ArticlePhysiotherapy Canada. Physiotherapie Canada2013
Why do people delay accessing health care for knee osteoarthritis? Exploring beliefs of health professionals and lay people.
Article in Physiotherapy Canada. Physiotherapie Canada, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Meta-analysis of tumor necrosis factor alpha -308 polymorphism and knee osteoarthritis risk.BMC musculoskeletal disorders · 2014Pooled it
- Understanding the treatment journey and experiences of knee osteoarthritis patients receiving standard care in Singapore: a qualitative study.BMC health services research · 2026Article
- Reasons for refusing high tibial osteotomy and the impact of virtual reality-based patient education: a prospective single-centre study.Journal of orthopaedic surgery and research · 2025Article
- The psychosocial background of dental care avoidance: A qualitative study.Oral diseases · 2025Article
- Trajectories of physical, mental health and health satisfaction before and after arthritis diagnosis: a UK population-based study.BMC musculoskeletal disorders · 2025Article
- Article
- Planned or recent first consultation with the general practitioner for knee complaints: Is it indicative of early-stage knee osteoarthritis?Osteoarthritis and cartilage open · 2024Article
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- Lower Income and Nonheterosexual Orientation Are Associated With Poor Access to Care in Patients With Knee Osteoarthritis.Arthroplasty today · 2024Article
- Knee osteoarthritis: disease burden, available treatments, and emerging options.Therapeutic advances in musculoskeletal disease · 2024Review
- Article
- Receiving or not deemed necessary healthcare services.BMC public health · 2023Article
- Health Information Sourcing and Health Knowledge Quality: Repeated Cross-sectional Survey.JMIR formative research · 2022Article
- Rural-Urban Disparities in Realized Spatial Access to General Practitioners, Orthopedic Surgeons, and Physiotherapists among People with Osteoarthritis in Alberta, Canada.International journal of environmental research and public health · 2022Article
- Awareness about total knee replacement among Saudi population.Journal of family medicine and primary care · 2022Article
- Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian.International journal of environmental research and public health · 2021Article
- Applying the International Classification of Functioning, Disability and Health to understand osteoarthritis management in urban and rural community-dwelling seniors.Osteoarthritis and cartilage open · 2021Article
- Technology versus tradition: a non-inferiority trial comparing video to face-to-face consultations with a physiotherapist for people with knee osteoarthritis. Protocol for the PEAK randomised controlled trial.BMC musculoskeletal disorders · 2020Article
- Knowledge and attitude towards total knee arthroplasty among the public in Saudi Arabia: a nationwide population-based study.International orthopaedics · 2018Article
- Patient perspectives on improving osteoarthritis management in urban and rural communities.Journal of pain research · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn knee osteoarthritis (OA), opportunity for non-surgical intervention is reduced by time lost between symptom onset and diagnosis. The study's purpose was to understand, from the perspective of various stakeholders, the reasons for delay and useful strategies to enhance early awareness of knee OA.
methodIn this qualitative study, focus groups of health professionals (n=6) and community-dwelling individuals (n=7) discussed questions relating to knowledge, attitudes, and beliefs about OA; experiences with people with OA; health care seeking behaviour; and access to services, and suggested strategies to enhance public awareness. Qualitative analyses identified dominant themes.
resultsReasons for delay from the laypersons' perspective included lack of knowledge about risk factors and prevention and a belief that knee pain is expected with age. Reasons related to the health care system included long wait times and frustration getting appointments. Health professionals were unclear on which discipline should discuss prevention and risk factors. Suggested strategies included advocating a healthy lifestyle, developing prevention programs, and using celebrities to inform the public.
conclusionsParticipants identified multiple reasons for delays and strategies to counter them. Knowledge about gaps in the OA care process can facilitate physiotherapists' participation in developing strategies for early intervention.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.