Audit and feedback of patient reported outcomes in knee osteoarthritis to improve management in primary care: A pilot project

Gakhal, Natasha; Propp, Roni; Keshavjee, L.; Hayden, Leigh; Silva, S. Da; Hawker, Gillian; Ivers, Noah

doi:10.1016/j.joca.2016.01.465

Cited by 2 publications

(2 citation statements)

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“…The studies reporting on PROs as an integrated part of clinical practice within hip or knee OA are presented in Table 4. The study by Gakhal et al [20] is a conference abstract concerning the development and implementation of a system for PRO feedback to encourage the use of data to inform clinical decisions by patients and their providers. Furthermore, the study by Slover et al [21] is a feasibility study with the aim of evaluating the integration of an electronic PRO data capture system into routine orthopaedic practice.…”

Section: Resultsmentioning

confidence: 99%

“…In this explorative review, only two studies reporting on the active use of PROs as an integrated part of clinical practice within hip and knee OA were identified. Gakhal et al [20] reported on the effects of continuous feedback provided to doctors about their patients’ pain and functional level. Separately, Slover et al [21] described the integration of a uniform, web-based software system at two different treatment sites to create a multisite registry of secure PRO data that are usable in real time by both patients and physicians.…”

Section: Discussionmentioning

confidence: 99%

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Implementing patient-reported outcomes in clinical decision-making within knee and hip osteoarthritis: an explorative review

Sørensen

Hammeken

Thomsen

et al. 2019

BMC Musculoskelet Disord

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Background In the past few decades, there has been an increasing focus on the importance of patient involvement in the health care system. Patient participation executed through patient-reported outcomes (PROs) and the integration of such into clinical practice has been framed as positive for patients, care providers, and the health care system as a whole. This review aims to elucidate and discuss the current and future use of PROs in clinical practice and to identify the most common types of PRO measures (PROMs) used for patients with hip or knee osteoarthritis in different treatment settings. Methods The following databases were searched: PubMed, Embase, CINAHL, Scopus, the Cochrane Library, and EconLit. For inclusion in the study, studies had to cover either knee or hip osteoarthritis and report on PROs. The type of PROM, treatment setting, and study design of each included study were extracted from their respective abstracts. Additionally, the full text of studies concerning PROs as an integrated part of clinical practice was examined and information on the year of publication, study design, topic, and use of PROMs was extracted. Results It was found that only two pilot studies reported on the use of PROs as an integrated part of patient treatment within hip or knee osteoarthritis. In 349 studies, a total of 38 different PROMs relevant for patients with either hip or knee osteoarthritis were identified. The EQ-5D, WOMAC, and VAS questionnaires were the most commonly reported generic, disease-specific, and domain-specific PROMs, respectively. However, a large variation in the use of different PROMs both within and between surgical and nonsurgical settings was found. Conclusion Limited evidence on the use of PROs as an integrated part of clinical practice for patients with hip and knee osteoarthritis was found. Further research is necessary to clarify the effects on patient outcomes of using PROs in clinical practice. In addition, there is limited agreement on a joint standard for the use of PROMs both within and across the sectorial boarders. Further exploration of PROMs to generate future standardisation is suggested. Electronic supplementary material The online version of this article (10.1186/s12891-019-2620-2) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%