Osteoarthritis: Models for appropriate care across the disease continuum

被引：124

作者：

Allen, Kelli D. ^{[1
,2
]}

Choong, Peter F. ^{[3
,4
,5
]}

Davis, Aileen M. ^{[6
,7
,8
,9
,10
]}

Dowsey, Michelle M. ^{[3
,4
,5
]}

Dziedzic, Krysia S. ^{[11
]}

Emery, Carolyn ^{[12
,13
]}

Hunter, David J. ^{[14
,15
]}

Losina, Elena ^{[16
,17
,18
]}

Page, Alexandra E. ^{[19
]}

Roos, Ewa M. ^{[20
]}

Skou, Soren T. ^{[20
,21
,22
]}

Thorstensson, Carina A. ^{[23
,24
]}

van der Esch, Martin ^{[25
]}

Whittaker, Jackie L. ^{[26
,27
]}

机构：

[1] Univ N Carolina, Thurston Arthrit Res Ctr, Dept Med, 3300 Thurston Bldg,CB 7280, Chapel Hill, NC 27599 USA

[2] Dept Vet Affairs Med Ctr, Ctr Hlth Serv Res Primary Care, Durham, NC USA

[3] Dept Orthopaed, Level 2,Clin Sci Bldg,29 Regent St, Fitzroy, Vic 3065, Australia

[4] Univ Melbourne, Level 2,Clin Sci Bldg,29 Regent St, Fitzroy, Vic 3065, Australia

[5] St Vincents Hosp Melbourne, Dept Surg, Level 2,Clin Sci Bldg,29 Regent St, Fitzroy, Vic 3065, Australia

[6] Univ Hlth Network, Krembil Res Inst, Div Hlth Care & Outcomes Res, MP11-322,399 Bathurst St, Toronto, ON M5T 2S8, Canada

[7] Univ Toronto, Inst Hlth Policy Management & Evaluat, MP11-322,399 Bathurst St, Toronto, ON M5T 2S8, Canada

[8] Inst Rehabil Sci, Toronto, ON, Canada

[9] Univ Toronto, Dept Phys Therapy, MP11-322,399 Bathurst St, Toronto, ON M5T 2S8, Canada

[10] Univ Toronto, Dept Surg, MP11-322,399 Bathurst St, Toronto, ON M5T 2S8, Canada

[11] Keele Univ, Arthrit Res UK Primary Care Ctr, Inst Primary Care & Hlth Sci, Keele ST5 5BG, Staffs, England

[12] Univ Calgary, Sport Injury Prevent Res Ctr, Calgary, AB, Canada

[13] Univ Calgary, Cumming Sch Med, Fac Kinesiol, Calgary, AB, Canada

[14] Univ Sydney, Kolling Inst, Inst Bone & Joint Res, Sydney, NSW, Australia

[15] Royal North Shore Hosp, Dept Rheumatol, St Leonards, NSW 2065, Australia

[16] Brigham & Womens Hosp, Dept Orthoped Surg, Orthoped & Arthrit Ctr Outcomes Res, 75 Francis St,BC 4-4016, Boston, MA 02115 USA

[17] Boston Univ, Sch Publ Hlth US, 75 Francis St,BC 4-4016, Boston, MA 02115 USA

[18] Brigham & Womens Hosp, Dept Orthoped Surg, Policy & Innovat EValuat Orthoped Treatment PIVOT, 75 Francis St,BC 4-4016, Boston, MA 02115 USA

[19] Amer Acad Orthopaed Surg, Hlth Care Syst Comm, San Diego Musculoskeletal & Joint Res Fdn, Private Practice, San Diego, CA USA

[20] Univ Southern Denmark, Inst Sports Sci & Clin Biomech, Res Unit Musculoskeletal Funct & Physiotherapy, Campusvej 55, DK-5230 Odense M, Denmark

[21] Aalborg Univ Hosp, Clin Nursing Res Unit, DK-9000 Aalborg, Denmark

[22] Naestved Slagelse Ringsted Hosp, Dept Physiotherapy & Occupat Therapy, DK-4200 Slagelse, Denmark

[23] Univ Gothenburg, Sahlgrenska Acad, Dept Clin Neurosci & Rehabil, Inst Neurosci & Physiol, Gothenburg, Sweden

[24] Ctr Registers Vastra Gotaland, BOA Registry, S-41345 Gothenburg, Sweden

[25] Reade Ctr Rehabil & Rheumatol, Rehabil Res Ctr, Dr J van Breemenstr 2,POB 58271, NL-1056 AB Amsterdam, Netherlands

[26] Univ Alberta, Fac Rehabil Med, Dept Phys Therapy, 2-50 Corbett Hall,8205-114 St, Edmonton, AB T6G 2G4, Canada

[27] Univ Alberta, Glen Sather Sports Med Clin, 2-50 Corbett Hall,8205-114 St, Edmonton, AB T6G 2G4, Canada

来源：

BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2016年 / 30卷 / 03期

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

Osteoarthritis; Quality of healthcare; Implementation; Health services; TOTAL KNEE ARTHROPLASTY; SHARED DECISION-MAKING; CHRONIC PAIN; CENTRAL SENSITIZATION; NONSURGICAL TREATMENT; POSTOPERATIVE PAIN; PHYSICAL-ACTIVITY; CONTROLLED-TRIAL; HIP-REPLACEMENT; GLOBAL BURDEN;

D O I：

10.1016/j.berh.2016.09.003

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Osteoarthritis (OA) is a leading cause of pain and disability worldwide. Despite the existence of evidence-based treatments and guidelines, substantial gaps remain in the quality of OA management. There is underutilization of behavioral and rehabilitative strategies to prevent and treat OA as well as a lack of processes to tailor treatment selection according to patient characteristics and preferences. There are emerging efforts in multiple countries to implement models of OA care, particularly focused on improving nonsurgical management. Although these programs vary in content and setting, key lessons learned include the importance of support from all stakeholders, consistent program delivery and tools, a coherent team to run the program, and a defined plan for outcome assessment. Efforts are still needed to develop, deliver, and evaluate models of care across the spectrum of OA, from prevention through end-stage disease, in order to improve care for this highly prevalent global condition. Published by Elsevier Ltd.

引用

页码：503 / 535

页数：33

共 109 条

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Feasibility of neuromuscular training in patients with severe hip or knee OA: The individualized goal-based NEMEX-TJR training program [J].