Cross-sectional Analysis of Recommendations for the Treatment of Hip and Knee Osteoarthritis in Clinical Guidelines

Bichsel, Daniela; Liechti, Fabian D.; Schlapbach, Judith M.; Wertli, Maria M.

doi:10.1016/j.apmr.2021.07.801

Cited by 30 publications

(25 citation statements)

References 66 publications

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“…Osteoarthritis is a leading cause of pain and disability worldwide, affecting more than 300 million people and resulting in substantial societal and health system burdens [ 1 ]. All international guidelines recommend education and exercise-therapy as essential first line treatments for the management of knee osteoarthritis [ 2 ]. The Good Living with osteoArthritis from Denmark (GLA:D®) program is a guideline-based, physiotherapist-led, standardised but individualized, group education and supervised exercise-therapy program for people with knee and hip osteoarthritis [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“Much better than I thought it was going to be”: Telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis

Ezzat

Bell

Kemp

et al. 2022

Osteoarthritis and Cartilage Open

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Section: Introductionmentioning

confidence: 99%

“Much better than I thought it was going to be”: Telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis

Ezzat

Bell

Kemp

et al. 2022

Osteoarthritis and Cartilage Open

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“…Injective solutions show promise to target the whole joint environment, improving joint homeostasis and thus reducing symptoms and delaying the need for arthroplasty. Among the injective options, viscosupplementation is one of the most used in the clinical practice [21,56], although there is no consensus among different scientific societies on guidelines for its use [10]. The repetitive use of hyaluronic acid has been suggested to postpone joint replacement in OA patients, with several retrospective analyses reporting a higher median time to TKA in patients who received hyaluronic acid injections compared to control groups [2,75,76] has been demonstrated that also intra-articular plateletrich plasma (PRP) injections are able to delay the need for joint arthroplasty, with a survival analysis on over 1,000 patients with knee OA reporting a median delay of 4 years and a survival rate of 85% at 5 years of follow-up [64].…”

Section: Discussionmentioning

confidence: 99%

“…9 UOC di Clinica Ortopedica AOU Sassari, Sassari, Italy. 10 Humanitas Castelli, Bergamo, Italy. 11 Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.…”

Section: Acknowledgementsmentioning

confidence: 99%

The reimbursement system can influence the treatment choice and favor joint replacement versus other less invasive solutions in patients affected by osteoarthritis

De Marziani,

Boffa,

Di Martino

et al. 2023

J. exp. orthop.

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Purpose The aim of this study was to assess how physicians perceive the role of the reimbursement system and its potential influence in affecting their treatment choice in the management of patients affected by osteoarthritis (OA). Methods A survey was administered to 283 members of SIAGASCOT (Italian Society of Arthroscopy, Knee, Upper Limb, Sport, Cartilage and Orthopaedic Technologies), a National scientific orthopaedic society. The survey presented multiple choice questions on the access allowed by the current Diagnosis-Related Groups (DRG) system to all necessary options to treat patients affected by OA and on the influence toward prosthetic solutions versus other less invasive options. Results Almost 70% of the participants consider that the current DRG system does not allow access to all necessary options to best treat patients affected by OA. More than half of the participants thought that the current DRG system favors the choice of prosthetic solutions (55%) and that it can contribute to the increase in prosthetic implantation at the expense of less invasive solutions (54%). The sub-analyses based on different age groups, professional roles, and places of work allowed to evaluate the response in each specific category, confirming the findings for all investigated aspects. Conclusions This survey documented that the majority of physicians consider that the reimbursement system can influence the treatment choice when managing OA patients. The current DRG system was perceived as unbalanced in favor of the choice of the prosthetic solution, which could contribute to the increase in prosthetic implantation at the expense of other less invasive options for OA management.

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“…A variety of management options for knee OA exists, including physical therapy, weight loss, intra-articular corticosteroid injections, and total joint arthroplasty [5]. Patient education is also a key component of OA management [6]. With many treatments available, patients often utilize the internet to educate themselves about their condition and management options [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

The Quality of Online Information for the Treatment of Knee Osteoarthritis: A Google Study

Sullivan¹,

Abed²,

Joiner³

et al. 2022

Cureus

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IntroductionAffecting more than 30 million adults annually, osteoarthritis (OA) is the most common joint disorder in the United States. A variety of management options for knee OA exists, including physical therapy, weight loss, intra-articular corticosteroid injections, and total joint arthroplasty. With many treatments available, patients often utilize the internet to educate themselves about their condition and management options. The purpose of this study was to evaluate the quality, transparency, and readability of online information for the treatment of knee OA. MethodsThe search terms "knee," "arthritis," and "treatment" were entered into an incognito mode Google browser. Websites were classified by type (commercial, academic, nonacademic medical practice, government/patient advocacy, and other) and graded on content quality, transparency, and readability using the following scores, respectively: modified DISCERN, Journal of American Medical Association (JAMA) Benchmark, and Flesch-Kincaid (FK) grade level. ResultsOf the 95 websites evaluated, commercial (mean, 38.2) and academic (37.3) sites had the highest total DISCERN scores, which were significantly greater than nonacademic medical practice (31.8) and government/patient advocacy sites (33.4) (p≤0.035). Nonacademic medical practice sites had the lowest mean total DISCERN (31.8) and JAMA (1.47) scores and the highest FK grade level readability (9.5). There was a significant positive correlation between mean total DISCERN and JAMA scores (r=0.46, p<0.001). ConclusionThe mean overall quality of websites regarding the treatment of OA was good as evidenced by greater modified DISCERN scores. However, website quality ranged from poor to excellent, indicating that some websites are still missing key information patients may find useful when assessing treatment options online.

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Cross-sectional Analysis of Recommendations for the Treatment of Hip and Knee Osteoarthritis in Clinical Guidelines

Cited by 30 publications

References 66 publications

“Much better than I thought it was going to be”: Telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis

“Much better than I thought it was going to be”: Telehealth delivered group-based education and exercise was perceived as acceptable among people with knee osteoarthritis

The reimbursement system can influence the treatment choice and favor joint replacement versus other less invasive solutions in patients affected by osteoarthritis

The Quality of Online Information for the Treatment of Knee Osteoarthritis: A Google Study

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