ArticleAnnals of the rheumatic diseases2005
First line treatment of knee osteoarthritis in outpatients in France: adherence to the EULAR 2000 recommendations and factors influencing adherence.
Article in Annals of the rheumatic diseases, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- A systematic review of the barriers affecting medication adherence in patients with rheumatic diseases.Rheumatology international · 2017Pooled it
- Ayurvedic interventions for osteoarthritis: a systematic review and meta-analysis.Rheumatology international · 2015Pooled it
- The attitudes, beliefs and behaviours of GPs regarding exercise for chronic knee pain: a systematic review.BMC family practice · 2010Pooled it
- Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial.Journal of medical Internet research · 2013Trial
- Trial
- ARTIST (osteoarthritis intervention standardized) study of standardised consultation versus usual care for patients with osteoarthritis of the knee in primary care in France: pragmatic randomised controlled trial.BMJ (Clinical research ed.) · 2009Trial
- Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: a cluster randomized trial.Arthritis and rheumatism · 2007Trial
- Managing Osteoarthritis Pain in Underrepresented Populations: Insights from Mexico and Latin America.Journal of clinical medicine · 2026Review
- Patient perspectives on improving osteoarthritis management in urban and rural communities.Journal of pain research · 2018Article
- Patterns of routine primary care for osteoarthritis in the UK: a cross-sectional electronic health records study.BMJ open · 2017Observational
- What influences general practitioners' use of exercise for patients with chronic knee pain? Results from a national survey.BMC family practice · 2016Article
- Variation in use of non-surgical treatments among osteoarthritis patients in orthopaedic practice in the Netherlands.BMJ open · 2015Article
- Quality of care for OA: the effect of a point-of-care consultation recording template.Rheumatology (Oxford, England) · 2015Article
- Quality of hip and knee osteoarthritis management in primary health care in a Norwegian county: a cross-sectional survey.BMC health services research · 2014Article
- Review
- Hand, hip and knee osteoarthritis in a Norwegian population-based study--the MUST protocol.BMC musculoskeletal disorders · 2013Article
- Comparison of general practitioners and rheumatologists' prescription patterns for patients with knee osteoarthritis.BMC musculoskeletal disorders · 2011Article
- The gap between practice and guidelines in the choice of first-line disease modifying antirheumatic drug in early rheumatoid arthritis: results from the ESPOIR cohort.The Journal of rheumatology · 2009Article
- Focusing osteoarthritis management on modifiable risk factors and future therapeutic prospects.Therapeutic advances in musculoskeletal disease · 2009Article
- The CADEUS study: burden of nonsteroidal anti-inflammatory drug (NSAID) utilization for musculoskeletal disorders in blue collar workers.British journal of clinical pharmacology · 2009Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo document adherence to two parts of the EULAR 2000 recommendations for knee osteoarthritis, concerning non-pharmacological and pharmacological first line management; and to identify factors influencing adherence to the recommendations.
methodsIn a prospective study, 1030 randomly selected French general practitioners completed questionnaires about three unselected outpatients with osteoarthritis, and about their own practice, knowledge, and agreement with the EULAR 2000 recommendations. Percentages of adherence of their prescriptions to both parts of the recommendation were calculated, and probabilities of non-adherence analysed in relation to patient and physician related characteristics, using multilevel logistic regression analysis.
resultsData were obtained from 967 physicians and 2430 patients. The EULAR 2000 recommendations were familiar to 79% of the GPs; 99% agreed with the non-pharmacological part and 97% with the pharmacological part. Adherence to the two parts was 74.8% and 73.6%, but 54.2% for both together. Factors increasing adherence to the non-pharmacological recommendation were patient body mass index >35 kg/m(2) (odds ratio 0.11 (95% confidence interval, 0.06 to 0.21)), patient's stated preference for a treatment (OR 0.43 (0.55 to 0.97)), and physician's regular continuance of medical education (OR 0.76 (0.59 to 0.98)); patient's age and duration of symptoms decreased adherence. Factors increasing adherence to the pharmacological recommendation were gastrointestinal disease (OR 0.50 (0.35 to 0.72)) and physician's knowledge of the EULAR recommendations (OR 0.75 (0.60 to 0.93)).
conclusionsAlthough most physicians agreed with the EULAR 2000 recommendations, adherence was only approximately 75% for each of the non-pharmacological and pharmacological recommendations and 54% for both together.
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