Observational studyAnnals of family medicine2015
The Identity Crisis of Osteoarthritis in General Practice: A Qualitative Study Using Video-Stimulated Recall.
Observational study in Annals of family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Expressed information needs of patients with osteoporosis and/or fragility fractures: a systematic review.Archives of osteoporosis · 2018Pooled it
- Effects of X-ray-based diagnosis and explanation of knee osteoarthritis on patient beliefs about osteoarthritis management: A randomised clinical trial.PLoS medicine · 2025Trial
- Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial.BMC family practice · 2020Trial
- Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): a cluster randomised controlled trial.Osteoarthritis and cartilage · 2018Trial
- Patient, Provider, and Combined Interventions for Managing Osteoarthritis in Primary Care: A Cluster Randomized Trial.Annals of internal medicine · 2017Trial
- Using "Own-Point-of-View" Video and Stimulated Recall to Reveal Physician Thought Processes: A Methodology Paper.The western journal of emergency medicine · 2026Article
- Improving Emergency Referrals in a Philippine Tertiary Hospital: A Quality Improvement Initiative.Cureus · 2025Article
- Article
- 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
- Feasibility of a randomised controlled trial of two types of written information for people with knee osteoarthritis.Osteoarthritis and cartilage open · 2022Article
- Driving factors for the utilisation of healthcare services by people with osteoarthritis in Portugal: results from a nationwide population-based study.BMC health services research · 2021Article
- Determining the feasibility of a trial to evaluate the effectiveness of phototherapy versus placebo at reducing pain during physical activity for people with knee osteoarthritis: a pilot randomized controlled trial.Pilot and feasibility studies · 2020Article
- 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
- Core and adjunctive interventions for osteoarthritis: efficacy and models for implementation.Nature reviews. Rheumatology · 2020Review
- Stakeholder views about a novel consumer health resource for knee osteoarthritis.Osteoarthritis and cartilage open · 2020Article
- Improving osteoarthritis care in family practice.Canadian family physician Medecin de famille canadien · 2020Article
- Stratified primary care versus non-stratified care for musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot cluster randomized controlled trial.BMC family practice · 2020Article
- A qualitative study of cardiovascular disease risk communication in NHS Health Check using different risk calculators: protocol for the RIsk COmmunication in NHS Health Check (RICO) study.BMC family practice · 2019Article
- Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care.Rheumatology (Oxford, England) · 2018Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposePatients and doctors report marked disenchantment with primary care consultation experiences relating to osteoarthritis. This study aimed to observe and analyze interactions between general practitioners (GPs) and patients presenting with osteoarthritis (OA) to identify how to improve care for OA.
methodsWe conducted an observational study in general practices in the United Kingdom using video-recorded real-life consultations of unselected patients and their GPs. Postconsultation interviews were conducted using video-stimulated recall. Both consultations and interviews were analyzed thematically.
resultsThree key themes were identified in an analysis of 19 OA consultations and the matched GP and patient interviews: complexity, dissonance, and prioritization. The topic of osteoarthritis arises in the consultation in complex contexts of multimorbidity and multiple, often not explicit, patient agendas. Dissonance between patient and doctor was frequently observed and reported; this occurred when GPs normalized symptoms of OA as part of life and reassured patients who were not seeking reassurance. GPs used wear and tear in preference to osteoarthritis or didn't name the condition at all. GPs subconsciously made assumptions that patients did not consider OA a priority and that symptoms raised late in the consultation were not troublesome.
conclusionsThe lack of a clear illness profile results in confusion between patients and doctors about what OA is and its priority in the context of multimorbidity. This study highlights generic communication issues regarding the potential negative consequences of unsought reassurance and the importance of validation of symptoms and raises new arguments for tackling OA's identity crisis by developing a clearer medical language with which to explain OA.
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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.