Barriers and Facilitators Associated with Non-Surgical Treatment Use for Osteoarthritis Patients in Orthopaedic Practice

PloS One
Stefanie N HofstedeL van Bodegom-Vos

Abstract

International evidence-based guidelines for the management of patients with hip and knee osteoarthritis (OA) recommend to start with (a combination of) non-surgical treatments, and using surgical intervention only if a patient does not respond sufficiently to non-surgical treatment options. Despite these recommendations, there are strong indications that non-surgical treatments are not optimally used in orthopaedic practice. To improve the adoption of non-surgical treatments, more insight is needed into barriers and facilitators of these treatments. Therefore, this study assessed which barriers and facilitators are associated with the use and prescription of different non-surgical treatments before hip and knee OA in orthopaedic practice among patients and orthopaedic surgeons in the Netherlands. We performed two internet-based surveys among 172 orthopaedic surgeons and 174 OA patients. Univariate association and multivariable regression techniques are used to identify barriers and facilitators associated with the use of non-surgical treatments. Most barriers and facilitators among patients were associated with the use of physical therapy, lifestyle advice and dietary therapy. Among orthopaedic surgeons, most were associated wi...Continue Reading

References

Aug 16, 1997·BMJ : British Medical Journal·R Grol
Feb 13, 2004·Health Technology Assessment : HTA·J M GrimshawC Donaldson
Feb 5, 2005·Quality & Safety in Health Care·S MichieUNKNOWN "Psychological Theory" Group
Mar 4, 2008·BMJ : British Medical Journal·Philip G ConaghanUNKNOWN Guideline Development Group
Nov 21, 2008·Journal of Evaluation in Clinical Practice·Mathew PriorKaren Grimmer-Somers
Dec 11, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Joanne BroadbentNicholas Steel
Jan 16, 2009·Alimentary Pharmacology & Therapeutics·J M CavazosN S Abraham
Oct 20, 2009·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·H van Beek
May 15, 2010·Physical Therapy·Unnur PetursdottirSigridur Halldorsdottir
Sep 21, 2010·Joint, Bone, Spine : Revue Du Rhumatisme·Stéphane PoitrasPascal Hilliquin
Jan 26, 2011·Scandinavian Journal of Rheumatology·G F SnijdersUNKNOWN NOAC Study Group
Apr 19, 2012·Arthritis Care & Research·Melanie A HoldenNadine E Foster
May 18, 2012·International Journal of Nursing Studies·Jason W Beckstead
Aug 1, 2012·BMJ : British Medical Journal·Kim L BennellRana S Hinman
Apr 19, 2013·Annals of the Rheumatic Diseases·Linda FernandesUNKNOWN European League Against Rheumatism (EULAR)
Oct 16, 2013·Arthritis Care & Research·Caroline A BrandKim Bennell
Jun 10, 2015·Journal of Orthopaedic Trauma·William ObremskeyUNKNOWN Evidence-Based Quality Value and Safety Committee – Orthopaedic Trauma Association, Writing Committee

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Citations

Sep 20, 2017·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Ellen M H SeltenCornelia H M van den Ende
Sep 14, 2018·The Journal of Orthopaedic and Sports Physical Therapy·Kathryn MillsDavid J Hunter
Feb 16, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Henrica Smits Lisanne JohannaUNKNOWN Science of Variation Group
Sep 21, 2017·BMC Musculoskeletal Disorders·Ellen M H SeltenCornelia H M van den Ende
Sep 27, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·T RietbergenL van Bodegom-Vos
Aug 12, 2016·BMJ Quality & Safety·Leti van Bodegom-VosPerla J Marang-van de Mheen
Dec 29, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Figen Erol Ursavaş, Yüksel Uğur Yaradılmış

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

ti
ATLAS
SPSS Statistics
SPSS

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