Summary
Objective
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).
Design
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.
Results
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.
Conclusion
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.
Keywords
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Article info
Publication history
Published online: March 07, 2023
Accepted:
February 19,
2023
Received:
November 3,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International.
