Osteoarthritis: Models for appropriate care across the disease continuum

Factors influencing the implementation of evidence‐based guidelines for osteoarthritis in primary care: A systematic review and thematic synthesis

“…The underutilization of recommended strategies to prevent and treat OA has resulted in international efforts to develop and implement models of care that focus on non‐surgical, evidence‐based management of OA (Allen et al, ). These models of OA care are, by nature, complex interventions which require change at multiple levels including individual, organizational and systems level (Craig et al, ).…”

“…Research exploring the process of implementing evidence‐based guidelines is required to provide insights into the practical, real‐world issues encountered and to develop targeted implementation strategies (Allen et al, ). Previous evidence syntheses have described clinicians' views of the barriers and enablers of the management of OA (Egerton, Diamond, Buchbinder, Bennell, & Slade, ) and factors affecting implementation more broadly across a range of conditions in primary care (Lau et al, ).…”

Demographic and Clinical Factors Associated With Nonsurgical Osteoarthritis Treatment Among Patients in Outpatient Clinics

“…Current treatment guidelines for the management of OA recommend initial non-pharmacological treatments such as self-management education, weight-loss, and physical activity, along with pharmacological therapy when tolerated and safe (4), yet studies suggest that gaps exist between guideline recommendations and treatments (12, 13). Furthermore, evaluation of use of specific OA treatments is limited to a few studies (10, 14, 15).…”

Association between MRI-defined osteoarthritis, pain, function and strength 3–10 years following knee joint injury in youth sport

“…Given the need to focus on primary (ie, prevent joint injury in susceptible populations) and secondary (ie, delay or halt OA onset after joint injury) prevention strategies to reduce the OA burden,8 researchers turned their attention towards an earlier structural OA diagnostic. It is now well documented that radiographic OA features are preceded by cartilage loss and bone marrow lesion (BML) formation, which are better detected with MRI 9.…”