A review and synthesis of correlates of fatigue in osteoarthritis

Alisha J Hackney; N Jennifer Klinedinst; Barbara Resnick; Cynthia Renn; Gary Fiskum

doi:10.1016/j.ijotn.2019.01.003

A review and synthesis of correlates of fatigue in osteoarthritis

Int J Orthop Trauma Nurs. 2019 May:33:4-10. doi: 10.1016/j.ijotn.2019.01.003. Epub 2019 Jan 31.

Authors

Alisha J Hackney¹, N Jennifer Klinedinst², Barbara Resnick³, Cynthia Renn⁴, Gary Fiskum⁵

Affiliations

¹ Robert Wood Johnson Future of Nursing Scholar, University of Maryland School of Nursing 655 W. Lombard St., Office 402G, Baltimore, MD, 21201, USA. Electronic address: ajhackney@umaryland.edu.
² Organizational Systems & Adult Health, University of Maryland School of Nursing, USA. Electronic address: klinedinst@umaryland.edu.
³ Sonya Ziporkin Gershowitz Chair in Gerontology, University of Maryland School of Nursing, USA. Electronic address: resnick@umaryland.edu.
⁴ Pain & Translational Symptom Science, University of Maryland School of Nursing, USA. Electronic address: renn@umaryland.edu.
⁵ Department of Anesthesiology, University of Maryland School of Medicine, USA. Electronic address: gfiskum@som.umaryland.edu.

PMID: 30808556
DOI: 10.1016/j.ijotn.2019.01.003

Abstract

Fatigue affects nearly half of all adults with osteoarthritis. Affected individuals report difficulty with daily functioning, requiring more time and rest during activities, feeling easily exhausted, and having to give up on social and volunteer activities known to improve quality of life. Because its etiology is poorly understood, clinical practice guidelines are unable to address management of fatigue in osteoarthritis. Elucidating a mechanism of osteoarthritis fatigue is a high priority, but few studies have identified key factors associated with fatigue in osteoarthritis. Thus, the purpose of this narrative literature review is to present the current evidence of known and potential correlates of fatigue in osteoarthritis, and synthesize our findings into a conceptual framework. The overarching goal of this work is to provide insight into areas of needed research and guide future work toward mechanistic insight of osteoarthritis fatigue. This knowledge could lead to novel nursing interventions for prevention, management, and treatment of fatigue among adults with osteoarthritis.

Keywords: Fatigue; Osteoarthritis; Review.

Publication types

Review

MeSH terms

Fatigue*
Humans
Nursing Diagnosis
Orthopedic Nursing
Osteoarthritis / nursing
Osteoarthritis / psychology*
Quality of Life