Background & Aims

Knee pain is a common cause of functional limitation and disabilities in all group of ages and one of the main reason for patients to seek medical advice in healthcare facilities.1-4 Neglected knee pain can leads to chronic pain that influence quality of life and health status in general,5,6 and to a greater extent affecting economic burden.7,8 Indonesia is the fourth most populated country in the world and yet epidemiological study of knee pain is scarce to explain the burden of this disease. This study aims to explore the prevalence, correlation and trends of knee pain not limited to osteoarthritis but other underlying cause of knee pain as well using online database throughout all Community Healthcare Centers (Puskesmas) in Surabaya during 2018-2023. Surabaya is the second largest metropolitan city in Indonesia after Jakarta with the total population of 2,9 million as of December 2022.9

Methods

This retrospective study will be conducted through the use of online database. We will analyze descriptive epidemiological data from SIMPUS, an electronic medical records that are used throughout all Puskesmas in Surabaya. Diagnosis are classified according to International Classification of Diseases, 10th Revision (ICD-10) coding systems. The study participants included all Surabaya residents that are registered in 63 government-owned Puskesmas of all ages with knee pain related diagnosis such as Gonarthrosis; and Knee Ligaments Injury (ICD-10 diagnosis code M17; S83) during study period from 1 January 2018 until 31 December 2023 with complete registration. The variables that are used includes sociodemographic information such as age, gender, educational level, cost-bearer/insurance type, region of residence and occupation as well as health aspects such as height, weight, smoking status, treatments received and comorbidities.

Results

This study has not obtained the results yet as the data collection is still in progress at the moment. The findings are anticipated to contribute in identifying the patterns, prevalence, risk factors, and associations with other comorbidities of knee pain in Surabaya population. The descriptive statistics of patient characteristics will be reported as frequency (n,%), mean and standard deviation (SD). Trends of prevalence will be evaluated using univariate linear regression.

Conclusions

There should be more epidemiological study conducted regarding knee pain. The information will help healthcare professional better understand the patterns of knee pain in a population, leading to improved patient care strategies and tailored treatment plans. Further study in other region of Indonesia are necessary to provide collective overview of knee pain burden especially in Indonesian primary healthcare facilities (Puskesmas).

References

1.Parami, P., Suranadi, Iw., Gede Utara Hartawan, Ig.A., Ngurah Mahaalit, Ig., Ryalino, C., Pradhana, A., 2019. Minimally invasive pain management in chronic musculoskeletal pain: A Community service at Blahkiuh I Health Center. Bali J. Anesthesiol. 3, 33. https://doi.org/10.15562/bjoa.v3i1.116
2.Iwatsu, J., Yabe, Y., Sekiguchi, T., Momma, H., Tsuchiya, M., Kanazawa, K., Yoshida, S., Sogi, Y., Nagatomi, R., Hagiwara, Y., 2023. Knee pain in young sports players aged 6–15 years: a cross-sectional study in Japan. BMC Sports Sci. Med. Rehabil. 15, 16. https://doi.org/10.1186/s13102-022-00606-y
3.Ibeachu, C., Selfe, J., Sutton, C.J., Dey, P., 2019. Knee problems are common in young adults and associated with physical activity and not obesity: the findings of a cross-sectional survey in a university cohort. BMC Musculoskelet. Disord. 20, 116. https://doi.org/10.1186/s12891-019-2487-2
4.Paradowski, P.T., Bergman, S., Sundén-Lundius, A., Lohmander, L.S., Roos, E.M., 2006. Knee complaints vary with age and gender in the adult population. Population-based reference data for the Knee injury and Osteoarthritis Outcome Score (KOOS). BMC Musculoskelet. Disord. 7, 38. https://doi.org/10.1186/1471-2474-7-38
5.Sananta, P., Qurotu’ain, N.A., Widasmara, D., Noviya, E., 2022. Correlation between Grade of Knee Osteoarthritis with Quality of Life of Patient in Secondary Referral Hospital in Indonesia. Open Access Maced. J. Med. Sci. 10, 993–996. https://doi.org/10.3889/oamjms.2022.9326
6.Khired, Z., Albeladi, F., Abudeyah, M., Alluli, M., Al Faqih, A., Suwaydi, A., Salih, S., 2023. Knee pain and its influence on quality of life and physical function in Jazan adult population: A cross sectional study. Clin. Epidemiol. Glob. Health 22, 101346. https://doi.org/10.1016j.cegh.2023.101346
7.Mat, S., Jaafar, M.H., Ng, C.T., Sockalingam, S., Raja, J., Kamaruzzaman, S.B., Chin, A.-V., Abbas, A.A., Chan, C.K., Hairi, N.N., Othman, S., Cumming, R.G., Tey, N.P., Tan, M.P., 2019. Ethnic differences in the prevalence, socioeconomic and health related risk factors of knee pain and osteoarthritis symptoms in older Malaysians. PLOS ONE 14, e0225075. https://doi.org/10.1371/journal.pone.0225075
8.Leifer, V.P., Katz, J.N., Losina, E., 2022. The burden of OA-health services and economics. Osteoarthritis Cartilage 30, 10–16. https://doi.org/10.1016/j.joca.2021.05.007
9.Dinas Kesehatan Kota Surabaya, 2022. Profil Kesehatan Kota Surabaya Tahun 2022.

Presenting Author

Belindo Wirabuana

Poster Authors

Belindo Wirabuana

Dr. med.

Airlangga University Medical School

Lead Author

E-mail

Sekar Afifah Priandhini

MD

Faculty of Medicine, Airlangga University

Lead Author

E-mail

Nancy Margarita Rehatta

Prof.

Department of Anesthesiology and Reanimation, Airlangga University

Lead Author

E-mail

An Liong Liem

Prof.

Department of Anesthesiology and Pain Management, Amsterdam UMC

Lead Author

E-mail

I Ketut Sudiana

Prof.

Airlangga University

Lead Author

E-mail

Topics

  • Epidemiology