Guideline Adherence, Osteoarthritis, Knee, Quality Indicators, Health Care
Conditions
Brief summary
Osteoarthritis is the most common affection of joints worldwide. Multiple international guidelines on the approach and treatment of knee osteoarthritis are available. Nevertheless there seems to be a gap between usual care and the preferred one. A vigorous set of evidence-based quality indicators on osteoarthritis diagnosis and therapy was developed by a multidisciplinary expert team. This project aims to map usual care and to explore the gaps between usual care and international guidelines in a second stage. This will enable us to develop a tightly targeted quality improvement intervention later on.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of knee osteoarthritis
Exclusion criteria
* Knee replacement surgery * Acute trauma (recruitment by orthopedic surgeons)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Guideline adherence measured by a number of quality indicators and presented as the percentage of patients in whom a quality indicator was reached | one measurement at the point of recruitment | Guideline adherence by physicians and physiotherapists will be measured by quality indicators. A questionnaire about the care patients received from diagnosis of knee osteoarthritis till now will be used. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Barriers and facilitators for guideline adherence | 10 years | Barriers and facilitators for guideline adherence will be explored by focusgroup research with focusgroups of general practitioners, orthopedic surgeons and patients |
Countries
Belgium