What Do People With Knee or Hip Osteoarthritis Need to Know? An International Consensus List of Essential Statements for Osteoarthritis

Abstract

Objective. To establish priority key messages for patients with osteoarthritis (OA). Methods. A Delphi survey and priority pairwise ranking activity was conducted. Participants included 51 OA experts from 13 countries and 9 patients (consumers) living with hip and/or knee OA. During 3 Delphi rounds, the panel of experts and consumers rated recommendations extracted from clinical guidelines and provided additional statements they considered important. When ‡70% of panel members agreed a statement was "essential," it was retained for the next Delphi round. The final list of essential statements was reviewed by a consumer focus group and statements were modified for clarity if required. Finally, a priority pairwise ranking activity determined the rank order of the list of essential messages. Results. Eighty-five experts and 15 consumers were invited to participate; 51 experts and 9 consumers completed round 1 of the Delphi survey, and 43 experts and 8 consumers completed the final priority ranking activity. From an original list of 114 statements, 21 statements were rated as essential. Most statements (n 5 17) related to nondrug treatment approaches for OA. Study limitations included that >50% of the panel comprised of physical therapists lead to high rankings of exercise and physical activity statements and also that only English-language statements were considered. Conclusion. OA experts and consumers have identified and prioritized 21 key patient messages about OA. These messages may be used to inform the content of consumer educational materials to ensure patients are educated about the most important aspects of OA and its management.

Most Important Frequently Asked Questions From Patients With Hip or Knee Osteoarthritis: A Best‐Worst Scaling Exercise

“…This need is in concordance with the guideline recommendation that self‐management is important for patients with hip or knee OA . It is also in line with the nature of the key messages that French et al reported to be essential for hip or knee OA patients, because 15 of those 21 statements covered treatment options and management in which the patients have an active role. This concordance between patients and health care professionals provides a good starting point for education and communication about treatment options.…”

“…In a recent study, French et al used a multistage consensus process to identify key messages that are essential for patients to know, extracted from multiple guidelines about OA. After optimizing the wording of the key messages, an overall ranking of the messages averaged across all panel members was determined.…”

Supporting the Evaluation and Implementation of Musculoskeletal Models of Care: A Globally Informed Framework for Judging Readiness and Success

“…A standard eDelphi approach consisting of 3 rounds was used to iteratively seek consensus on the draft framework. The methods underpinning the eDelphi were consistent with recent reports . An international panel that consisted of SMEs from phase 1, as well as additional SMEs invited by the Global Alliance for Musculoskeletal Health of the Bone and Joint Decade, was established.…”

Recommendations of Polish Society of Physiotherapy, Polish Society of Family Medicine and College of Family Physicians in Poland for hip joint pain in primary health care

“…along with tiredness and rigidity, with time, it is more and more difficult to mobilize for motion, and additional activity is inhibited and limited to a necessary minimum. Pain is, thus, the key determinant of the kinesiphobia that leads to sedentary lifestyles and decreased general efficiency, as well as to an increase of the risk of obesity and cardiovascular diseases [10]. a vicious cycle is, thus, created: on the one hand, lack of activity; on the other hand, progress of the disease, resulting in increasing loss of the joint motion extent and the intensifying of pain.…”

“…the 21 recommendations developed by the dElPHi discussion panel (represented by experts in rheumatology, orthopaedics and physiotherapy, as well as by patients themselves) indicated, among other issues, that physical activity and loss of body mass are priority preservative actions in this extent. moreover, regular physical activity and individual exercise programs (including muscle strengthening, cardiovascular activity and flexibility exercises) bring about real chances to lower the pain, decrease the progress of the joint degenerative disorder and improve performance of daily functions [10].…”