DRUG UTILIZATION PATTERNS IN OUTPATIENTS WITH OSTEOARTHRITIS AT THONG NHAT HOSPITAL VIETNAM FROM 2016 TO 2024
Article Information
Download Article
How to Cite
Abstract
Osteoarthritis is a chronic musculoskeletal disorder characterized by pain, functional impairment, and diminished quality of life, with knee, hip, and hand osteoarthritis representing the most prevalent clinical manifestations. This study aimed to analyze patient characteristics and patterns of medication utilization in the outpatient management of osteoarthritis at Thong Nhat Hospital during the period from 2016 to 2024. A retrospective cross-sectional study was conducted involving 40,916 patients diagnosed with osteoarthritis based on ICD-10 codes M16, M17, and M18. The results indicated that knee osteoarthritis accounted for most cases (97.28%). The mean age of patients was 59 years, with most patients belonging to the 30–65 and ≥65 age groups. A high prevalence of comorbid conditions was observed, particularly cardiovascular diseases and metabolic disorders. Oral NSAIDs were the most frequently prescribed medications (66.2%), followed by analgesics and topical NSAIDs. Co-prescription network analysis demonstrated that oral NSAIDs occupied a central position in most medication combination patterns, especially among patients with knee osteoarthritis, who exhibited a higher degree of polypharmacy compared with patients with osteoarthritis affecting other joint sites. These findings provide evidence to support individualized treatment strategies and to improve the effectiveness of osteoarthritis management in the Vietnamese clinical context.
Keywords
References
- Jang S, Lee K, Ju JH. Recent updates of diagnosis, pathophysiology, and treatment on osteoarthritis of the knee. Vol. 22, International Journal of Molecular Sciences. MDPI AG; 2021. p. 1–15. DOI: https://doi.org/10.3390/ijms22052619
- Bộ Y tế (2014), Quyết định số 361/QĐ-BYT ngày 25/1/2014 về việc ban hành tài liệu chuyên môn “Hướng dẫn chẩn đoán và điều trị các bệnh cơ xương khớp”.
- Allen KD, Thoma LM, Golightly YM. Epidemiology of osteoarthritis. Osteoarthritis Cartilage. 2022 Feb 1;30(2):184–95. DOI: https://doi.org/10.1016/j.joca.2021.04.020
- Courties A, Kouki I, Soliman N, Mathieu S, Sellam J. Osteoarthritis year in review 2024: Epidemiology and therapy. Osteoarthritis Cartilage. 2024 Nov 1; DOI: https://doi.org/10.1016/j.joca.2024.07.014
- Fransen M, Bridgett L, March L, Hoy D, Penserga E, Brooks P. The epidemiology of osteoarthritis in Asia.
- Nguyễn Vĩnh Ngọc, Trần Ngọc Ân, Nguyễn Thu Hiền. Đánh giá tình hình bệnh khớp tại Khoa cơ xương khớp – Bệnh viện Bạch Mai trong 10 năm (1991 – 2000). Báo cáo khoa học Đại hội toàn quốc lần thứ 3, Hội thấp khớp học Việt Nam. 2002;
- Kloppenburg M, Kroon FPB, Blanco FJ, Doherty M, Dziedzic KS, Greibrokk E, Haugen IK, Herrero-Beaumont G, Jonsson H, Kjeken I, Maheu E, Ramonda R, Ritt MJPF, Smeets W, Smolen JS, Stamm TA, Szekanecz Z, Wittoek R, Carmona L. 2018 update of the EULAR recommendations for the management of hand osteoarthritis. Ann Rheum Dis. 2019 Jan 1;78(1):16–24. DOI: https://doi.org/10.1136/annrheumdis-2018-213826
- Lê Đình Thanh, Trần Thị Hồng Nguyên, Lê Đặng Minh Anh, et al. Phân tích mô hình bệnh tật nội trú tại Bệnh viện Thống Nhất giai đoạn 2013 - 2020. Tạp chí Y học Việt Nam. 2023;531(1). doi:10.51298/vmj.v531i1.6927. DOI: https://doi.org/10.51298/vmj.v531i1.6927
- Lê Thị Huệ, Ngô Thế Hoàng, Nguyễn Đức Công. Khảo sát mô hình bệnh tật tại khoa Nội Cơ Xương Khớp, Bệnh viện Thống Nhất năm 2012–2013. Tài liệu. Tai-lieu.com. https://tai-lieu.com/tai-lieu/khao-sat-mo-hinh-benh-tat-tai-khoa-noi-co-xuong-khop-benh-vien-thong-nhat-nam-20122013-59581/. 39(8).
- Kolasinski SL, Neogi T, Hochberg MC, Oatis C, Guyatt G, Block J, Callahan L, Copenhaver C, Dodge C, Felson D, Gellar K, Harvey WF, Hawker G, Herzig E, Kwoh CK, Nelson AE, Samuels J, Scanzello C, White D, Wise B, Altman RD, DiRenzo D, Fontanarosa J, Giradi G, Ishimori M, Misra D, Shah AA, Shmagel AK, Thoma LM, Turgunbaev M, Turner AS, Reston J. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis and Rheumatology. 2020 Feb 1;72(2):220–33. DOI: https://doi.org/10.1002/art.41142
- Dysart S, Utkina K, Stong L, Nelson W, Sacks N, Healey B, Niazi F. Insights from real-world analysis of treatment patterns in patients with newly diagnosed knee osteoarthritis. Am Health Drug Benefits. 2021;14(2):56.
- World Health Organization. Osteoarthritis fact sheet. https://www.who.int/news-room/fact-sheets/detail/osteoarthritis. 2023.
- Tan Q, Jiang A, Li W, Song C, Leng H. Metabolic syndrome and osteoarthritis: Possible mechanisms and management strategies. Med Nov Technol Devices. 2021;9:100052. DOI: https://doi.org/10.1016/j.medntd.2020.100052
- Ebata-Kogure N, Murakami A, Nozawa K, Fujii K, Lin Y, Ushida T, Kikuchi S. Treatment and Healthcare Cost Among Patients with Hip or Knee Osteoarthritis: A Cross-sectional Study Using a Real-world Claims Database in Japan Between 2013 and 2019. Clin Drug Investig. 2020 Nov 1;40(11):1071–84. DOI: https://doi.org/10.1007/s40261-020-00968-6
- ]Kohn MD, Sassoon AA, Fernando ND. Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clin Orthop Relat Res. 2016 Aug 1;474(8):1886–93. DOI: https://doi.org/10.1007/s11999-016-4732-4
License
© 2026 The Author(s). Published by Journal of Health and Aging.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
