GP management of osteoarthritic pain in Hong Kong

Abstract

Background: Limited information is available about general practitioners' knowledge, attitude and practice in treating osteoarthritis. This study sought to better understand GPs' management of mild to moderate osteoarthritis in Hong Kong. Methods: A cross sectional survey of GPs using a structured questionnaire mailed in three stages. Results: A total of 225 questionnaires were returned. Paracetamol was considered to be an analgesic with lower toxicity and cost, and fewer drug interactions than others; it was also seen to have poor efficacy, short duration of action, and low patient compliance. Most GPs would consider nonselective nonsteroidal anti-inflammatory drugs as first line treatment, followed by paracetamol. Cyclooxygenase-2 inhibitors, physiotherapy and exercise were favoured as second line treatments. Most GPs would choose paracetamol for patients with comorbid conditions. Discussion: General practitioners in Hong Kong have positive views on using simple analgesia and nonpharmacological treatments. Use of paracetamol was particularly preferred for older people and those with comorbidities.