Importance of Physical Therapy in Patients With Osteoarthrit
A Study was conducted to examine the utilization of physical therapy (PT) and predictors for its use in individuals with osteoarthritis (OA) while focusing on sociodemographic and disease-related factors.

For this cross-sectional study, 657,807 patients diagnosed with hip, knee, or polyarticular OA were identified in claims data. In 2016, a questionnaire including information on disease status, demography, and socioeconomics was sent to a random sample of 8,995 patients stratified by sex, age, and type of diagnosis. Multivariable logistic regression was conducted to determine variables associated with the use of PT.

--In total, 3,564 patients completed the questionnaire and agreed to linking questionnaire and claims data (69% female, mean age 66.5 years).

--In 2016, 50% of the study population received PT at least once, and women received it more frequently than men (53% versus 43%).

--Most PT was prescribed by orthopedists (45%) and general practitioners (32%).

--Multivariable logistic regression showed that women, higher household income, having both hip and knee OA, lower functional status, higher disease activity, and individuals living in the eastern, southern, and western states of Germany were associated with an increased utilization of PT.

Taking into account existing guideline recommendations and the fact that over a third of patients who received OA pain and/or major functional impairment have not received PT over the last 12 months, significant improvement potential exists.