Evidence map›Paper›PMID 34167479›Full record

ArticleBMC family practice2021

Evaluation of intermediate care for knee and hip osteoarthritis: a mixed-methods study.

Ilgin G Arslan, Vincent M I Voorbrood, Saskia A G Stitzinger, Maarten-Paul van de Kerkhove, Rianne M Rozendaal, Marienke van Middelkoop, Patrick J E Bindels, Sita M A Bierma-Zeinstra, Dieuwke Schiphof

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
3.7field-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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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 at 1 institution in 1 country.

Ilgin G ArslanDepartment of General Practice, Erasmus MC University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands. i.arslan@erasmusmc.nl.ORCID 0000-0003-2046-6177
Vincent M I VoorbroodDepartment of General Practice, Erasmus MC University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
Saskia A G StitzingerGeneral Practice Pallion, Hulst, The Netherlands.
Maarten-Paul van de KerkhoveGeneral Practice Pallion, Hulst, The Netherlands.
Rianne M RozendaalDepartment of General Practice, Erasmus MC University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
Marienke van MiddelkoopDepartment of General Practice, Erasmus MC University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
Patrick J E BindelsDepartment of General Practice, Erasmus MC University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
Sita M A Bierma-ZeinstraDepartment of General Practice, Erasmus MC University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
Dieuwke SchiphofDepartment of General Practice, Erasmus MC University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate intermediate care for knee and hip osteoarthritis (KHOA) in the general practice that incorporate specialist services into general practice to prevent unnecessary referrals to hospitals.

methodsWe used a mixed methods approach including semi-structured interviews, patient experience questionnaires and data from medical records from three intermediate care projects. Semi-structured interviews were conducted with patients, general practitioners (GPs), orthopaedists and a healthcare manager in intermediate care. Satisfaction of patients who received intermediate care (n = 100) was collected using questionnaires. Referral data and healthcare consumption from medical records were collected retrospectively from KHOA patients before (n = 96) and after (n = 208) the implementation of intermediate care.

resultsGPs and orthopaedists in intermediate care experienced more intensive collaboration compared to regular care. This led to a perceived increase in GPs' knowledge enabling better selection of referrals to orthopaedics and less healthcare consumption. Orthopaedists felt a higher workload and limited access to diagnostic facilities. Patients were satisfied and experienced better access to specialists' knowledge in a trusted environment compared to regular care. Referrals to physiotherapy increased significantly after the implementation of intermediate care (absolute difference = 15%; 95% CI = 7.19 to 22.8), but not significantly to orthopaedics (absolute difference = 5.9%; 95% CI = -6.18 to 17.9).

conclusionsOrthopaedists and GPs perceived the benefits of an intensified collaboration in intermediate care. Intermediate care may contribute to high quality of care through more physiotherapy referrals. Further research with longer follow-up is needed to confirm these findings and give more insight in referrals and healthcare consumption.

Indexed as

Osteoarthritis, HipOsteoarthritis, KneeFamily PracticeHumansKnee JointReferral and ConsultationRetrospective StudiesGeneral practiceHip osteoarthritisIntermediate careJoint consultationsKnee osteoarthritis

Identifiers

PMID34167479
PMCPMC8229342
OpenAlexW3173513773

What OpenQuestion holds

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LicenceCC BY
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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.