Background
Methods
Study design
The Dutch Knee Panel
Data collection
Baseline measurement
OsteoArthritis Quality Indicator (OA-QI) questionnaire
Additional measurements
Statistical analysis
Results
Participants
Characteristic | |
---|---|
Female, n (%) | 305 (70) |
Age (in years), mean (SD) | 63.3 (8.8) |
Education, n (%) | |
• Secondary education or lower | 223 (51) |
• Higher education | 211 (49) |
BMI, mean [kg/m2], (SD) | 27.8 (4.8) |
EQ-5D-5L index score, mean (SD) | 0.71 (0.1) |
EQ-VAS (0–100), mean (SD) | 70.7 (14.8) |
Daily functioning (KOOSa; 0–100), mean (SD) | 63.5 (18) |
Pain VAS (0–10), mean (SD) | 5.4 (2.1) |
Duration of symptoms, n (%) | |
• Less than one year | 30 (7) |
• Between one and five years | 163 (38) |
• More than five years | 241 (56) |
Presence of OA in other joints, n (%) | 232 (54) |
Number of other joint groups with OA (1–9), median (IQR) | 2 (1–8) |
Knee replacement, n (%) | 57 (13) |
Presence of comorbidities, n (%) | 306 (70.5) |
Number of comorbidities (1–20), median (IQR) | 2 (1–6) |
Use of healthcare services
Quality indicators
Quality indicator | Eligiblea n | Achievedb n (%) | |
---|---|---|---|
1 | Received information about KOA | 417 | 310 (74.3) |
2 | Received information about treatment options | 424 | 252 (59.4) |
3 | Received advice about selfcare of knee complaints | 421 | 313 (74.4) |
4 | Received practical support in selfcare of knee complaints | 421 | 253 (60.1) |
5 | Received information or advice about exercising and sports | 426 | 306 (71.8) |
6 | Offered referral for support in exercising and sports | 423 | 211 (49.9) |
7 | Advised to lose weight | 303 | 111 (36.6) |
8 | Offered referral for weight loss support | 247 | 37 (15.0) |
9 | Received assessment on limitations in daily activities | 301 | 89 (29.6) |
10 | Received assessment on need for walking aid | 273 | 65 (23.8) |
11 | Received assessment on need for support with daily activities | 284 | 52 (18.3) |
12 | Received assessment on pain complaints | 426 | 240 (56.3) |
13 | Advised to take paracetamol as first choice | 424 | 312 (73.6) |
14 | Offered stronger pain killer(s) | 421 | 132 (31.4) |
15 | Offered anti-inflammatory painkiller (NSAIDs) | 422 | 229 (54.3) |
16 | Offered injection in knee | 429 | 239 (55.7) |
17 | Discussed knee replacement surgery | 362 | 223 (61.6) |
18 | Offered follow-up appointment | 427 | 144 (33.7) |
Determinants
Characteristic | Coef. = b | 95% CI |
---|---|---|
Gender | ||
• Male (ref) | ||
• Female | 3.8 | [-0.9; 8.5] |
Age | -0.2 | [-0.4; 0.1] |
Education | ||
• Secondary education or lower (ref) | ||
• Higher education | 0.9 | [-3.4; 5.2] |
BMI | -0.4 | [-0.8; 0.1] |
Daily functioninga | -0.1 | [-0.2; 0.1] |
Pain VAS | 0.3 | [-0.7; 1.3] |
Pain for longer than 3 months | 3.6 | [-10.1; 17.3] |
Number of days in pain over the past month | 0.1 | [-0.2; 0.3] |
Duration of symptoms | ||
• < 1 year (ref) | ||
• 1–5 years | -1.4 | [-10.3; 7.5] |
• > 5 years | 1.5 | [-7.2; 10.1] |
Presence of OA in other joints | 6.2 | [2.0; 10.5] |
Number of other joints affected by OA | 0.7 | [-0.9; 2.2] |
Knee replacement | 10.7 | [4.4; 17.0] |
Presence of comorbidities | 5.3 | [0.6; 10.0] |
Number of comorbidities | -0.5 | [-2.3; 1.4] |
Contacted healthcare professional in past year | ||
• None (ref) | ||
• One | 5.5 | [-0.4; 11.5] |
• Two | 13.4 | [7.5; 19.4] |
• Three or more | 19.6 | [13.8; 25.5] |
Perceived quality of healthcare
# | Recommendation | n (%) |
---|---|---|
1 | HCPs should provide tailor-made advice in line with symptoms | 33 (14.3) |
2 | More education on OA | 30 (13.0) |
3 | More empathy and support from HCPs | 28 (12.1) |
4 | More choice in treatment options | 14 (6.1) |
5 | HCPs should pay more attention to the personal circumstances of the individual and to pain complaints | 13 (5.6) |