ArticleRheumatology (Oxford, England)2015
Quality of care for OA: the effect of a point-of-care consultation recording template.
Article in Rheumatology (Oxford, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): a cluster randomised controlled trial.Osteoarthritis and cartilage · 2018Trial
- Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): a cluster randomised controlled trial in primary care.Osteoarthritis and cartilage · 2017Trial
- Trial
- A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial.BMC family practice · 2016Trial
- Patterns of knee osteoarthritis management in general practice: a retrospective cohort study using electronic health records.BMC primary care · 2024Article
- Improving diagnosis and treatment of knee osteoarthritis in persons with type 2 diabetes: development of a complex intervention.Implementation science communications · 2023Article
- Changes in received quality of care for knee osteoarthritis after a multicomponent intervention in a general practice in Denmark.Health science reports · 2021Article
- Understanding the uptake of a clinical innovation for osteoarthritis in primary care: a qualitative study of knowledge mobilisation using the i-PARIHS framework.Implementation science : IS · 2020Article
- 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
- Patient-reported quality indicators to evaluate physiotherapy care for hip and/or knee osteoarthritis- development and evaluation of the QUIPA tool.BMC musculoskeletal disorders · 2020Article
- Article
- Development and validation of prediction models to estimate risk of primary total hip and knee replacements using data from the UK: two prospective open cohorts using the UK Clinical Practice Research Datalink.Annals of the rheumatic diseases · 2019Article
- Uptake of the NICE osteoarthritis guidelines in primary care: a survey of older adults with joint pain.BMC musculoskeletal disorders · 2018Article
- Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care.Rheumatology (Oxford, England) · 2018Review
- Patterns of routine primary care for osteoarthritis in the UK: a cross-sectional electronic health records study.BMJ open · 2017Observational
- Observational
- Influences on the decision to use an osteoarthritis diagnosis in primary care: a cohort study with linked survey and electronic health record data.Osteoarthritis and cartilage · 2016Article
- Patient-reported quality indicators for osteoarthritis: a patient and public generated self-report measure for primary care.Research involvement and engagement · 2016Article
- Pain medication management of musculoskeletal conditions at first presentation in primary care: analysis of routinely collected medical record data.BMC musculoskeletal disorders · 2014Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveThe aims of this study were to determine the feasibility of introducing a computerized template for identifying quality of care during an OA consultation, describe quality of OA care in practices in which the template was introduced and assess the effect of the template on routinely recorded clinician behaviour in those practices.
methodsA computerized template to assist the recording of care in consultations for patients with OA was installed in eight general practices. Eligible patients were those ≥45 years of age consulting for clinical OA during a 6 month period. The main outcomes were frequency of template triggering, achievement of quality indicators during the consultation (assessment of pain and function, assessment for first-line analgesics, provision of information, exercise advice, consideration of physiotherapy referral, weight loss advice) and change in routinely recorded clinician behaviour (diagnostic coding, prescribing, referral, use of radiography, weight records) compared with the 12 months prior to template installation.
resultsThe template was triggered for 1730 patients. Achievement of indicators ranged from 36% (for consideration of physiotherapy referral) to 63% (for pain assessment), with substantial variability between clinicians. There was an increase in prescription of recommended first-line analgesics following the template installation: paracetamol [odds ratio (OR) 1.49 (95% CI 1.22, 1.82) compared with pre-template] and topical NSAIDs [OR 1.95 (95% CI 1.61, 2.35)].
conclusionThis new template is a feasible tool for capturing data during OA consultations to aid assessment of quality of care. It was associated with significant improvements in recommended care processes. However, strategies are needed to ensure consistent approaches between clinicians.
trial registrationhttp://www.controlled-trials.com/ISRCTN06984617/mosaics.
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