Do people with knee osteoarthritis use guideline-consistent treatments after an orthopaedic surgeon recommends nonsurgical care? A cross-sectional survey with long-term follow-up

Mazzei, Darren; Whittaker, Jackie L.; Kania-Richmond, Ania; Faris, Peter; Wasylak, Tracy; Robert, Jill; Hawker, Gillian; Marshall, Deborah A.

doi:10.1016/j.ocarto.2022.100256

Cited by 9 publications

(4 citation statements)

References 51 publications

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“…Another finding from our study was that only 23% of the patients underwent the recommended combination of core treatments until six months after consulting the orthopaedic surgeon. In Canada, guideline-adherence was found in 19% of patients being recommended non-surgical treatment by an orthopaedic surgeon [ 36 ]. Additionally, we found that in those proceeding to knee arthroplasty, the proportion was 24%, which was considerably lower than in Canada, where 60% were found to have used recommended core treatments before surgery [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Usage of guideline-adherent core treatments for knee osteoarthritis before and after consulting an orthopaedic surgeon: A prospective cohort study

Bruhn,

Skou,

Harris

et al. 2023

Osteoarthritis and Cartilage Open

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Section: Discussionmentioning

confidence: 99%

Usage of guideline-adherent core treatments for knee osteoarthritis before and after consulting an orthopaedic surgeon: A prospective cohort study

Bruhn,

Skou,

Harris

et al. 2023

Osteoarthritis and Cartilage Open

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“…The AAOS Management of Osteoarthritis of the Knee, Second Edition (OAK2) evidence-based CPG recommended not using HA injections [18]. In spite of this recommendation, HA injection use is increasing and is not consistent with CPG recommendations [9,28,29,41]. Increasing Google queries in the United States and Europe are consistent with prospect theory when patients no longer have "good" treatment options [10].…”

Section: To the Editormentioning

confidence: 99%

Letter to the Editor: Editor’s Spotlight/Take 5: Has Arthroscopic Meniscectomy Use Changed in Response to the Evidence? A Large-database Study from Spain

Brown

Brophy

Fillingham

et al. 2023

Clin Orthop Relat Res

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“…A recent systematic review found that treatment programs including structured education and exercise are cost-effective compared to usual physician-delivered care in numerous health settings [15], but underutilization of non-surgical interventions in general has been observed across various global healthcare settings [16][17][18]. Two recent Canadian studies have shown substantial underuse of education and exercise interventions in both people scheduled for total knee arthroplasty and in those not eligible for surgery [19,20]. Thus, improved access to non-surgical care programs for people with knee and hip OA in Canada is needed.…”

Section: Introductionmentioning

confidence: 99%

The GLA:D® Canada program for knee and hip osteoarthritis: A comprehensive profile of program participants from 2017 to 2022

et al. 2023

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Background The Good Life with osteoArthritis in Denmark (GLA:D®) program was implemented in Canada in 2017 with the aim of making treatment guideline-recommended care available to the 4 million Canadians with knee and hip osteoarthritis (OA). This report describes the GLA:D® Canada program, registry and data collection procedures, and summarizes the sociodemographic and clinical profile of participants with knee and hip OA to inform the scientific research community of the availability of these data for future investigations and collaborations. Methods The GLA:D® program consists of three standardized components: a training course for health care providers, a group-based patient education and exercise therapy program, and a participant data registry. Patients seeking care for knee or hip OA symptoms and enrolling in GLA:D® are given the option to provide data to the GLA:D® Canada registry. Participants agreeing to provide data complete a pre-program survey and are followed up after 3-, and 12-months. Data collected on the pre-program and follow-up surveys include sociodemographic factors, clinical characteristics, health status measures, and objective physical function tests. These variables were selected to capture information across relevant health constructs and for future research investigations. Results At 2022 year-end, a total of 15,193 (11,228 knee; 3,965 hip) participants were included in the GLA:D® Canada registry with 7,527 (knee; 67.0%) and 2,798 (hip; 70.6%) providing pre-program data. Participants were 66 years of age on average, predominately female, and overweight or obese. Typically, participants had knee or hip problems for multiple years prior to initiating GLA:D®, multiple symptomatic knee and hip joints, and at least one medical comorbidity. Before starting the program, the average pain intensity was 5 out of 10, with approximately 2 out of 3 participants using pain medication and 1 in 3 participants reporting a desire to have joint surgery. Likewise, 9 out 10 participants report having previously been given a diagnosis of OA, with 9 out 10 also reporting having had a radiograph, of which approximately 87% reported the radiograph showed signs of OA. Conclusion We have described the GLA:D® Canada program, registry and data collection procedures, and provided a detailed summary to date of the profiles of participants with knee and hip OA. These individual participant data have the potential to be linked with local health administrative data registries and comparatively assessed with other international GLA:D® registries. Researchers are invited to make use of these rich datasets and participate in collaborative endeavours to tackle questions of Canadian and global importance for a large and growing clinical population of individuals with hip and knee OA.

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Do people with knee osteoarthritis use guideline-consistent treatments after an orthopaedic surgeon recommends nonsurgical care? A cross-sectional survey with long-term follow-up

Cited by 9 publications

References 51 publications

Usage of guideline-adherent core treatments for knee osteoarthritis before and after consulting an orthopaedic surgeon: A prospective cohort study

Usage of guideline-adherent core treatments for knee osteoarthritis before and after consulting an orthopaedic surgeon: A prospective cohort study

Letter to the Editor: Editor’s Spotlight/Take 5: Has Arthroscopic Meniscectomy Use Changed in Response to the Evidence? A Large-database Study from Spain

The GLA:D® Canada program for knee and hip osteoarthritis: A comprehensive profile of program participants from 2017 to 2022

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