Osteoarthritis, both idiopathic and post-traumatic, is currently the most significant problem in orthopedics. It particularly difficult to treat patient with comorbidities, when it necessary decide on surgery for a late-stage joint disease. An operation associated great risk such patients. Even if does not have serious somatic disorders, main task of doctors (and this multidisciplinary problem)...

Managing the difficult patient requires a set of skills or strategies oriented at improving the physician–patient relationship and avoiding conflictive situations. There are different types of difficult patients who should be precisely identified for their management. These patients seek appropriate medical care which is not always provided. However, some may have unrecognized pathological illn...

a Unidad de Epidemiología Clínica y Estadística Médica, Departamento de Ciencias Biomédicas, Universidad de Sassari, Unidad de Investigación, Formación Médica y Desarrollo Profesional, AOU Sassari, Sassari, Italy b Centro Colaborador con la OMS para la Tuberculosis y Trastornos Pulmonares, Fondazione S. Maugeri, Centro de Asistencia e Investigación, Tradate, Italy c IdISPa-FISIB, Hospital Unive...