Evidence map›Paper›PMID 38373862›Full record

ArticleBMJ open2024

Priority strategies to reduce socio-gendered inequities in access to person-centred osteoarthritis care: Delphi survey.

Sharon Iziduh, Angela Abenoja, Madeline Theodorlis, Vandana Ahluwalia, Marisa Battistella, Cornelia M Borkhoff, Glen Stewart Hazlewood, Aisha Lofters, Crystal MacKay, Deborah A Marshall and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Sharon IziduhToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Angela AbenojaToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Madeline TheodorlisToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Vandana AhluwaliaWilliam Osler Health System - Brampton Civic Hospital, Brampton, Ontario, Canada.
Marisa BattistellaUniversity of Toronto Leslie Dan Faculty of Pharmacy, Toronto, Ontario, Canada.
Cornelia M BorkhoffInstitute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Glen Stewart HazlewoodUniversity of Calgary, Calgary, Alberta, Canada.ORCID 0000-0001-7709-3741
Aisha LoftersDepartment of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
Crystal MacKayWest Park Healthcare Centre, Toronto, Ontario, Canada.
Deborah A MarshallCommunity Health Sciences, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-8467-8008
Anna R GagliardiToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada anna.gagliardi@uhnresearch.ca.ORCID 0000-0002-5721-809X
University Health Network · CAUniversity of Toronto · CAUniversity of Calgary · CABrampton Civic Hospital · CAWest Park Healthcare Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOsteoarthritis (OA) prevalence, severity and related comorbid conditions are greater among women compared with men, but women, particularly racialised women, are less likely than men to access OA care. We aimed to prioritise strategies needed to reduce inequities in OA management.

designDelphi survey of 28 strategies derived from primary research retained if at least 80% of respondents rated 6 or 7 on a 7-point Likert scale.

settingOnline.

participants35 women of diverse ethno-cultural groups and 29 healthcare professionals of various specialties from across Canada.

resultsOf the 28 initial and 3 newly suggested strategies, 27 achieved consensus to retain: 20 in round 1 and 7 in round 2. Respondents retained 7 patient-level, 7 clinician-level and 13 system-level strategies. Women and professionals agreed on all but one patient-level strategy (eg, consider patients' cultural needs and economic circumstances) and all clinician-level strategies (eg, inquire about OA management needs and preferences). Some discrepancies emerged for system-level strategies that were more highly rated by women (eg, implement OA-specific clinics). Comments revealed general support among professionals for system-level strategies provided that additional funding or expanded scope of practice was targeted to only formally trained professionals and did not reduce funding for professionals who already managed OA.

conclusionsWe identified multilevel strategies that could be implemented by healthcare professionals, organisations or systems to mitigate inequities and improve OA care for diverse women.

Indexed as

OsteoarthritisCanadaConsensusDelphi TechniqueFemaleHumansMalePatient-Centered CarePatientshealth equityhealth policyhealth services accessibilityorganisation of health servicespatient-centered carequality in health care

Identifiers

PMID38373862
PMCPMC10897840
OpenAlexW4392787266

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.