| Management recommendations for knee osteoarthritis: how usable are they? | |
| | |
MedLine Citation:
|
PMID: 20851659 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVES: Despite the availability of practice guidelines for the management of knee osteoarthritis, inadequacies in practices of clinicians and patients have been found, leading to suboptimal outcomes. Literature has shown that simply disseminating management recommendations does not lead to adherence. Research suggests that barriers to use should be identified and addressed to improve adherence. The objective of this study was to identify barriers to use of conservative management recommendations for knee osteoarthritis by patients, general practitioners and physiotherapists. METHODS: Following systematic reviews of evidence and guidelines, 12 key management recommendations were elaborated on four themes: medication, exercise, self-management and occupation. Focus groups were separately done with patients with knee osteoarthritis, general practitioners and physiotherapists to assess barriers to the use of recommendations. RESULTS: Patients and general practitioners appeared generally fatalistic with regards to knee osteoarthritis, with physiotherapists being more positive regarding long-term improvement of knee osteoarthritis. For medication, discrepancies were found between recommendations and views of clinicians. Both patients and general practitioners appeared ambivalent towards exercise and activity, recognizing its usefulness but identifying it at the same time as a cause of knee osteoarthritis. Patients and general practitioners appeared to consider weight loss particularly difficult. DISCUSSION/CONCLUSIONS: Barriers specific to each knee osteoarthritis management recommendation and stakeholder group were identified. Recommendations to address these barriers were elaborated. Results of this study can be used to develop implementation strategies to overcome identified barriers, with the goal of facilitating the use of guideline recommendations and improving outcomes. |
| | |
Authors:
|
Stéphane Poitras; Michel Rossignol; Jérôme Avouac; Bernard Avouac; Christine Cedraschi; Margareta Nordin; Chantal Rousseaux; Sylvie Rozenberg; Bernard Savarieau; Philippe Thoumie; Jean-Pierre Valat; Eric Vignon; Pascal Hilliquin |
Related Documents
:
|
18234119 - Desired chinese medicine practitioner capabilities and professional development needs: ... 19912079 - The role of general practitioners in managing and treating hepatitis c. 999569 - Acceptance by patients of the student in general practice. 9808379 - Swedish gynecologists' and general practitioners' views on the climacteric period: know... 2252519 - Osteopathic medicine and primary care practice: plan or serendipity? 11317999 - Consumer demand in the purchase and prescription of sugar-free medicines. 19675839 - Management of 21-hydroxylase deficiency congenital adrenal hyperplasia: a survey of can... 20607249 - Radiosurgical management of pediatric arteriovenous malformations. 1630739 - Expectant and active management of preterm premature rupture of membranes. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-09-18 |
Journal Detail:
|
Title: Joint, bone, spine : revue du rhumatisme Volume: 77 ISSN: 1778-7254 ISO Abbreviation: Joint Bone Spine Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-10-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100938016 Medline TA: Joint Bone Spine Country: France |
Other Details:
|
Languages: eng Pagination: 458-65 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Société française de rhumatologie. Published by Elsevier SAS. All rights reserved. |
Affiliation:
|
School of Rehabilitation, University of Ottawa, Ottawa, Canada. stephane.poitras@uottawa.ca |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bone changes in spouses having shared lifestyle for 40years.
Next Document: Isolated fibrosis/contracture of the rectus femoris muscle: diagnosis and follow-up with sonography.