On the waiting list for joint replacement for knee osteoarthritis : Are first-line treatment recommendations implemented?
Cronström, A LU ; Nero, H LU ; Lohmander, L S LU
and Dahlberg, L E
LU
(2020)
In Osteoarthritis and Cartilage Open
2(2).
- Abstract
OBJECTIVE: To investigate to what extent individuals participated in guideline-based first-line treatments before being assigned to a wait list for knee replacement for osteoarthritis (OA), and to what extent they were recommended such treatments once on the list. Factors associated with participation in first-line management were also investigated.
DESIGN: All patients on the waiting list ≥ three months for knee replacement due to knee OA (n = 229) at a public hospital in Sweden were invited to participate in this cross-sectional survey study. 136 individuals (mean age 70 ± 9 years, 59% women) answered self-reported questionnaires including demographics, physical activity level, knee function and treatments before and during... (More)
OBJECTIVE: To investigate to what extent individuals participated in guideline-based first-line treatments before being assigned to a wait list for knee replacement for osteoarthritis (OA), and to what extent they were recommended such treatments once on the list. Factors associated with participation in first-line management were also investigated.
DESIGN: All patients on the waiting list ≥ three months for knee replacement due to knee OA (n = 229) at a public hospital in Sweden were invited to participate in this cross-sectional survey study. 136 individuals (mean age 70 ± 9 years, 59% women) answered self-reported questionnaires including demographics, physical activity level, knee function and treatments before and during their time on the waiting list.
RESULTS: Before being referred to the waiting list, 40% had participated in guideline-based OA management (Better management of patients with OsteoArthritis (BOA)), 53% in physiotherapy, 67% in either BOA or physiotherapy whilst 23% of those overweight (BMI≥25) had received weight-management advice. Women had participated in BOA and physiotherapy twice as often as men (51% vs. 25%, p = 0.002 and 66% vs. 34%, p < 0.001) prior to waiting list referral. During their time on the waiting list, only 10% were recommended BOA, 30% physiotherapy and 15% weight-management. 38% of the patients that had never participated in BOA indicated that they were interested in participating while waiting for their knee replacement.
CONCLUSION: Our results suggest that recommended treatment guidelines for OA may not be adequately implemented in Swedish health-care. Further exploration of implementation barriers and lack of equality of care appears warranted.
(Less)
- author
- Cronström, A
LU
; Nero, H
LU
; Lohmander, L S
LU
and Dahlberg, L E
LU
- organization
- publishing date
- 2020-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Osteoarthritis, Joint replacement, First-line treatment, Implementation, Exercise, Education
- in
- Osteoarthritis and Cartilage Open
- volume
- 2
- issue
- 2
- article number
- 100056
- pages
- 7 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85090572122
- pmid:36474591
- ISSN
- 2665-9131
- DOI
- 10.1016/j.ocarto.2020.100056
- language
- English
- LU publication?
- yes
- additional info
- © 2020 The Authors.
- id
- e60e4fa9-1d5e-463e-9992-ab8b781c771b
- date added to LUP
- 2022-12-09 14:42:41
- date last changed
- 2024-04-19 20:03:05
@article{e60e4fa9-1d5e-463e-9992-ab8b781c771b,
abstract = {{<p>OBJECTIVE: To investigate to what extent individuals participated in guideline-based first-line treatments before being assigned to a wait list for knee replacement for osteoarthritis (OA), and to what extent they were recommended such treatments once on the list. Factors associated with participation in first-line management were also investigated.</p><p>DESIGN: All patients on the waiting list ≥ three months for knee replacement due to knee OA (n = 229) at a public hospital in Sweden were invited to participate in this cross-sectional survey study. 136 individuals (mean age 70 ± 9 years, 59% women) answered self-reported questionnaires including demographics, physical activity level, knee function and treatments before and during their time on the waiting list.</p><p>RESULTS: Before being referred to the waiting list, 40% had participated in guideline-based OA management (Better management of patients with OsteoArthritis (BOA)), 53% in physiotherapy, 67% in either BOA or physiotherapy whilst 23% of those overweight (BMI≥25) had received weight-management advice. Women had participated in BOA and physiotherapy twice as often as men (51% vs. 25%, p = 0.002 and 66% vs. 34%, p < 0.001) prior to waiting list referral. During their time on the waiting list, only 10% were recommended BOA, 30% physiotherapy and 15% weight-management. 38% of the patients that had never participated in BOA indicated that they were interested in participating while waiting for their knee replacement.</p><p>CONCLUSION: Our results suggest that recommended treatment guidelines for OA may not be adequately implemented in Swedish health-care. Further exploration of implementation barriers and lack of equality of care appears warranted.</p>}},
author = {{Cronström, A and Nero, H and Lohmander, L S and Dahlberg, L E}},
issn = {{2665-9131}},
keywords = {{Osteoarthritis; Joint replacement; First-line treatment; Implementation; Exercise; Education}},
language = {{eng}},
number = {{2}},
publisher = {{Elsevier}},
series = {{Osteoarthritis and Cartilage Open}},
title = {{On the waiting list for joint replacement for knee osteoarthritis : Are first-line treatment recommendations implemented?}},
url = {{http://dx.doi.org/10.1016/j.ocarto.2020.100056}},
doi = {{10.1016/j.ocarto.2020.100056}},
volume = {{2}},
year = {{2020}},
}