Evidence map›Paper›PMID 37391737›Full record

ArticleBMC musculoskeletal disorders2023

Quality indicators for osteoarthritis pain management in the primary care setting.

Elsie Rizk, Sharla Tajchman, Ezekiel Fink, Dipendra K Aryal, Tomona Iso, Eleazar Flores, Anthony E Brown, Sagar P Chokshi, Shetal-Nicholas Desai, Ashvin K Dewan and 6 more

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Elsie RizkDepartment of Pharmacy, Houston Methodist, Houston, TX, USA.
Sharla TajchmanPfizer, Inc., New York, NY, USA.
Ezekiel FinkDepartment of Neurology, Houston Methodist, Houston, TX, USA.
Dipendra K AryalDepartment of Pharmacy, Houston Methodist, Houston, TX, USA.
Tomona IsoDepartment of Pharmacy, Houston Methodist, Houston, TX, USA.
Eleazar FloresHouston Methodist Primary Care Group, Houston Methodist, Houston, TX, USA.
Anthony E BrownHouston Methodist Primary Care Group, Houston Methodist, Houston, TX, USA.
Sagar P ChokshiDepartment of Neurosurgery, Houston Methodist, Houston, TX, USA.
Shetal-Nicholas DesaiDepartment of Orthopedic Surgery, Houston Methodist, Houston, TX, USA.
Ashvin K DewanDepartment of Orthopedic Surgery, Houston Methodist, Houston, TX, USA.
Sarah A KazzazHouston Methodist Academic Medicine Associates - Rheumatology, Houston Methodist, Houston, TX, USA.
Myriam GuevaraHouston Methodist Academic Medicine Associates - Rheumatology, Houston Methodist, Houston, TX, USA.
Sudha NagarajHouston Methodist Primary Care Group, Houston Methodist, Houston, TX, USA.
Christopher P RobbenHouston Methodist Primary Care Group, Houston Methodist, Houston, TX, USA.
Veronica VittoneHouston Methodist Primary Care Group, Houston Methodist, Houston, TX, USA.
Joshua T SwanDepartment of Pharmacy, Houston Methodist, Houston, TX, USA. swan.joshua@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment of valid and feasible quality indicators (QIs) is needed to track quality initiatives for osteoarthritis pain management in primary care settings.

methodsLiterature search identified published guidelines that were reviewed for QI extraction. A panel of 14 experts was assembled, including primary care physicians, rheumatologists, orthopedic surgeons, pain specialists, and outcomes research pharmacists. A screening survey excluded QIs that cannot be reliably extracted from the electronic health record or that are irrelevant for osteoarthritis in primary care settings. A validity screening survey used a 9-point Likert scale to rate the validity of each QI based on predefined criteria. During expert panel discussions, stakeholders revised QI wording, added new QIs, and voted to include or exclude each QI. A priority survey used a 9-point Likert scale to prioritize the included QIs.

resultsLiterature search identified 520 references published from January 2015 to March 2021 and 4 additional guidelines from professional/governmental websites. The study included 41 guidelines. Extraction of 741 recommendations yielded 115 candidate QIs. Feasibility screening excluded 28 QIs. Validity screening and expert panel discussion excluded 73 QIs and added 1 QI. The final set of 15 prioritized QIs focused on pain management safety, education, weight-management, psychological wellbeing, optimizing first-line medications, referral, and imaging.

conclusionThis multi-disciplinary expert panel established consensus on QIs for osteoarthritis pain management in primary care settings by combining scientific evidence with expert opinion. The resulting list of 15 prioritized, valid, and feasible QIs can be used to track quality initiatives for osteoarthritis pain management.

Indexed as

OsteoarthritisPain ManagementHumansPainPrimary Health CareQuality Indicators, Health CareOpioid stewardshipOsteoarthritisPainPrimary careQuality indicators

Identifiers

PMID37391737
PMCPMC10311862

What OpenQuestion holds

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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.