Best Evidence Osteoarthritis Care: What Are the Recommendations and What Is Needed to Improve Practice?

Bimbi Gray; Jillian P Eyles; Sandra Grace; David J Hunter; Nina Østerås; Jonathan Quicke; Dieuwke Schiphof; Jocelyn L Bowden

doi:10.1016/j.cger.2021.11.003

Best Evidence Osteoarthritis Care: What Are the Recommendations and What Is Needed to Improve Practice?

Clin Geriatr Med. 2022 May;38(2):287-302. doi: 10.1016/j.cger.2021.11.003.

Authors

Bimbi Gray¹, Jillian P Eyles¹, Sandra Grace², David J Hunter¹, Nina Østerås³, Jonathan Quicke⁴, Dieuwke Schiphof⁵, Jocelyn L Bowden⁶

Affiliations

¹ Institute of Bone and Joint Research, Kolling Institute, University of Sydney, Sydney; Department of Rheumatology, Royal North Shore Hospital, Sydney, New South Wales, Australia.
² Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia.
³ Division of Rheumatology and Research, Diakonhjemmet Hospital, PO Box 23 Vinderen, Oslo 0319, Norway.
⁴ School of Medicine/ Impact Accelerator Unit, Keele University, Keele, Staffordshire ST5 5BG, UK.
⁵ Department of General Practice, Erasmus MC University Medical Center, PO Box 2400, Rotterdam 3000 CA, the Netherlands.
⁶ Institute of Bone and Joint Research, Kolling Institute, University of Sydney, Sydney; Department of Rheumatology, Royal North Shore Hospital, Sydney, New South Wales, Australia. Electronic address: jocelyn.bowden@sydney.edu.au.

PMID: 35410681
DOI: 10.1016/j.cger.2021.11.003

Abstract

This article provides an overview of osteoarthritis (OA) management recommendations and strategies to improve clinical practice concordance with clinical guidelines. In many countries, the primary point of care for a person with OA is typically general practitioners and physiotherapists. Optimal primary care focuses on core OA treatments, namely education for self-management and lifestyle interventions encompassing increased physical activity, therapeutic exercise, and weight loss (if indicated). Quality indicators are used in clinical practice and research to determine the quality of care and in some settings, are used as knowledge translation tools to address existing evidence-to-practice gaps.

Keywords: Chronic disease; Evidence-based practice; Guideline-informed care; Osteoarthritis; Primary care; Quality indicators.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Exercise Therapy
Humans
Osteoarthritis* / diagnosis
Osteoarthritis* / therapy
Physical Therapists*
Weight Loss

Grants and funding

DH_/Department of Health/United Kingdom