Multidisciplinary and multifaceted outpatient management of patients with osteoarthritis: protocol for a randomised, controlled trial.

2.50
Hdl Handle:
http://hdl.handle.net/10143/117616
Title:
Multidisciplinary and multifaceted outpatient management of patients with osteoarthritis: protocol for a randomised, controlled trial.
Authors:
Moe, Rikke Helene; Uhlig, Till; Kjeken, Ingvild; Hagen, Kåre Birger; Kvien, Tore Kristian; Grotle, Margreth
Citation:
Multidisciplinary and multifaceted outpatient management of patients with osteoarthritis: protocol for a randomised, controlled trial. 2010, 11:253 BMC Musculoskelet Disord
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989945/?tool=pubmed

Full metadata record

DC FieldValue Language
dc.contributor.authorMoe, Rikke Heleneen
dc.contributor.authorUhlig, Tillen
dc.contributor.authorKjeken, Ingvilden
dc.contributor.authorHagen, Kåre Birgeren
dc.contributor.authorKvien, Tore Kristianen
dc.contributor.authorGrotle, Margrethen
dc.date.accessioned2010-12-10T10:42:10Z-
dc.date.available2010-12-10T10:42:10Z-
dc.date.issued2010-11-01-
dc.identifier.citationMultidisciplinary and multifaceted outpatient management of patients with osteoarthritis: protocol for a randomised, controlled trial. 2010, 11:253 BMC Musculoskelet Disorden
dc.identifier.issn1471-2474-
dc.identifier.pmid21040556-
dc.identifier.doi10.1186/1471-2474-11-253-
dc.identifier.urihttp://hdl.handle.net/10143/117616-
dc.description.abstractABSTRACT: BACKGROUND: Osteoarthritis (OA) is a prevalent joint disorder with a need for efficient and evidence-based management strategies. OBJECTIVES: The primary purpose of this study is to compare the effects of a multidisciplinary outpatient clinic, including a brief group-based educational programme, with a traditional individual outpatient clinic for patients with hip, knee, hand or generalized OA. A secondary purpose is to investigate the effects of a telephone follow-up call. METHODS: This is a pragmatic randomised single-blind controlled study with a total of 400 patients with hip, knee, hand or generalized OA between 40 and 80 years referred to an outpatient rheumatology hospital clinic. The randomisation is stratified according to the diagnostic subgroups. The experimental group is exposed to a multidisciplinary and multifaceted intervention, including a 3.5 hour group-based patient education programme about OA in addition to individual consultations with members of a multidisciplinary team. The control intervention is based on regular care with an individual outpatient consultation with a rheumatologist (treatment as usual). Primary outcomes are patient satisfaction measured at 4 months and cost-effectiveness measured at 12 months. Secondary outcomes are pain and global disease activity measured on a numeric rating scales (NRS), generic and disease specific functioning and disability using Short Form-36 (SF-36) health survey, the Western Ontario and McMaster Universities Osteoarthritis Index 3 (WOMAC), the Australian/Canadian Osteoarthritis Hand Index (AUSCAN), and a patient-generated measure of disability (Patient-Specific Functional scale, PSFS). Global perceived effect of change in health status during the study period is also reported. At 4-month follow-up, patients in both groups will be randomly allocated to a 10-minute telephone call or no follow-up ("treatment as usual"). After additional 8 months (12-month follow-up) the four groups will be compared in a secondary analysis with regard to health outcomes and health care costs. DISCUSSION: This trial will provide results on how multidisciplinary and multifaceted management of patients with OA affects health outcomes and health care costs. TRIAL REGISTRATION: Current Controlled Trials ISRCTN25778426.en
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989945/?tool=pubmeden
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Reumatologi: 759en
dc.subject.meshOsteoarthritisen
dc.subject.meshRheumatic Diseasesen
dc.titleMultidisciplinary and multifaceted outpatient management of patients with osteoarthritis: protocol for a randomised, controlled trial.en
dc.typeJournal articleen
dc.typepeer revieweden
dc.contributor.departmentNational resource centre for rehabilitation in rheumatology, Dept, of Rheumatology, Diakonhjemmet Hospital, Oslo, P,O,Box 23 Vinderen, 0319 Oslo, Norway. rikke.moe@diakonsyk.no.en
dc.identifier.journalBMC musculoskeletal disordersen

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