Evidence map›Paper›PMID 25125779›Full record

ArticlePhysiotherapy Canada. Physiotherapie Canada2014

Patients' perceptions of navigating "the system" for arthritis management: are they able to follow our recommendations?

Jennifer Winter Di Cola, Shahiroz Juma, Deborah Kennedy, Patricia Dickson, Suzanne Denis, Susan Robarts, Jeffrey Gollish, Fiona Webster

Open access · greenAbstract read
In one paragraph

Article in Physiotherapy Canada. Physiotherapie Canada, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Clinician's Commentary on Winter Di Cola et al.(1.).Physiotherapy Canada. Physiotherapie Canada · 2014
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Jennifer Winter Di ColaHospital for Sick Children, Toronto.
Shahiroz JumaHolland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre ; Department of Physical Therapy.
Deborah KennedyHolland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre ; Department of Physical Therapy ; School of Rehabilitation Science, McMaster University, Hamilton, Ont.
Patricia DicksonHolland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre ; Department of Occupational Science and Occupational Therapy.
Suzanne DenisHolland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre ; Department of Physical Therapy ; School of Rehabilitation Science, McMaster University, Hamilton, Ont.
Susan RobartsHolland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre.
Jeffrey GollishHolland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre ; Department of Surgery.
Fiona WebsterDepartment of Family and Community Medicine ; Institute of Health Policy Management and Evaluation, University of Toronto, Toronto.
Health Sciences Centre · CASunnybrook Health Science Centre · CAHospital for Sick Children · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo understand whether a visit to a Hip/Knee Arthritis Assessment Centre (AC), where non-surgical candidates with arthritis are directed toward community resources and provided with a conservative treatment "prescription," contributes to patients' self-management and ability to access community resources.

methodsA purposive sample of non-surgical patients was contacted 3-10 months after their AC visit. Three focus groups (n=20) and 20 semi-structured telephone interviews were conducted. Transcripts were systematically coded and analyzed using a qualitative descriptive research methodology.

resultsWhile participants generally reported that the AC visit improved self-management, analysis identified an emergent theme about the inadequacy of conservative management in general, subdivided into two sub-themes related to (1) limited access to high-quality, non-surgical treatment, such as physiotherapy and (2) health care providers' attitudes and approaches, which do not embrace chronic disease prevention and management.

conclusionsAn AC visit contributes to arthritis self-management; however, the current health care system does not adequately support conservative treatment of chronic conditions. Treatment guidelines need to be tailored to the local health care context in which they are applied.

Indexed as

disease managementhealth services accessibilityosteoarthritissurvey

Identifiers

PMID25125779
PMCPMC4130404
OpenAlexW2045836012

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.