1982. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. The American Journal of Clinical Nutrition. 36(5): 936-942.

Bhaskar, A., Areekal, B., Vasuvedan, B., Ajith, R., Ravi, S., dan Sankar, S. 2016. Osteoarthritis of knee and factors associated with it in middle aged women in a rural area of central Kerala, India. Int J Community Med Public Health. 3:2926-31.

Brandt, K.D. 1993. Osteoarthritis a epidemiology, pathology and pathogenesis In H.R Schumacher, J.H Klippel (eds): Primer on the Rheumatic Disease. 10th ed. pp. 184-8. Atlanta, USA.

Carter, M. A. 2002. Osteoartritis. Patofisiologi Konsep Klinis dan Penyakit. Edisi keenam (Vol.2). Jakarta: EGC

Cross, M., Smith, E., Hoy, D., Nolte, S., Ackerman, I., Fransen M., Bridgett. L.,Williams, S., Guillemin, F., Hill, C. L., Laslett, L. L., Jones, G., Cicuttini, F., Osborne, R., Vos, T., Buchbinder, R., Woolf, A., dan March, L. 2014. The Global Burden of Hip and Knee Osteoarthritis: Estimates From the Global Burden of Disease 2010 Study. Clinical and Epidemiological Research. 73:1323–1330.

Departemen Kesehatan. 2006. Pharmaceutical Care untuk Pasien Penyakit Arthtritis Rematik. Jakarta: Depkes.

Dharmawirya, M. 2000. Efek Akupunktur pada Osteoartritis Lutut. Cermin Dunia Kedokteran. 129: 45-48.

Dingle, J.T. 1991. Cartilage maintenance in Osteoarlhritis: interaction of cytokines, OAINS and Prostaglandins in articular Cartilage and Repair. J.Rheumatol. 18 (Suppl.28); 30-7.

Direktorat Pencegahan dan Pengendalian Penyakit Tidak Menular. 2016. Menepis Serangan Osteoartritis. www.p2ptm.kemkes.go.id/. [Diakses pada 10 Oktober 2018].

Eymard, F., Parsons, C., Edwards, M. H., Petit-Dop, F., Reginster, J. Y., Bruyère, O., Richette, P. 2015. Diabetes is a risk factor for knee osteoarthritis progression. Osteoarthritis and Cartilage. 23:851-9.

Fadhilah, R. N. 2016. Studi Penggunaan Obat pada Pasien Osteoartritis. Skripsi. Surabaya: Fakultas Farmasi Universitas Airlangga.

Felson, D. T. 2008. Osteoarthritis. In: Fauci AS, et al., editors, HARRISON's Principles of Internal Medicine. 17th ed, New York: Mc Graw-Hill Companies Inc.

Frieden, T. R., Jaffe, H. W., Cono, J., dan Richard, C. L. 2013. Prevalence of Doctor-Diagnosed Arthritis and Arthritis-Attrutable Activity Limitation –United States, 2010-2012. Morbidity and Mortality Weekly Report. 62(44): 869-873.

Ghosh, P. 1992. Future Treatments of Osteoarthritis in Nasution, A.R., Darmawan, J., lsbagio H (eds): Rheumatology APLAR. pp 255-58. Churchill Livingstone New York.

Hendrati, L. Y., dan Anggraini, N. E. 2014. Hubungan Obesitas dann FaktorFaktor Pada Individu dengan Kejadian Osteoartritis Genu. Jurnal Berkala Epidemiologi. 2(1): 93-104.

Herowati, R. 2014. Obat dan Suplemen untuk Osteoarthritis. Pharmacy. 11(1): 40-48.

Hilmy, C. R. 2002. Kelainan-Kelainan Degeneratif dari Sendi dan JaringanJaringan yang Berhubungan. Kumpulan Kuliah Ilmu Bedah. Tangerang: Binarupa Aksara Publisher. p. 534-551.

Hochberg, M. C., Altman, R. D., April, K. T., Benkhalti, M., Guyatt, G., McGowan, J., Towheed, T., Welch, V., Wells, G., dan Tugwell, P. 2012. American College of Rheumatology 2012 Recommendation for the Use of Nonpharmacologic and Pharmacologic Therapies in Osteoarthritis of the Hand, Hip, an Knee. Arthritis Care & Research. 64(4) : 465-474.

Isbagio, H. 2000. Struktur Rawan Sendi dan Perubahannya pada Osteoartritis. Cermin Dunia Kedokteran. 129: 5-8.

Juliana, R. 2016. Karakteristik Penderita Osteoartritis Rawat Jalan di RSUD dr.Pirngadi Medan Tahun 2015. Skripsi. Medan: Fakultas Kesehatan Masyarakat Universitas Sumatera Utara.

Kaur, R., Ghosh, A., dan Singh, A. 2018. Prevalence of knee osteoarthritis and its determinants in 30-60 years old women of Gurdaspur, Punjab. International Journal of Medical Science and Public Health. 7(10): 825- 830. doi: 10.5455/ijmsph.2018.0516207062018

Kiadaliri, A. A., Lamm, C. J., de Verdier, M. G., Engstrom, G., Turkiewicz, A., Lohmander, L.S., Englund, M.. 2016. Association of knee pain and different of knee osteoarthritis with health-related quality of life: a population-based cohort study in southern Sweden. Health and Quality of Life Outcomes. 14:121-7.

King, L. K., March, L., dan Anandacoomarasamy, A. 2013. Review Article: Obesity & osteoarthritis. Indian J Med Res. 138: 185-193. Koentjoro, S. L. 2010. Hubungan antara Indeks Masa Tubuh (IMT) dengan Derajat Osteoartritis Lutut Menurut Kellgren dan Lawrence. Skripsi. Semarang: Program Pendidikan Sarjana Kedokteran, Fakultas Kedokteran Universitas Diponegoro.

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Published

2023-12-20

How to Cite

Manurung, E. M. F., Nababan, D. ., Sitorus, M. E. J. ., Manurung, K. ., & Silitonga, E. M. . (2023). FAKTOR RESIKO KEJADIAN OSTOARTHRITIS LUTUT PADA PASIEN YANG BEROBAT DI POLI ORTOPEDI DI RUMAH SAKIT BHAYANGKARA TK. II MEDAN. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 6(3), 1918–1932. https://doi.org/10.31004/prepotif.v6i3.7046