Osteoarthritis: Models for appropriate care across the disease continuum. Issue 3 (June 2016)

• Record Type: Journal Article
• Authors: Allen, Kelli D.; Choong, Peter F.; Davis, Aileen M.; Dowsey, Michelle M.; Dziedzic, Krysia S.; Emery, Carolyn; Hunter, David J.; Losina, Elena; Page, Alexandra E.; Roos, Ewa M.; Skou, Søren T.; Thorstensson, Carina A.; van der Esch, Martin; Whittaker, Jackie L.
• Is Part Of: Best practice & research. Volume 30:Issue 3(2016:Jun.)
• Page Start: 503
• Page End: 535
• Publication Date: 2016-06
• Subjects: Osteoarthritis -- Quality of healthcare -- Implementation -- Health services; Rheumatology -- Periodicals; Rheumatic Diseases -- Periodicals; Reumatologie; 616.723005
• DOI: 10.1016/j.berh.2016.09.003
• Languages: English
• ISSNs: 1521-6942

Abstract

Abstract: Osteoarthritis (OA) is a leading cause of pain and disability worldwide. Despite the existence of evidence-based treatments and guidelines, substantial gaps remain in the quality of OA management. There is underutilization of behavioral and rehabilitative strategies to prevent and treat OA as well as a lack of processes to tailor treatment selection according to patient characteristics and preferences. There are emerging efforts in multiple countries to implement models of OA care, particularly focused on improving nonsurgical management. Although these programs vary in content and setting, key lessons learned include the importance of support from all stakeholders, consistent program delivery and tools, a coherent team to run the program, and a defined plan for outcome assessment. Efforts are still needed to develop, deliver, and evaluate models of care across the spectrum of OA, from prevention through end-stage disease, in order to improve care for this highly prevalent global condition.