Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Insomnia, Sleep Apnea Common in Veterans with OA

BMC Musculoskelet Disord; ePub 2018 Mar 9; Taylor, et al

Insomnia and obstructive sleep apnea (OSA) symptoms were very common in veterans with osteoarthritis (OA), according to a recent study, and a substantial proportion of individuals with symptoms may have gone undiagnosed. In addition, characteristics associated with insomnia and OSA symptoms were consistent with prior studies. Veterans (n=300) enrolled in a clinical trial completed the Insomnia Severity Index (ISI) and the Berlin Questionnaire (BQ) at baseline; proportions of participants with symptoms consistent with insomnia and OSA were calculated. Researchers found:

  • Symptoms consistent with insomnia and OSA were found in 53% and 66% of this sample, respectively.
  • Among participants screening positive for insomnia and OSA, diagnosis codes for these disorders were present in the electronic medical record for 22% and 51%, respectively.
  • Characteristics associated with insomnia were lower age, having a PTSD diagnosis, greater pain severity, and greater depressive symptoms.
  • Characteristics associated with OSA were higher BMI, greater depressive symptoms, and opioid use.
Citation:

Taylor SS, Hughes JM, Coffman, CJ, et al. Prevalence of and characteristics associated with insomnia and obstructive sleep apnea among veterans with knee and hip osteoarthritis. [Published online ahead of print March 9, 2018]. BMC Musculoskelet Disord. doi:10.1186/s12891-018-1993-y.

This Week's Must Reads

Incident Fracture, Accelerated Hip BMD Loss Linked, Osteoporos Int; ePub 2018 Jul 10; Christiansen, et al

Effect of Pre-Appointment Consult Triage Evaluated, Arthritis Care Res; ePub 2018 Jul 12; West, et al

Does Vit. D Prevent Bone Loss in Older Black Women?, J Bone Miner Res; ePub 2018 Jun 15; Aloia, et al

Gout Linked with Giant Cell Arteritis in Elderly, Joint Bone Spine; ePub 2018 Jun 7; Singh, et al

Smoking Is Risk Factor for Giant Cell Arteritis, Semin Arthritis Rheum; ePub 2018 Jul 11; Brennan, et al

Must Reads in Osteoarthritis

Increase in Knee, Hip Arthroplasties Found in AS, J Rheumatol; ePub 2018 Jul; Ward

Joint Hypermobility May Be Linked to Ankle/Foot OA, Arthritis Care Res; ePub 2018 Jun 28; Golightly, et al

FDA Approves Consensi for Osteoarthritis Pain, FirstWord Pharma news release; 2018 May 31

Poor Sleep, Less Physical Activity Linked in KOA, Arthritis Care Res; ePub 2018 May 22; Gilbert, et al

Leg Length Inequality and Hip Osteoarthritis, Arthritis Rheumatol; ePub 2018 Apr 26; Kim, et al