25 In contrast, a study from Cameroon showed a trend toward higher VAS scores with increasing grade of radiographic severity. 19 Depression in patients with knee OA was assessed using the Patient Health Questionnaire (PHQ-9) 13 , 14 and Beck Depression Inventory (BDI); 12 with both instruments, the higher the scores, the more severe the depression.
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Assessing the Burden of Osteoarthritis in Africa and the Middle East: A Rapid Evidence Assessment.
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