Comparison of knee osteoarthritis treatment in the non-obese vs obese populations across different medical specialties

Abstract

during the post OAHKS implementation period indicated that OAHKS patients waited a shorter time for their initial appointment (median: 63 versus 93 days, p<0.01) and once consented for surgery, OAHKS patients waited a shorter time for their procedure (median 141 versus 218 days, p<0.01). Interview data demonstrated that patients reported high levels of satisfaction with the OAKHS particularly related to the education provided regarding their condition and optimisation of non operative management. There was consensus amongst clinicians that the OAHKS is a valuable service which facilitates timely access to intervention and minimises inappropriate surgical referrals. Project team members identified orthopaedic surgeon engagement was critical to the service's success. They were highly satisfied the project had been implemented as initially planned. Inclusion of experienced clinicians, academics, and hospital management and government representatives facilitated the development of a comprehensive and sustainable model of care. Conclusions: Implementation of the OAHKS at RMH has improved access to care for patients with hip and knee osteoarthritis through reduction of key wait times. Qualitative data indicate that patients and clinicians are highly satisfied with this model of care and highlights potential reasons for its success/sustainability.