ArticlePublic health reviews2026
Strategies to Implement Knee Osteoarthritis Guidelines in Switzerland.
Article in Public health reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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2 authors.
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Abstract
Background: Knee osteoarthritis (KOA) is a common chronic disease in Switzerland, associated with high socioeconomic costs and increasing prevalence due to aging and other risk factors. International guidelines recommend a stepped approach focusing on exercise, education, and weight management; however, implementation remains inconsistent. Switzerland has one of the highest knee replacement rates among OECD countries, suggesting potential overuse and indicating an evidence-performance gap in KOA management. Analysis: Current efforts promote coordinated, patient-centered care. A repeated stakeholder dialogue in 2024 with representatives of medical and physiotherapy associations, patient organizations, health insurers, and researchers identified challenges: variation in patient pathways across providers; non-evidence-based treatment sequencing with premature escalation to specialist care; and misalignment of expectations between patients and providers. Policy Options: Proposed strategies include: (1) establishing a national Model of Care based on a consensus treatment framework; (2) strengthening patient health literacy through targeted education; and (3) facilitating patient navigation through effective communication and shared decision-making. Conclusion: Closing the evidence-performance gap requires collaboration among healthcare providers to improve outcomes, reduce inappropriate care, and support coordinated patient-centered KOA management in Switzerland.
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