Evidence map›Paper›PMID 37434180›Full record

ArticleBMC musculoskeletal disorders2023

Knee osteoarthritis patient perspectives of their care in an australian private physiotherapy setting: a qualitative exploratory interview study.

Jeanette M Thom, Sarah Dennis, Kathryn A Gibson, Rebecca Livings, Kathryn Mills, Siobhan M Schabrun, Hans Sun, Justine M Naylor

Open access · goldAbstract 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 5 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

8 authors at 6 institutions in 2 countries.

Jeanette M ThomSchool of Health Sciences and Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia. Jeanette.thom@sydney.edu.au.
Sarah DennisSchool of Health Sciences and Sydney Musculoskeletal Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Kathryn A GibsonFaculty of Medicine and Health, UNSW, Sydney, Australia.
Rebecca LivingsNeuroscience Research Australia, UNSW, Sydney, Australia.
Kathryn MillsDepartment of Health Sciences, Macquarie University, Sydney, Australia.
Siobhan M SchabrunNeuroscience Research Australia, UNSW, Sydney, Australia.
Hans SunFaculty of Medicine and Health, UNSW, Sydney, Australia.
Justine M NaylorFaculty of Medicine and Health, UNSW, Sydney, Australia.
Institute for Musculoskeletal Health · AUUNSW Sydney · AUIngham Institute · AUMacquarie University · AUNeuroscience Research Australia · AUWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to understand perceptions that knee osteoarthritis patients have regarding their experiences of guideline-based recommendations within their care received from physiotherapists in private practice.

methodsA qualitative semi-structured interview study nested within a larger trial auditing care provided by physiotherapists. Recruited adults ≥ 45 years with knee osteoarthritis across nine primary care physiotherapy practices. Interview questions were anchored around the core elements recommended in guidelines for the management of knee osteoarthritis and patient perceptions of these were analysed using both content and thematic qualitative analysis approaches. Patient satisfaction with care received was asked at the time of interview.

resultsTwenty-six patients volunteered for the study (mean 60 years, 58% female). Analysis identified that physiotherapists focused on treating symptoms through quadriceps strengthening exercises, which patients found to be effective, though focussed less on other aspects of evidenced-based care. Patient's perceived treatment to be effective in relieving pain and enabling them to stay active and they appreciated the positive role that their physiotherapist provided in alleviating their concerns. Overall, patients were satisfied with their physiotherapy care but would have liked more specific osteoarthritis education and longer-term management.

conclusionThe description of the physiotherapy-related care received by people with knee osteoarthritis aligns with guideline recommendations, though mainly for strength-related exercise prescription. Despite some perceived shortfalls in care, patients do appear to be satisfied. However, improvements in patient outcomes may be possible if more elements of guideline-base care are regularly provided, including enhancing osteoarthritis education and fostering behaviour change.

trial registrationACTRN12620000188932.

Indexed as

Osteoarthritis, KneeAdultAustraliaExercise TherapyFemaleHumansMalePhysical Therapy ModalitiesQualitative ResearchGuideline-based careKnee osteoarthritisPhysical therapyPhysiotherapy

Identifiers

PMID37434180
PMCPMC10334626
OpenAlexW4383954983

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.