Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review

Basedow, Martin; Esterman, Adrian

doi:10.1111/jep.12402

Cited by 125 publications

(119 citation statements)

References 34 publications

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“…Despite clinical guideline recommendations, participation in exercise and physical activity are generally low among people with OA (Basedow & Esterman, 2015;Hinman, Nicolson, Dobson, & Bennell, 2015;Jordan et al, 2004;Mitchell & Hurley, 2008). Although a diverse and multi-factorial range of barriers to exercise participation exist in this patient group (Dobson et al, 2016;Kanavaki et al, 2017), barriers frequently relate to the environmental context, resources, and support available to the individual, as well as to personal beliefs about both capabilities to exercise and consequences of exercise participation.…”

Section: Barrier S To Parti Cipati On In E Xercis E and Phys Ic Al mentioning

confidence: 99%

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Hinman

Lawford

Bennell

2018

J Appl Biobehavioral Res

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Purpose The burden of musculoskeletal conditions, particularly osteoarthritis (OA), is expected to increase in coming decades as the world's population ages, and obesity rates continue to rise. Self‐management via lifestyle interventions, such as exercise and physical activity, is integral to minimizing pain and maintaining physical function, yet access to qualified health professionals for evidence‐based advice and support is difficult for many people. This article discusses how technology provides new opportunities for delivering physiotherapy services remotely to people with persistent joint pain, through telephone, and internet‐mediated video conferencing. Methods The evidence for effectiveness of such service models is reviewed. Key challenges to implementation are discussed, and future directions for research in the field are highlighted. Results There is emerging evidence that the provision of care via telephone and internet‐mediated video technologies is effective for, and acceptable to, people with OA. Advantages include its convenience and accessibility, as well as the “hands‐off” nature of consultations. Challenges include patient safety and privacy and workforce willingness and capacity to deliver care via non‐traditional methods. Conclusions Using technology to deliver physiotherapy services to people with OA is feasible and acceptable to users; however, further research is required to expand the evidence‐base for remotely‐delivered physiotherapy service models.

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Section: Barrier S To Parti Cipati On In E Xercis E and Phys Ic Al mentioning

confidence: 99%

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Hinman

Lawford

Bennell

2018

J Appl Biobehavioral Res

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“…We are not aware of prior studies of CTS. However, adherence to recommended care in other studies was 67% for low back pain, 44 62% for rheumatoid arthritis, 45 36-79% for osteoarthritis, 44,46 20-22% for fragility fracture, 44,47 and 57% for other orthopedic conditions. 44 Among U.S. adults with common causes of morbidity and mortality, underuse occurred among 46% and overuse among 11%.…”

Section: Discussionmentioning

confidence: 82%

Quality of Care for Work-Associated Carpal Tunnel Syndrome

Nuckols

Conlon

Robbins

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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Objective-To evaluate the quality of care provided to individuals with workers' compensation claims related to CTS and identify patient characteristics associated with receiving better care.Methods-We recruited subjects with new claims for CTS from 30 occupational clinics affiliated with Kaiser Permanente Northern California. We applied 45 process-oriented quality measures to 477 subjects' medical records, and performed multivariate logistic regression to identify patient characteristics associated with quality. Craig Conlon served as site principal investigator, overseeing data collection and providing input on issues related to care for CTS and workers' compensation. Michael Robbins oversaw statistical analyses. Michael Dworsky provided input on issues related to workers' compensation and assisted with data analysis and interpretation. Julie Lai and Rachana performed statistical analyses. Carol P. Roth assisted with the design of and oversaw the completion of the medical record reviews. Seth Seabury and John Adams contributed to study design, analytical methods, and interpretation of results. Barbara Levitan assisted with the design of and oversaw the completion of the surveys. Author Access to Data: All authors had access to study data. Payment for the Work: All authors received payment for the work, except John Adams, who donated his time. Results Potential Conflicts of Interest:The authors have no other potential conflicts of interest to report. Conclusions-Care processes for work-associated CTS frequently adhered to quality measures. Clinical factors were more strongly associated with quality than demographic and socioeconomic ones. HHS Public Access

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“…Adjunctive treatments: [14][15][16][17] The last 12 weeks is the time period considered when answering the questions.…”

Section: Objectivementioning

confidence: 99%

Patient-reported quality indicators to evaluate physiotherapy care for hip and/or knee osteoarthritis- development and evaluation of the QUIPA tool.

Teo

Hinman

Egerton

et al. 2020

Preprint

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Background: There is no physiotherapy-specific quality indicator tool available to evaluate physiotherapy care for people with hip and/or knee osteoarthritis (OA). This study aimed to develop a patient-reported quality indicator tool (QUIPA) for physiotherapy management of hip and knee OA and to assess its reliability and validity. Methods: To develop the QUIPA tool, quality indicators were initially developed based on clinical guideline recommendations most relevant to physiotherapy practice and those of an existing generic OA quality indicator tool. Draft items were then further refined using patient focus groups. Test-retest reliability, construct validity (hypothesis testing) and criterion validity were then evaluated. Sixty-five people with hip and/or knee OA attended a single physiotherapy consultation and completed the QUIPA tool one, twelve-and thirteen-weeks after.Physiotherapists (n=9) completed the tool post-consultation. Patient test-retest reliability was assessed between weeks twelve and thirteen. Construct validity was assessed with three predefined hypotheses and criterion validity was based on agreement between physiotherapists and participants at week one. Results: A draft list of 23 clinical guideline recommendations most relevant to physiotherapy was developed. Following feedback from three patient focus groups, the final QUIPA tool contained 18 items (three subscales) expressed in lay language. The test-retest reliability estimates (Cohen's Kappa) for single items ranged from 0.30-0.83 with observed agreement of 64-94%. The intraclass correlation coefficient (ICC) and 95% confidence interval (CI) for the Assessment and Management Planning subscale was 0.70 (0.54, 0.81), Core Recommended Treatments subscale was 0.84 (0.75, 0.90), Adjunctive Treatments subscale was 0.70 (0.39, 0.87) and for the total QUIPA score was 0.80 (0.69, 0.88). All predefined hypotheses regarding construct validity were confirmed.However, agreement between physiotherapists and participants for single items showed large measurement error (Cohen's Kappa estimates ranged from -0.04-0.59) with the ICC (95% CI) for the total score being 0.11 (-0.14, 0.34). Conclusions: The QUIPA tool showed acceptable test-retest reliability for subscales and total score but inadequate reliability for individual items. Construct validity was confirmed but criterion validity for individual items, subscales and the total score was inadequate. Further research is needed to refine the QUIPA tool to improve its clinimetric properties

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Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review

Abstract: Despite efforts made at improving care for patients with OA, the wide divergence between evidence and consensus-based recommended care and practice has been reaffirmed.

Cited by 125 publications

References 34 publications

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video‐conferencing service models

Quality of Care for Work-Associated Carpal Tunnel Syndrome

Patient-reported quality indicators to evaluate physiotherapy care for hip and/or knee osteoarthritis- development and evaluation of the QUIPA tool.

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