Evidence map›Paper›PMID 34006028›Full record

ArticleBMJ open2021

Patient experiences with physiotherapy for knee osteoarthritis in Australia-a qualitative study.

Pek Ling Teo, Kim L Bennell, Belinda Lawford, T Egerton, Krysia Dziedzic, Rana S Hinman

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05566925 (Patients' Perceptions of Assessment and Treatment of Knee Osteoarthritis on the First Visit in Primary Care - a Qualitative Study), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT05566925 active not recruitingnot on this mapstarted 2022, after this paper: background citation

Patients' Perceptions of Assessment and Treatment of Knee Osteoarthritis on the First Visit in Primary Care - a Qualitative Study

TypeobservationalSponsorVastra Gotaland RegionRan2022 to 2025Enrolled15ConditionsOsteoarthritis, KneeArmsDirect access to physiotherapist for assessment, diagnosis and treatment.
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Pek Ling TeoDepartment of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0003-1657-1820
Kim L BennellDepartment of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.
Belinda LawfordDepartment of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.
T EgertonDepartment of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia.
Krysia DziedzicImpact Accelerator Unit, School of Medicine, Keele University, Keele, Staffordshire, ST5 5BG, UK.
Rana S HinmanDepartment of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia ranash@unimelb.edu.au.
The University of Melbourne · AUKeele University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePhysiotherapists commonly provide non-surgical care for people with knee osteoarthritis (OA). It is unknown if patients are receiving high-quality physiotherapy care for their knee OA. This study aimed to explore the experiences of people who had recently received physiotherapy care for their knee OA in Australia and how these experiences aligned with the national Clinical Care Standard for knee OA.

designQualitative study using semistructured individual telephone interviews and thematic analysis, where themes/subthemes were inductively derived. Questions were informed by seven quality statements of the OA of the Knee Clinical Care Standard. Interview data were also deductively analysed according to the Standard.

settingParticipants were recruited from around Australia via Facebook and our research volunteer database.

participantsInterviews were conducted with 24 people with recent experience receiving physiotherapy care for their knee OA. They were required to be aged 45 years or above, had activity-related knee pain and any knee-related morning stiffness lasted no longer than 30 min. Participants were excluded if they had self-reported inflammatory arthritis and/or had undergone knee replacement surgery for the affected knee.

resultsSix themes emerged: (1) presented with a pre-existing OA diagnosis (prior OA care from other health professionals; perception of adequate OA knowledge); (2) wide variation in access and provision of physiotherapy care (referral pathways; funding models; individual vs group sessions); (3) seeking physiotherapy care for pain and functional limitations (knee symptoms; functional problems); (4) physiotherapy management focused on function and exercise (assessment of function; various types of exercises prescribed; surgery, medications and injections are for doctors; adjunctive treatments); (5) professional and personalised care (trust and/or confidence; personalised care) and (6) physiotherapy to postpone or prepare for surgery.

conclusionPatients' experiences with receiving physiotherapy care for their knee OA were partly aligned with the standard, particularly regarding comprehensive assessment, self-management, and exercise.

Indexed as

Osteoarthritis, KneePhysical TherapistsAustraliaExercise TherapyHumansPatient Outcome AssessmentPhysical Therapy ModalitiesQualitative Researchadult orthopaedicsmusculoskeletal disordersqualitative research

Identifiers

PMID34006028
PMCPMC7942256
OpenAlexW3134073188

What OpenQuestion holds

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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.