ArticleBMJ open2015
The relative importance of perceived doctor's attitude on the decision to consult for symptomatic osteoarthritis: a choice-based conjoint analysis study.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05566925 (Patients' Perceptions of Assessment and Treatment of Knee Osteoarthritis on the First Visit in Primary Care - a Qualitative Study), which is not on this map. Cited by 14 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.
Patients' Perceptions of Assessment and Treatment of Knee Osteoarthritis on the First Visit in Primary Care - a Qualitative Study
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Discrete Choice Experiments in Health Economics: Past, Present and Future.PharmacoEconomics · 2019Pooled it
- Greater pain and functional impairment in chronic erosive hand osteoarthritis compared to treated rheumatoid arthritis: A comparative study.Osteoarthritis and cartilage open · 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
- Participation in healthcare consultations: A qualitative study from the perspectives of persons diagnosed with hand osteoarthritis.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Incorporating patient preferences into osteoarthritis treatment.Archives of rheumatology · 2021Article
- Validation of canadian health administrative data algorithms for estimating trends in the incidence and prevalence of osteoarthritis.Osteoarthritis and cartilage open · 2020Article
- Analysing the preferences for family doctor contract services in rural China: a study using a discrete choice experiment.BMC family practice · 2020Article
- Can the Pain Attitudes and Beliefs Scales be adapted for use in the context of osteoarthritis with general practitioners and physiotherapists?BMC rheumatology · 2020Article
- Patients' preferences for osteoarthritis treatment: the value of stated-preference studies.Aging clinical and experimental research · 2019Article
- Enhancing delivery of osteoarthritis care in the general practice consultation: evaluation of a behaviour change intervention.BMC family practice · 2018Article
- Patterns of routine primary care for osteoarthritis in the UK: a cross-sectional electronic health records study.BMJ open · 2017Observational
- Self-management of musculoskeletal hand pain and hand problems in community-dwelling adults aged 50 years and older: results from a cross-sectional study in a UK population.BMC musculoskeletal disorders · 2016Article
- What influences patients with osteoarthritis to consult their GP about their symptoms? A narrative review.BMC family practice · 2013Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesSome patients spend years with painful osteoarthritis without consulting for it, including times when they are experiencing persistent severe pain and disability. Beliefs about osteoarthritis and what primary care has to offer may influence the decision to consult but their relative importance has seldom been quantified. We sought to investigate the relative importance of perceived service-related and clinical need attributes in the decision to consult a primary care physician for painful osteoarthritis.
designPartial-profile choice-based conjoint analysis study, using a self-complete questionnaire containing 10 choice tasks, each presenting two scenarios based on a combination of three out of six selected attributes.
settingGeneral population.
participantsAdults aged 50 years and over with hip, knee or hand pain registered with four UK general practices. OUTCOME MEASURES: Relative importance of pain characteristics, level of disruption to everyday life, extent of comorbidity, assessment, management, perceived general practitioner (GP) attitude.
results863 (74%) people responded (55% female; mean age 70 years, range: 58-93). The most important determinants of the patient's decision to consult the GP for joint pain were the extent to which pain disrupted everyday life ('most' vs 'none': relative importance 31%) and perceived GP attitude ('legitimate problem, requires treatment' vs 'part of the normal ageing process that one just has to accept': 24%). Thoroughness of assessment (14%), management options offered (13%), comorbidity (13%) and pain characteristics (5%) were less strongly associated with the decision to consult.
conclusionsAnticipating that the GP will regard joint pain as 'part of the normal ageing process that one just has to accept' is a strong disincentive to seeking help, potentially outweighing other aspects of quality of care. Alongside the recognition and management of disrupted function, an important goal of each primary care consultation for osteoarthritis should be to avoid imparting or reinforcing this perception.
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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.