Primary care-based models of care for osteoarthritis: a scoping review protocol

Joice Cunningham; Frank Doyle; Jennifer M Ryan; Barbara Clyne; Cathal Cadogan; Elizabeth Cottrell; Susan M Smith; Helen P French

doi:10.12688/hrbopenres.13260.2

Primary care-based models of care for osteoarthritis: a scoping review protocol

HRB Open Res. 2021 Oct 15:4:48. doi: 10.12688/hrbopenres.13260.2. eCollection 2021.

Authors

Joice Cunningham¹, Frank Doyle², Jennifer M Ryan³, Barbara Clyne⁴, Cathal Cadogan⁵, Elizabeth Cottrell⁶, Susan M Smith⁴, Helen P French¹

Affiliations

¹ School of Physiotherapy, Royal College of Surgeons in Ireland, RCSI, University of Medicine and Health Sciences, Dublin, Ireland.
² Department of Health Psychology, RCSI, University of Medicine and Health Sciences, Dublin, Ireland.
³ Public Health and Epidemiology, RCSI, University of Medicine and Health Sciences, Dublin, Ireland.
⁴ HRB Centre for Primary Care Research, Department of General Practice, RCSI, University of Medicine and Health Sciences, Dublin, Ireland.
⁵ School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, the University of Dublin, Dublin, Ireland.
⁶ School of Medicine, Keele University, Keele, UK.

Abstract

Background: The burden of osteoarthritis (OA) to individuals and health systems is substantial and is expected to increase due to population ageing and rising prevalence of obesity and multimorbidity. Primary care-based models of care (MoCs) are being increasingly developed in response to this growing burden. However, these MoCs have yet to be formally reviewed. A MoC can be defined as an 'evidence-informed strategy, framework or pathway that outlines the optimal manner in which condition-specific care should be delivered to consumers within a local health system'. Objective: To identify and describe the available research regarding the extent, nature and characteristics of MoCs for OA that have been developed or evaluated in primary care. Methods: A scoping review will be conducted in accordance with the Arksey and O'Malley scoping review framework and the PRISMA-ScR guidelines. Systematic literature searches of MEDLINE, EMBASE, CINAHL, PsychINFO, Web of Science and LILACs will be conducted from 2010 to present, aligning with publication dates of recent clinical guidelines. A structured iterative search of grey literature will be conducted. Full-text original quantitative or mixed method studies which describe the development or evaluation of MoCs for OA in primary care will be considered. Data will be charted and synthesised and a narrative synthesis will be conducted. Conclusions: This scoping review will provide a broad overview regarding the extent, nature and characteristics of the available literature on primary care based MoCs for OA. Findings will be used to identify gaps in the current evidence to identify areas for future research.

Keywords: Evidence-based Guidelines; Model of Care; Osteoarthritis; Primary Care; Scoping Review.

Grants and funding

This research has been funded by Health Research Board (HRB) Investigator-Led Project Award to HPF [LP-HSR-2019-012. BC is funded by Health Research Board (HRB) Emerging Investigator Award [EIA-2019-09].