Evidence map›Paper›PMID 33710743›Full record

ArticleMusculoskeletal care2021

Exploring views of orthopaedic surgeons, rheumatologists and general practitioners about osteoarthritis management.

Jason A Wallis, Christian J Barton, Natasha K Brusco, Joanne L Kemp, James Sherwood, Kirby Young, Sophie Jennings, Adrian Trivett, Ilana N Ackerman

Abstract read
In one paragraph

Article in Musculoskeletal care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Jason A WallisCentre for Allied Health Research and Education, Cabrini Health, Malvern, Victoria, Australia.ORCID 0000-0003-4740-2149
Christian J BartonLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
Natasha K BruscoCentre for Allied Health Research and Education, Cabrini Health, Malvern, Victoria, Australia.
Joanne L KempLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia.
James SherwoodCentre for Allied Health Research and Education, Cabrini Health, Malvern, Victoria, Australia.
Kirby YoungCentre for Allied Health Research and Education, Cabrini Health, Malvern, Victoria, Australia.
Sophie JenningsCentre for Allied Health Research and Education, Cabrini Health, Malvern, Victoria, Australia.
Adrian TrivettDepartment of Orthopaedic Surgery, Cabrini Health, Malvern, Victoria, Australia.
Ilana N AckermanDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelivery of recommended treatments for hip and knee osteoarthritis (OA) is known to be discordant with guideline recommendations. However, professional views related to OA management across medical and surgical disciplines are not well understood. The aim of this study was to explore the views of medical professionals about management of hip and knee OA.

methodsQualitative study. Semistructured individual interviews were conducted with orthopaedic surgeons, rheumatologists and general practitioners routinely involved in the management of OA. Interviews were audiotaped, transcribed, member-checked, coded and thematically analysed.

resultsFifteen medical professionals were interviewed. Three main themes were: (i) recognition of the importance of nonsurgical management of hip and knee OA, focussed on self-management, exercise-therapy, weight management and analgesia; (ii) joint replacement being considered the 'last resort' for end stage disease not responding to nonsurgical management; and (iii) determination of management 'success' through patient perceptions was more common than the use of validated instruments. Views on management broadly converged across disciplines, except for the role of joint replacement, considered an adjunct in the overall management of OA by rheumatologists and as a definitive cure by orthopaedic surgeons.

conclusionsAligning with current guidelines, medical professionals recognised the importance of nonsurgical management focussed on exercise-therapy for hip and knee OA, and concurred that joint replacement surgery should be a last resort. A focus on patient education was less prominent, which along with implementation of validated outcome measures in routine medical practice, may require greater health system support.

Indexed as

General PractitionersOrthopedic SurgeonsOsteoarthritis, HipOsteoarthritis, KneeHumansRheumatologistsdoctorhipkneeosteoarthritis managementqualitativesurgeon

Identifiers

PMID33710743
PMCPMC9292668

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.