Experts Prioritize Osteoarthritis Non-Surgical Interventions From Cochrane Systematic Reviews for Translation Into “Evidence4Equity” Summaries.

Abstract

Objective: Osteoarthritis carries substantial health and socioeconomic burden, which is particularly marked in marginalised groups. It is imperative that practitioners have ready access to summaries of evidence-based interventions for osteoarthritis that incorporate equity considerations. Summaries of systematic reviews can provide this. The present study surveyed experts to inform the selection of interventions to generate Cochrane Evidence4Equity (E4E) summaries. Methods: We identified 29 non-surgical interventions to prioritise. Key findings from these interventions were summarised and provided to 9 experts in the field of osteoarthritis. Expert participants were asked to rate interventions based on feasibility, health system effects, universality, impact on inequities, and priority for translation into equity based E4E summaries. Results: Expert participants rated land-based exercise highest for priority for translation into an E4E summaries. Conclusion: The survey generated information that can be used to direct and support knowledge translation efforts.

Remotely Delivered Exercise to Rural Older Adults with Knee Osteoarthritis: A Pilot Study

“…The CDC and other groups have recognized the need to improve equity in access to and delivery of evidence-based arthritis management programs [6]. A recent study found that experts rated land-based home exercise the highest priority intervention for knowledge translation and dissemination to help decrease disparities in knee OA and improve outcomes in underserved populations, including rural communities [44]. Given the results of the current study, remote delivery of EF classes is a promising intervention to address environmental barriers to exercise participation [10] and reduce the high burden of OA in the rural population [13].…”