Evidence map›Paper›PMID 26631224›Full record

Trial reportImplementation science : IS2015

Implementing international osteoarthritis treatment guidelines in primary health care: study protocol for the SAMBA stepped wedge cluster randomized controlled trial.

Nina Østerås, Leti van Bodegom-Vos, Krysia Dziedzic, Tuva Moseng, Eline Aas, Øyvor Andreassen, Ibrahim Mdala, Bård Natvig, Jan Harald Røtterud, Unni-Berit Schjervheim and 2 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Implementation science : IS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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.

NCT02333656 nacompletednot on this map

Improved Management of Patients With Hip and Knee Osteoarthritis in Primary Health Care

TypeinterventionalSponsorDiakonhjemmet HospitalRan2015 to 2017Enrolled393ConditionsHip Osteoarthritis, Knee OsteoarthritisArmsNew OA model
NCT04264481 nacompletednot on this mapstarted 2019, after this paper: background citation

Minimally Invasive Knee Osteoarthritis Pain Control Via Adductor Canal Block Versus Intra-articular Steroid and Lignocaine Injection : a Single-blinded Controlled Trial

TypeinterventionalSponsorUniversity of MalayaRan2019 to 2020Enrolled64ConditionsKnee OsteoarthritisArmsAdductor Canal Block, Intra-Articular Steroid and Lignocaine Injection
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
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

12 authors at 5 institutions in 3 countries.

Nina ØsteråsNational Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO Box 23, Vinderen, 0319, Oslo, Norway. nina.osteras@medisin.uio.no.
Leti van Bodegom-VosDepartment of Medical Decision Making, Leiden University Medical Center, J10-S, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Krysia DziedzicArthritis Research UK, Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, ST5 5BG, UK.
Tuva MosengNational Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO Box 23, Vinderen, 0319, Oslo, Norway.
Eline AasDepartment of Health Management and Health Economics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.
Øyvor AndreassenPatient Research Panel, Department of Rheumatology, Diakonhjemmet Hospital, PO Box 23, Vinderen, 0319, Oslo, Norway.
Ibrahim MdalaDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Bård NatvigDepartment of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Jan Harald RøtterudDepartment of Orthopaedic Surgery, Akershus University Hospital, Lørenskog, Norway.
Unni-Berit SchjervheimHealth and Social Services, Nes Municipality, Norway.
Thea Vliet VlielandDepartment of Orthopaedics, Leiden University Medical Center, J11-S, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.
Kåre Birger HagenNational Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO Box 23, Vinderen, 0319, Oslo, Norway.
Diakonhjemmet Hospital · NOUniversity of Oslo · NOLeiden University Medical Center · NLAkershus University Hospital · NOKeele University · GB

Funding

Department of Health CAT CDRF 10-018Department of Health KMRF-2014-03-002Department of Health RP-PG-0407-10386
6 · The paper itself

Abstract

backgroundPrevious research indicates that people with osteoarthritis (OA) are not receiving the recommended and optimal treatment. Based on international treatment recommendations for hip and knee OA and previous research, the SAMBA model for integrated OA care in Norwegian primary health care has been developed. The model includes physiotherapist (PT) led patient OA education sessions and an exercise programme lasting 8-12 weeks. This study aims to assess the effectiveness, feasibility, and costs of a tailored strategy to implement the SAMBA model. METHODS/

designA cluster randomized controlled trial with stepped wedge design including an effect, process, and cost evaluation will be conducted in six municipalities (clusters) in Norway. The municipalities will be randomized for time of crossover from current usual care to the implementation of the SAMBA model by a tailored strategy. The tailored strategy includes interactive workshops for general practitioners (GPs) and PTs in primary care covering the SAMBA model for integrated OA care, educational material, educational outreach visits, feedback, and reminder material. Outcomes will be measured at the patient, GP, and PT levels using self-report, semi-structured interviews, and register based data. The primary outcome measure is patient-reported quality of care (OsteoArthritis Quality Indicator questionnaire) at 6-month follow-up. Secondary outcomes include referrals to PT, imaging, and referrals to the orthopaedic surgeon as well as participants' treatment satisfaction, symptoms, physical activity level, body weight, and self-reported and measured lower limb function. The actual exposure to the tailor made implementation strategy and user experiences will be measured in a process evaluation. In the economic evaluation, the difference in costs of usual OA care and the SAMBA model for integrated OA care will be compared with the difference in health outcomes and reported by the incremental cost-effectiveness ratio (ICER). DISCUSSION: The results from the present study will add to the current knowledge on tailored strategies, which aims to improve the uptake of evidence-based OA care recommendations and improve the quality of OA care in primary health care. The new knowledge can be used in national and international initiatives designed to improve the quality of OA care.

trial registrationClinicalTrials.gov NCT02333656.

Indexed as

Physical TherapistsBody WeightClinical ProtocolsExercise TherapyHealth Knowledge, Attitudes, PracticeHumansNorwayOsteoarthritis, HipOsteoarthritis, KneePatient Education as TopicPatient SatisfactionPractice Guidelines as TopicPrimary Health CareQuality of Health CareResearch Design

Identifiers

PMID26631224
PMCPMC4668617
OpenAlexW2185457032

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.