{"id":4287,"date":"2022-07-07T12:34:27","date_gmt":"2022-07-07T12:34:27","guid":{"rendered":"https:\/\/www.jointacademy.com\/se\/?p=4287"},"modified":"2025-03-09T19:19:16","modified_gmt":"2025-03-09T19:19:16","slug":"viljan-att-bli-opererad-den-starkaste-drivande-faktorn-for-operation-trots-att-grundbehandlingen-hjalper-nio-av-tio-patienter","status":"publish","type":"post","link":"https:\/\/www.jointacademy.com\/se\/sv\/nyhet\/viljan-att-bli-opererad-den-starkaste-drivande-faktorn-for-operation-trots-att-grundbehandlingen-hjalper-nio-av-tio-patienter\/","title":{"rendered":"Viljan att bli opererad \u00e4r den starkaste drivande faktorn f\u00f6r operation – trots att grundbehandlingen hj\u00e4lper nio av tio patienter"},"content":{"rendered":"\n

Artros \u00e4r en av v\u00e4rldens snabbast v\u00e4xande folksjukdomar. I takt med att vi blir \u00e4ldre, r\u00f6r oss mindre och dessutom v\u00e4ger mer \u00f6kar besv\u00e4ren fr\u00e5n v\u00e5ra leder. Redan \u00e5r 2032 r\u00e4knas 30% av alla \u00f6ver 40 i Sverige leva med \u00e5komman.<\/p>\n\n\n\n

Det positiva i sammanhanget \u00e4r att det finns hj\u00e4lp att f\u00e5. Behandlingspyramiden f\u00f6r artros \u00e4r v\u00e4letablerad, backad av vetenskapen och rekommenderad av Socialstyrelsen. Den best\u00e5r av patientutbildning och \u00f6vervakad tr\u00e4ning. M\u00e4nniskor som lever med artros ska alltid b\u00f6rja med grundbehandlingen och inte vad som \u00e4r vanligt idag, sm\u00e4rtstillande l\u00e4kemedel. Som en sista utv\u00e4g ska operation \u00f6verv\u00e4gas. Idag vet vi att endast cirka 10% av de som lever med artros beh\u00f6ver opereras f\u00f6r att minska sin sm\u00e4rta till en niv\u00e5 med god livskvalitet. Resterande patienter blir hj\u00e4lpta till god livskvalitet av grundbehandlingen, i vissa fall i kombination med l\u00e4kemedel.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Nu visar en ny studie fr\u00e5n Link\u00f6pings universitet<\/a> att efter genomg\u00e5ngen grundbehandlingen har en majoritet inte blivit opererade inom 5 \u00e5r. Samtidigt visar studien att den starkast drivande faktorn f\u00f6r att bli opererad f\u00f6r sin artros i Sverige \u00e4r den enskilda patientens vilja att faktiskt bli opererad. Inte ens sv\u00e5righeter att g\u00e5 eller sm\u00e4rtniv\u00e5er p\u00e5 grund av artrosen \u00e4r i sig lika starkt drivande f\u00f6r att en operation ska bli av. Detta kommer kanske inte som en \u00f6verraskning – all v\u00e5rd \u00e4r frivillig och ingen blir opererad utan att faktiskt vilja det.  <\/p>\n\n\n\n

Det bekymmersamma \u00e4r att studier \u00e4ven visar att patientekohorter som p\u00e5b\u00f6rjar grundbehandling inte skiljer sig n\u00e4mnv\u00e4rt vad g\u00e4ller \u00e5lder, BMI eller sm\u00e4rtskattning fr\u00e5n patientkohorterna som blir opererade. Detta inneb\u00e4r troligen att ett stort antal patienter idag blir opererade f\u00f6r sin artros vid en tidpunkt n\u00e4r de i sj\u00e4lva verket hade kunnat bli hj\u00e4lpta av grundbehandlingen, som \u00e4r kostnadseffektiv och till skillnad fr\u00e5n operation inte inneb\u00e4r n\u00e5gra risker f\u00f6r komplikationer.<\/p>\n\n\n\n

Varf\u00f6r \u00e4r detta ett problem? I Sverige har vi idag rekordl\u00e5nga k\u00f6er inom v\u00e5rden. Bland de l\u00e4ngsta k\u00f6erna finns de inom ortopedin. Myterna kring artros \u00e4r m\u00e5nga och det finns en generell missuppfattning bland patienter om att operation \u00e4r den enda v\u00e4gen ut. Trots att Socialstyrelsens riktlinjer sedan mer \u00e4n tio \u00e5r tillbaka har rekommenderat grundbehandling innan operation \u00f6verv\u00e4gs, visar siffror fr\u00e5n Svenska h\u00f6ftprotesregistret att inte ens h\u00e4lften av de som opereras har g\u00e5tt i artrosskola. Siffrorna f\u00f6r patienter som opereras f\u00f6r kn\u00e4artros i Region Sk\u00e5ne \u00e4r liknande.<\/p>\n\n\n\n

Digitalt via Joint Academy och fysiskt via BOA har hundratusentals patienter med artros behandlats. S\u00e5v\u00e4l den nyligen publicerade studien fr\u00e5n Link\u00f6pings universitet som andra studier visar att att tusentals av dessa har \u00e4ndrat inst\u00e4llning till operation – en stor vinst f\u00f6r s\u00e5v\u00e4l patienterna som v\u00e5rdsystemet, och en indikation p\u00e5 hur v\u00e5rdk\u00f6erna inom ortopedi hade kunnat se ut om fler patienter hade genomg\u00e5tt grundbehandling.<\/p>\n\n\n\n

F\u00f6r v\u00e5rden, f\u00f6r skattebetalarna och inte minst f\u00f6r patienterna \u00e4r dagens situation att beklaga. Om fler f\u00e5r tillg\u00e5ng till grundbehandlingen, helst tidigt i f\u00f6rloppet, kan de 10% som faktiskt beh\u00f6ver operation l\u00e4ttare triageras fram och fortare komma till operationsbordet. Sv\u00e5rare \u00e4n s\u00e5 \u00e4r det inte.<\/p>\n","protected":false},"excerpt":{"rendered":"

Artros \u00e4r en av v\u00e4rldens snabbast v\u00e4xande folksjukdomar. I takt med att vi blir \u00e4ldre, r\u00f6r oss mindre och dessutom v\u00e4ger mer \u00f6kar besv\u00e4ren fr\u00e5n v\u00e5ra leder. Redan \u00e5r 2032 r\u00e4knas 30% av alla \u00f6ver 40 i Sverige leva med \u00e5komman. Det positiva i sammanhanget \u00e4r att det finns hj\u00e4lp att f\u00e5. Behandlingspyramiden f\u00f6r artros […]<\/p>\n","protected":false},"author":2,"featured_media":4292,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1103],"tags":[],"class_list":["post-4287","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nyhet"],"yoast_head":"\nViljan att bli opererad \u00e4r den starkaste drivande faktorn f\u00f6r operation - trots att grundbehandlingen hj\u00e4lper nio av tio patienter | Joint Academy<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jointacademy.com\/se\/sv\/nyhet\/viljan-att-bli-opererad-den-starkaste-drivande-faktorn-for-operation-trots-att-grundbehandlingen-hjalper-nio-av-tio-patienter\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Viljan att bli opererad \u00e4r den starkaste drivande faktorn f\u00f6r operation - trots att grundbehandlingen hj\u00e4lper nio av tio patienter\" \/>\n<meta property=\"og:description\" content=\"Artros \u00e4r en av v\u00e4rldens snabbast v\u00e4xande folksjukdomar. 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I takt med att vi blir \u00e4ldre, r\u00f6r oss mindre och dessutom v\u00e4ger mer \u00f6kar besv\u00e4ren fr\u00e5n v\u00e5ra leder. Redan \u00e5r 2032 r\u00e4knas 30% av alla \u00f6ver 40 i Sverige leva med \u00e5komman. Det positiva i sammanhanget \u00e4r att det finns hj\u00e4lp att f\u00e5. 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