RT Journal Article
SR Electronic
T1 Quality indicators for knee and hip osteoarthritis care: a systematic review
JF RMD Open
JO RMD Open
FD EULAR
SP e001590
DO 10.1136/rmdopen-2021-001590
VO 7
IS 2
A1 Ilgin G Arslan
A1 Rianne M Rozendaal
A1 Marienke van Middelkoop
A1 Saskia A G Stitzinger
A1 Maarten-Paul Van de Kerkhove
A1 Vincent M I Voorbrood
A1 Patrick J E Bindels
A1 Sita M A Bierma-Zeinstra
A1 Dieuwke Schiphof
YR 2021
UL http://rmdopen.bmj.com/content/7/2/e001590.abstract
AB 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.