{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T21:32:04Z","timestamp":1750109524999,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T00:00:00Z","timestamp":1568073600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2019,9]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>It is known that South Australia (SA) has the highest rate of knee arthroscopy use of any state in Australia; however, Level 1 evidence demonstrates that knee arthroscopy in patients with uncomplicated knee osteoarthritis confers no benefit. In SA, which patients are presenting with knee pain and what treatments are they receiving?<\/jats:p><\/jats:sec>Aims<\/jats:title>To determine the prevalence, persistence and treatment modalities of knee pain in SA.<\/jats:p><\/jats:sec>Methods<\/jats:title>This study analysed data from the North\u2010West Adelaide Health Study (1999\u20132015), a longitudinal, population\u2010based cohort study of people aged 18 years and over (n<\/jats:italic> = 4060), initially randomly selected from the north\u2010west region of Adelaide, SA. It incorporated clinic assessments, self\u2010completed questionnaires and telephone interviews to collect demographic, anthropometric and biochemical data over four main stages (1, 2, 3 and North\u2010West 15 (NW15)). Data were linked to Medical Benefits Scheme data.<\/jats:p><\/jats:sec>Results<\/jats:title>In stages 3 and NW15 of the North\u2010West Adelaide Health Study, 30\u201335% of participants reported knee pain (n<\/jats:italic> = 803, 452). Demographic variables associated with knee pain included older age and lower educational level, while risk factors included obesity and high waist circumference. In the 12 months preceding NW15, 33% of participants with knee pain\/stiffness consulted a general practitioner for their knee pain, 10.2% an orthopaedic surgeon, and 12.6% a physiotherapist. Between 2011 and 2015, 3.0% the cohort underwent a knee arthroscopy, and 3.1% underwent knee magnetic resonance imaging.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Knee pain affects large proportions of the SA population. Knee pain was persistent with underuse of non\u2010pharmacological treatments and high use of specialist referral. These data support the need for a national strategy to manage osteoarthritis effectively.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.14237","type":"journal-article","created":{"date-parts":[[2019,1,29]],"date-time":"2019-01-29T05:25:21Z","timestamp":1548739521000},"page":"1105-1110","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Prevalence and healthcare usage of knee pain in South Australia: a population\u2010based study"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5972-4893","authenticated-orcid":false,"given":"Charlotte","family":"Blacketer","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Adelaide Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany","family":"Gill","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Adelaide Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Adelaide Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Adelaide Adelaide South Australia Australia"},{"name":"Rheumatology Unit The Queen Elizabeth Hospital Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(199808)41:8<1343::AID-ART3>3.0.CO;2-9"},{"key":"e_1_2_7_3_1","first-page":"646","article-title":"Burden of major musculoskeletal conditions","volume":"81","author":"Woolf AD","year":"2003","journal-title":"Bull World Health Organ"},{"volume-title":"Guideline for the Non\u2010Surgical Management of Knee and Hip Osteoarthritis","year":"2009","author":"The Royal Australian College of General Practitioners","key":"e_1_2_7_4_1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2844"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2014.01.003"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-202745"},{"key":"e_1_2_7_8_1","unstructured":"Department of Human Services. Medicare item reports. Canberra: Information Gateway and Governance Branch;2017[cited 2016 Aug 4]. Available from URL:http:\/\/medicarestatistics.humanservices.gov.au"},{"key":"e_1_2_7_9_1","unstructured":"Australian Bureau of Statistics. Population age and sex regions of Australia 2016.2016[cited 2016 Aug 4]. Available from URL:http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/3235.0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyn262"},{"volume-title":"Osteoarthritis of the Knee Clinical Care Standard","year":"2017","author":"Australian Commission on Safety and Quality in Health Care (ACSQHC)","key":"e_1_2_7_11_1"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY15079"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-016114"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.05.020"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e5339"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0800777"}],"container-title":["Internal Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fimj.14237","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14237","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/imj.14237","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/imj.14237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T17:21:05Z","timestamp":1694193665000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/imj.14237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,9]]}},"alternative-id":["10.1111\/imj.14237"],"URL":"https:\/\/doi.org\/10.1111\/imj.14237","archive":["Portico"],"relation":{},"ISSN":["1444-0903","1445-5994"],"issn-type":[{"type":"print","value":"1444-0903"},{"type":"electronic","value":"1445-5994"}],"subject":[],"published":{"date-parts":[[2019,9]]},"assertion":[{"value":"2018-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-10","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}