TY - JOUR
T1 - Evaluating Osteoarthritis Management Programs
T2 - Outcome Domain Recommendations from the OARSI Joint Effort Initiative
AU - Allen, Kelli D.
AU - Huffman, Katie
AU - Cleveland, Rebecca J
AU - van der Esch, Martin
AU - Abbott, J Haxby
AU - Abbott, Allan
AU - Bennell, Kim
AU - Bowden, Jocelyn L
AU - Eyles, Jillian
AU - Healey, Emma L
AU - Holden, Melanie A
AU - Jayakumar, Prakash
AU - Koenig, Karl
AU - Lo, Grace
AU - Losina, Elena
AU - Miller, Katie
AU - Østerås, Nina
AU - Pratt, Carin
AU - Quicke, Jonathan G
AU - Sharma, Saurab
AU - Skou, Søren T
AU - Woolf, Anthony
AU - Yu, Shirley P
AU - Hinman, Rana S
AU - Tveter, Anne Therese
N1 - Published by Elsevier Ltd.
PY - 2023/7
Y1 - 2023/7
N2 - OBJECTIVE: To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA).DESIGN: We conducted a 3-round modified Delphi survey involving an international group of researchers, health professionals, health administrators and people with OA. In Round 1, participants ranked the importance of 75 outcome and descriptive domains in five categories: patient impacts, implementation outcomes, and characteristics of the OAMP and its participants and clinicians. Domains ranked as "important" or "essential" by ≥80% of participants were retained, and participants could suggest additional domains. In Round 2, participants rated their level of agreement that each domain was essential for evaluating OAMPs: 0 = strongly disagree to 10 = strongly agree. A domain was retained if ≥80% rated it ≥6. In Round 3, participants rated remaining domains using same scale as in Round 2; a domain was recommended as "core" if ≥80% of participants rated it ≥9 and as "optional" if ≥80% rated it ≥7.RESULTS: A total of 178 individuals from 26 countries participated; 85 completed all survey rounds. Only one domain, "ability to participate in daily activities", met criteria for a core domain; 25 domains met criteria for an optional recommendation: 8 Patient Impacts, 5 Implementation Outcomes, 5 Participant Characteristics, 3 OAMP Characteristics and 4 Clinician Characteristics.CONCLUSION: The ability of patients with OA to participate in daily activities should be evaluated in all OAMPs. Teams evaluating OAMPs should consider including domains from the optional recommended set, with representation from all five categories and based on stakeholder priorities in their local context.
AB - OBJECTIVE: To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA).DESIGN: We conducted a 3-round modified Delphi survey involving an international group of researchers, health professionals, health administrators and people with OA. In Round 1, participants ranked the importance of 75 outcome and descriptive domains in five categories: patient impacts, implementation outcomes, and characteristics of the OAMP and its participants and clinicians. Domains ranked as "important" or "essential" by ≥80% of participants were retained, and participants could suggest additional domains. In Round 2, participants rated their level of agreement that each domain was essential for evaluating OAMPs: 0 = strongly disagree to 10 = strongly agree. A domain was retained if ≥80% rated it ≥6. In Round 3, participants rated remaining domains using same scale as in Round 2; a domain was recommended as "core" if ≥80% of participants rated it ≥9 and as "optional" if ≥80% rated it ≥7.RESULTS: A total of 178 individuals from 26 countries participated; 85 completed all survey rounds. Only one domain, "ability to participate in daily activities", met criteria for a core domain; 25 domains met criteria for an optional recommendation: 8 Patient Impacts, 5 Implementation Outcomes, 5 Participant Characteristics, 3 OAMP Characteristics and 4 Clinician Characteristics.CONCLUSION: The ability of patients with OA to participate in daily activities should be evaluated in all OAMPs. Teams evaluating OAMPs should consider including domains from the optional recommended set, with representation from all five categories and based on stakeholder priorities in their local context.
U2 - 10.1016/j.joca.2023.02.078
DO - 10.1016/j.joca.2023.02.078
M3 - Article
C2 - 36893979
SN - 1063-4584
VL - 31
SP - 954
EP - 965
JO - Osteoarthritis and Cartilage
JF - Osteoarthritis and Cartilage
IS - 7
ER -