Evidence map›Paper›PMID 32013914›Full record

Observational studyBMC musculoskeletal disorders2020

Implementation of a group physical therapy program for Veterans with knee osteoarthritis.

Kelli D Allen, Brandon Sheets, Dennis Bongiorni, Ashley Choate, Cynthia J Coffman, Helen Hoenig, Kim Huffman, Elizabeth P Mahanna, Eugene Z Oddone, Courtney Van Houtven and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Patient Choice After Referral to Physical Therapy for Lower Back Pain and Knee Osteoarthritis.Archives of rehabilitation research and clinical translation · 2023
    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

13 authors at 3 institutions in 1 country.

Kelli D AllenCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA. kelli.allen@va.gov.ORCID http://orcid.org/0000-0002-3886-0677
Brandon SheetsPhysical Medicine and Rehabilitation Service, Durham VA Medical Center, Durham, USA.
Dennis BongiorniPhysical Medicine and Rehabilitation Service, Durham VA Medical Center, Durham, USA.
Ashley ChoateCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Cynthia J CoffmanCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Helen HoenigPhysical Medicine and Rehabilitation Service, Durham VA Medical Center, Durham, USA.
Kim HuffmanPhysical Medicine and Rehabilitation Service, Durham VA Medical Center, Durham, USA.
Elizabeth P MahannaCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Eugene Z OddoneCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Courtney Van HoutvenCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Virginia WangCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Sandra WoolsonCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Susan N HastingsCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Medical Center, 508 Fulton St, Durham, NC, 27705, USA.
Duke University · USDurham VA Medical Center · USDuke Medical Center · US

Funding

U.S. Department of Veterans Affairs QUE-16-170
6 · The paper itself

Abstract

backgroundA previous randomized clinical trial found that a Group Physical Therapy (PT) program for knee osteoarthritis yielded similar improvements in pain and function compared with traditional individual PT. Based on these findings the Group PT program was implemented in a Department of Veterans Affairs Health Care System. The objective of this study was to evaluate implementation metrics and changes in patient-level measures following implementation of the Group PT program.

methodsThis was a one-year prospective observational study. The Group PT program involved 6 weekly sessions. Implementation metrics included numbers of referrals and completed sessions. Patient-level measures were collected at the first and last PT sessions and included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC; self-report of pain, stiffness and function (range 0-96)) and a 30-s chair rise test.

resultsDuring the evaluation period, 152 patients were referred, 80 had an initial session scheduled, 71 completed at least one session and 49 completed at least 5 sessions. The mean number of completed appointments per patient was 4.1. Among patients completing baseline and follow-up measures, WOMAC scores (n = 33) improved from 56.8 (SD = 15.8) to 46.9 (SD = 14.0); number of chair rises (n = 38) completed in 30 s increased from 10.4 (SD = 5.1) to 11.9 (SD = 5.0).

conclusionsPatients completing the Group PT program in this implementation phase showed clinically relevant improvements comparable to those observed in the previous clinical trial that compared group and individual PT for knee osteoarthritis. These results are important because Group PT can improve efficiency and access compared with individual PT. However, there were some limitations with respect to attendance and completion rates, and program adaptations may be needed to optimize these implementation metrics. Larger, longer-term studies are required to more fully evaluate the effectiveness of this program.

Indexed as

AgedArthralgiaExercise TherapyFemaleFollow-Up StudiesHealth Plan ImplementationHumansMaleMiddle AgedOsteoarthritis, KneePain MeasurementPatient Education as TopicProgram EvaluationProspective StudiesSelf ReportTreatment OutcomeOsteoarthritisPhysical therapyQuality improvement

Identifiers

PMID32013914
PMCPMC6998361
OpenAlexW3008084995

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.