TY - JOUR T1 - Quality indicators for knee and hip osteoarthritis care: a systematic review JF - RMD Open JO - RMD Open DO - 10.1136/rmdopen-2021-001590 VL - 7 IS - 2 SP - e001590 AU - Ilgin G Arslan AU - Rianne M Rozendaal AU - Marienke van Middelkoop AU - Saskia A G Stitzinger AU - Maarten-Paul Van de Kerkhove AU - Vincent M I Voorbrood AU - Patrick J E Bindels AU - Sita M A Bierma-Zeinstra AU - Dieuwke Schiphof Y1 - 2021/05/01 UR - http://rmdopen.bmj.com/content/7/2/e001590.abstract N2 - 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. ER -