Abstract
To provide an overview of quality indicators (QIs) for knee and hip osteoarthritis (KHOA) care and to highlight differences in healthcare settings. A database search was conducted in MEDLINE (PubMed), EMBASE, CINAHL, Web of Science, Cochrane CENTRAL and Google Scholar, OpenGrey and Prospective Trial Register, up to March 2020. Studies developing or adapting existing QI(s) for patients with osteoarthritis were eligible for inclusion. Included studies were categorised into healthcare settings. QIs from included studies were categorised into structure, process and outcome of care. Within these categories, QIs were grouped into themes (eg, physical therapy). A narrative synthesis was used to describe differences and similarities between healthcare settings. We included 20 studies with a total of 196 QIs mostly related to the process of care in different healthcare settings. Few studies included patients’ perspectives. Rigorous methods for evidence synthesis to develop QIs were rarely used. Narrative analysis showed differences in QIs between healthcare settings with regard to exercise therapy, weight counselling, referral to laboratory tests and ‘do not do’ QIs. Differences within the same healthcare setting were identified on radiographic assessment. The heterogeneity in QIs emphasise the necessity to carefully select QIs for KHOA depending on the healthcare setting. This review provides an overview of QIs outlined to their healthcare settings to support healthcare providers and policy makers in selecting the contextually appropriate QIs to validly monitor the quality of KHOA care. We strongly recommend to review QIs against the most recent guidelines before implementing them into practice.
Subject
Immunology,Immunology and Allergy,Rheumatology
Reference61 articles.
1. World Health Organization . Musculoskeletal conditions, 2018. Available: http://www.who.int/mediacentre/factsheets/musculoskeletal/en/ [Accessed 19 Jun 2018].
2. The global burden of hip and knee osteoarthritis: estimates from the Global Burden of Disease 2010 study
3. World Health Organization . Musculoskeletal conditions, 2020. Available: https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions [Accessed 21 Feb 2020].
4. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
5. Nederlands Huisartsen Genootschap . Niet-traumatische knieklachten, 2016. Available: https://www.nhg.org/standaarden/samenvatting/niet-traumatische-knieklachten [Accessed 19 Jun 2019].
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献