Evidence map›Paper›PMID 29875025›Full record

Observational studyBMC family practice2018

Preliminary effects of a regional approached multidisciplinary educational program on healthcare utilization in patients with hip or knee osteoarthritis: an observational study.

Aniek A O M Claassen, Henk J Schers, Sander Koëter, Willemijn H van der Laan, Keetie C A L C Kremers-van de Hei, Joris Botman, Vincent J J F Busch, Wim H C Rijnen, Cornelia H M van den Ende

Abstract readObservational Study
In one paragraph

Observational study in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
  10. 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

9 authors.

Aniek A O M ClaassenDepartment of Rheumatology, Sint Maartenskliniek, PO Box 9011, 6500, GM, Nijmegen, The Netherlands. a.claassen@maartenskliniek.nl.ORCID 0000-0001-6337-3734
Henk J SchersDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, The Netherlands.
Sander KoëterDepartment of Orthopaedic Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Willemijn H van der LaanDepartment of Rheumatology, Sint Maartenskliniek, PO Box 9011, 6500, GM, Nijmegen, The Netherlands.
Keetie C A L C Kremers-van de HeiDepartment of Orthopaedic Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Joris BotmanStichting Gezondheidscentrum De Kroonsteen - De Vuursteen, Nijmegen, The Netherlands.
Vincent J J F BuschDepartment of Orthopaedic Surgery, Sint Maartenskliniek, Nijmegen, The Netherlands.
Wim H C RijnenDepartment of Orthopaedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Cornelia H M van den EndeDepartment of Rheumatology, Sint Maartenskliniek, PO Box 9011, 6500, GM, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProviding relevant information on disease and self-management helps patients to seek timely contact with care providers and become actively involved in their own care process. Therefore, health professionals from primary care, multiple hospitals and health organisations jointly decided to develop an educational program on osteoarthritis (OA). The objective of the present study was to determine preliminary effects of this OA educational program on healthcare utilization and clinical outcomes.

methodsWe developed an educational group-based program consisting of 2 meetings of 1.5 h, provided by a physiotherapist, a general practitioner (GP) and orthopaedic surgeon or specialized nurse. The program included education on OA, (expectations regarding) treatment options and self-management. Patients were recruited through searching the GPs' electronic patients records and advertisements in local newspapers. At baseline and at 3 months follow-up participating OA patients completed questionnaires. Paired-sample t-tests, McNemar's test and Wilcoxon Signed-Rank test were used to estimate the preliminary effects of the program.

resultsA total of 146 participants in 3 districts attended the sessions, of whom 143 agreed to participate in this study; mean age 69.1 years (SD10.2).107 (75%) participants completed both baseline and follow up assessments. The proportion of participants who had visited their GP in the 3 months after the program was lower than 3 months previous to the program (40% versus 25%, p-value 0.01). Also, we observed a decrease in proportion of patients who visited the physio- and exercise therapist, (36.1% versus 25.0%, p-value 0.02). Both illness perceptions and knowledge on OA and treatment options changed positively (Δ-1.8, 95%CI:0.4-3.4, and Δ2.4, 95%CI:-3.0 - -1.6 respectively). No changes in BMI, pain, functioning and self-efficacy were found. However, a trend towards an increase in physical activity was observed.

conclusionsOur results show that a multidisciplinary educational program may result in a decrease in healthcare utilization and has a positive effect on illness perceptions and knowledge on OA due to clear and consistent information on OA and it treatment options.

trial registrationNetherlands Trial Register ( NTR5472 ). Registered 22 September 2015.

Indexed as

Osteoarthritis, HipOsteoarthritis, KneePatient Education as TopicQuality of LifeSelf-ManagementAcademic PerformanceAgedExerciseFemaleHumansMaleMiddle AgedNetherlandsPatient Acceptance of Health CarePatient Care TeamPrimary Health CareConsistent informationHipKneeMultidisciplinaryOsteoarthritisPatient educationSelf-management

Identifiers

PMID29875025
PMCPMC5991450

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Registered trials

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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.