Perfil de tratamento medicamentoso e não medicamentoso da Osteoartrite em um município da região norte central do Paraná

Abstract

Introduction : Osteoarthritis(OA) is a joint disease, characterized by cartilage degeneration, important participation of inflammatory phenomena and strong association with aging. Its treatment is multimodal, including non-pharmacological treatments (physical activity, weight loss) and pharmacological treatments involving simple analgesics, NSAIDs, opioids, dual-action antidepressants and central pain modulators. Objective : To identify the profile of drug and non-drug treatment of patients of the Brazilian Unified Health System (SUS) in the city of Maringá(Paraná) and compare them with the treatment guidelines of ESCEO and OARSI. Methodology : This is a cross-sectional, observational, descriptive and retrospective study, with analysis of 363 electronic medical records belonging to patients of the SUS in the municipality of Maringá(PR). Profiles of drug and non-drug treatment, age, gender, ICD10 subcategory and requested tests were identified. Results : The most prescribed drugs were ibuprofen (N=118, 32.5% of patients), paracetamol (N=95, 26.2% of patients) and dipyrone (N=80, 22% of patients). There were 34(%) orientations for physical activity and 5(%) orientations about weight loss. Conclusion : Although the treatment guidelines emphatically established physical activity and weight loss, the results of this study did not show this conduct in most patients. However, it is possible that this data is due to lack of registration. Ibuprofen and paracetamol were the most prescribed drugs, probably due to their free distribution by SUS, despite the already known side effects of NSAIDs and the fact that paracetamol is not recommended by the guidelines.