To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA).
We conducted a 3-round modified Delphi survey involving an international group of researchers, health professionals, health administrators and people with OA. In Round 1, participants ranked the importance of 75 outcome and descriptive domains in five categories: patient impacts, implementation outcomes, and characteristics of the OAMP and its participants and clinicians. Domains ranked as “important” or “essential” by ≥80% of participants were retained, and participants could suggest additional domains. In Round 2, participants rated their level of agreement that each domain was essential for evaluating OAMPs: 0 = strongly disagree to 10 = strongly agree. A domain was retained if ≥80% rated it ≥6. In Round 3, participants rated remaining domains using same scale as in Round 2; a domain was recommended as “core” if ≥80% of participants rated it ≥9 and as “optional” if ≥80% rated it ≥7.
A total of 178 individuals from 26 countries participated; 85 completed all survey rounds. Only one domain, “ability to participate in daily activities”, met criteria for a core domain; 25 domains met criteria for an optional recommendation: 8 Patient Impacts, 5 Implementation Outcomes, 5 Participant Characteristics, 3 OAMP Characteristics and 4 Clinician Characteristics.
The ability of patients with OA to participate in daily activities should be evaluated in all OAMPs. Teams evaluating OAMPs should consider including domains from the optional recommended set, with representation from all five categories and based on stakeholder priorities in their local context.
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- Osteoarthritis is a serious disease.Clin Exp Rheumatol. 2019; 37: 3-6
- Demographic and clinical factors associated with nonsurgical osteoarthritis treatment among patients in outpatient clinics.Arthritis Care Res (Hoboken). 2018; 70: 1141-1149
- Self-reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and the UK.RMD Open. 2015; 1e000136
- Gaps in appropriate use of treatment strategies in osteoarthritis.Best Pract Res Clin Rheumatol. 2017; 31: 746-759
- Recommendation rates for physical therapy, lifestyle counseling, and pain medications for managing knee osteoarthritis in ambulatory care settings: a cross-sectional analysis of the National Ambulatory Care Survey (2007-2015).Arthritis Care Res (Hoboken). 2020; 72: 184-192
- Uptake of the NICE osteoarthritis guidelines in primary care: a survey of older adults with joint pain.BMC Musculoskelet Disord. 2018; 19: 295
- Priorities for the effective implementation of osteoarthritis management programs: an OARSI international consensus exercise.Osteoarthritis Cartilage. 2019; 27: 1270-1279
- Osteoarthritis: models for appropriate care across the disease continuum.Best Pract Res Clin Rheumatol. 2016; 30: 503-535
- Core and adjunctive interventions for osteoarthritis: efficacy and models for implementation.Nat Rev Rheumatol. 2020; 16: 434-447
- The OMERACT-OARSI core domain set for measurement in clinical trials of hip and/or knee osteoarthritis.J Rheumatol. 2019; 46: 981-989
- OARSI recommended performance-based tests to assess physical function in people diagnosed with hip or knee osteoarthritis.Osteoarthritis Cartilage. 2013; 21: 1042-1052
- Defining an international standard set of outcome measures for patients with hip or knee osteoarthritis: consensus of the International Consortium for Health Outcomes Measurement Hip and Knee Osteoarthritis Working Group.Arthritis Care Res (Hoboken). 2016; 68: 1631-1639
- A 6-week web-based osteoarthritis treatment program: observational quasi-experimental study.J Med Internet Res. 2017; 19: e422
- Good Life with osteoArthritis in Denmark (GLA:D): evidence-based education and supervised neuromuscular exercise delivered by certified physiotherapists nationwide.BMC Musculoskelet Disord. 2017; 18: 72
- Can we predict those with OA who worsen following a chronic disease management program?.Arthritis Care Res (Hoboken). 2016 Sep; 68: 1268-1277
- Does clinical presentation predict response to a nonsurgical chronic disease management program for endstage hip and knee osteoarthritis?.J Rheumatol. 2014; 41: 2223-2231
- Development of a comprehensive, nonsurgical joint health program for people with osteoarthritis: a case report.Phys Ther. 2020; 100: 127-135
- Predictors of self-reported knee instability among patients with knee osteoarthritis: results of the Amsterdam osteoarthritis cohort.Clin Rheumatol. 2016; 35: 3007-3013
- Multimodal care for knee and hip osteoarthritis: a pilot feasibility study of a novel approach to a common problem.WMJ. 2020; 119: 44-47
- Outcomes and factors influencing response to an individualized multidisciplinary chronic disease management program for hip and knee osteoarthritis.J Arthroplasty. 2018; 33: 2780-2786
- The joint clinic: managing excess demand for hip and knee osteoarthritis referrals using a new physiotherapy-led outpatient service.J Arthroplasty. 2018; 33: 983-987
- Immediate outcomes following the GLA:D(R) program in Denmark, Canada and Australia. A longitudinal analysis including 28,370 patients with symptomatic knee or hip osteoarthritis.Osteoarthritis Cartilage. 2021; 29: 502-506
- Implementing a structured model for osteoarthritis care in primary healthcare: a stepped-wedge cluster-randomised trial.PLoS Med. 2019; 16e1002949
- Implementation of a 'Joint Clinic' to resolve unmet need for orthopaedic services in patients with hip and knee osteoarthritis: a program evaluation.BMC Musculoskelet Disord. 2019; 20: 324
- The better management of patients with osteoarthritis program: outcomes after evidence-based education and exercise delivered nationwide in Sweden.PLoS One. 2019; 14e0222657
- Better management of patients with osteoarthritis: development and nationwide implementation of an evidence-based supported osteoarthritis self-management programme.Musculoskeletal Care. 2015; 13: 67-75
- Development of a core capability framework for qualified health professionals to optimise care for people with osteoarthritis: an OARSI initiative.Osteoarthritis Cartilage. 2020; 28: 154-166
- Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda.Adm Policy Ment Health. 2011; 38: 65-76
- Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review.J Eval Clin Pract. 2015; 21: 782-789
- Delphi technique in health sciences: a map.Front Public Health. 2020; 8: 457
- New English and Spanish social health measures will facilitate evaluating health determinants.Health Psychol. 2014; 33: 490-499
- Measures of participation in persons with musculoskeletal conditions.Arthritis Care Res (Hoboken). 2020; 72: 486-498
Published online: March 07, 2023
Accepted: February 19, 2023
Received: November 3, 2022
Publication stageIn Press Journal Pre-Proof
Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International.