Evidence map›Paper›PMID 38969380›Full record

ArticleBMJ open2024

Guideline-based exercise management for hip and knee osteoarthritis: a cross-sectional comparison of healthcare professional and patient beliefs in Ireland.

Clodagh M Toomey, Avantika Bhardwaj, Jacqui Browne, Ian Dowling, Stacey Grealis, Peter Hayes, Niall Higgins, Darragh Maguire, John O'Hora, Joseph Rector and 2 more

Abstract readComparative Study
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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  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

12 authors.

Clodagh M ToomeySchool of Allied Health, University of Limerick, Limerick, Ireland clodagh.toomey@ul.ie.ORCID 0000-0002-9373-100X
Avantika BhardwajSchool of Allied Health, University of Limerick, Limerick, Ireland.
Jacqui BrownePatient Author, IMPACT Steering Committee, Limerick, Ireland.
Ian DowlingIan Dowling Physiotherapy Clinic, Limerick, Ireland.
Stacey GrealisPatient Author, IMPACT Steering Committee, Limerick, Ireland.
Peter HayesHealth Research Institute, University of Limerick, Limerick, Ireland.
Niall HigginsSchool of Allied Health, University of Limerick, Limerick, Ireland.
Darragh MaguireClinician Author, IMPACT Steering Committee, Limerick, Ireland.
John O'HoraClinician Author, IMPACT Steering Committee, Limerick, Ireland.
Joseph RectorSchool of Allied Health, University of Limerick, Limerick, Ireland.
Arianna Wood-ThornsburySchool of Allied Health, University of Limerick, Limerick, Ireland.
Norelee KennedySchool of Allied Health, University of Limerick, Limerick, Ireland.ORCID 0000-0001-6047-1240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify within-stakeholder agreement and between-stakeholder differences in beliefs regarding exercise for osteoarthritis among general practitioners (GPs), physiotherapists (PTs) and people with hip and knee osteoarthritis (PwOA). A secondary objective was to explore the association between referral patterns and beliefs of PwOA.

designCross-sectional.

settingOnline surveys administered to GPs, PTs and PwOA in Ireland via social media and healthcare networks.

participants421 valid responses (n=161 GPs, n=163 PTs, n=97 PwOA). PRIMARY AND SECONDARY OUTCOME MEASURES: Nine belief statements related to exercise effectiveness, safety and delivery were rated on a 5-point Likert scale and analysed for within-stakeholder consensus. χ

resultsPositive within-stakeholder consensus (>75% agreement) was reached for most statements (7/9 GPs, 6/9 PTs, 5/9 PwOA). However, beliefs of PwOA were significantly less positive compared with healthcare professionals for six statements. All stakeholders disagreed that exercise is effective regardless of the level of pain. Attendance at physiotherapy (49% of PwOA), rather than referral to physiotherapy from a GP only, was associated with positive exercise beliefs for PwOA (β=0.287 (95% CI 0.299 to 1.821)).

conclusionsBeliefs about exercise therapy for osteoarthritis are predominantly positive across all stakeholders, although less positive in PwOA. PwOA are more likely to have positive beliefs if they have seen a PT for their osteoarthritis. Knowledge translation should highlight the effectiveness of exercise for all levels of pain and osteoarthritis disease.

Indexed as

Exercise TherapyOsteoarthritis, HipOsteoarthritis, KneePhysical TherapistsAdultAgedAttitude of Health PersonnelCross-Sectional StudiesFemaleGeneral PractitionersHealth Knowledge, Attitudes, PracticeHumansIrelandMaleMiddle AgedPractice Guidelines as Topichipkneephysical therapy modalitiesprotocols & guidelinesrheumatology

Identifiers

PMID38969380
PMCPMC11227783

What OpenQuestion holds

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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.