M C Papandony1, L Chou2, M Seneviwickrama3, F M Cicuttini4, K Lasserre5, A J Teichtahl6, Y Wang7, A M Briggs8, A E Wluka9. 1. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: michellecp89@gmail.com. 2. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: louisa.chou@monash.edu. 3. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: maheeka.seneviwickrama@monash.edu. 4. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: flavia.cicuttini@monash.edu. 5. Monash University Library, Monash University, Melbourne, Victoria, Australia. Electronic address: kaye.lasserre@monash.edu. 6. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia; Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia. Electronic address: andrew.teichtahl@monash.edu. 7. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: yuanyuan.wang@monash.edu. 8. School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia; MOVE: Muscle, Bone & Joint Health, Victoria, Australia. Electronic address: A.Briggs@curtin.edu.au. 9. Department of Epidemiology and Preventative Medicine, School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia. Electronic address: anita.wluka@monash.edu.
Abstract
OBJECTIVE: To identify and synthesise evidence regarding patients' perceived health service needs related to osteoarthritis (OA). DESIGN: A comprehensive systematic scoping review of MEDLINE, PsycINFO, EMBASE and CINAHL (1990-2016) was performed to capture information regarding patient perceived health service needs related to OA. Risk of bias and quality of included articles were assessed. Relevant data were extracted and collated to provide a systematic review of the existing literature. RESULTS: Of the 1384 identified manuscripts, 21 were relevant to areas of patient perceived need, including needs related to medical care, pharmacologic therapy, physiotherapy and exercise therapy and alternative medicine. Key findings included (1) Symptom control drove the need for both conventional and complementary services. (2) An individualized relationship was sought with a practitioner knowledgeable in OA care and who adopted a holistic approach, whether providing conventional or alternative therapies. (3) Medications were required to obtain symptomatic relief, with use tempered by recognition of potential side effects and financial cost. (4) The need for allied health services was recognised, although patient and system issues were barriers to uptake. (5) Patient's attitudes towards joint replacement, orthoses and physical aids were influenced by patient preferences and previous healthcare experiences. CONCLUSION: Patient perceived needs are similar to those suggested by clinical guideline recommendations. Better aligning patient perceived needs with healthcare requirements may improve OA outcomes and optimise healthcare system utilisation.
OBJECTIVE: To identify and synthesise evidence regarding patients' perceived health service needs related to osteoarthritis (OA). DESIGN: A comprehensive systematic scoping review of MEDLINE, PsycINFO, EMBASE and CINAHL (1990-2016) was performed to capture information regarding patient perceived health service needs related to OA. Risk of bias and quality of included articles were assessed. Relevant data were extracted and collated to provide a systematic review of the existing literature. RESULTS: Of the 1384 identified manuscripts, 21 were relevant to areas of patient perceived need, including needs related to medical care, pharmacologic therapy, physiotherapy and exercise therapy and alternative medicine. Key findings included (1) Symptom control drove the need for both conventional and complementary services. (2) An individualized relationship was sought with a practitioner knowledgeable in OA care and who adopted a holistic approach, whether providing conventional or alternative therapies. (3) Medications were required to obtain symptomatic relief, with use tempered by recognition of potential side effects and financial cost. (4) The need for allied health services was recognised, although patient and system issues were barriers to uptake. (5) Patient's attitudes towards joint replacement, orthoses and physical aids were influenced by patient preferences and previous healthcare experiences. CONCLUSION:Patient perceived needs are similar to those suggested by clinical guideline recommendations. Better aligning patient perceived needs with healthcare requirements may improve OA outcomes and optimise healthcare system utilisation.
Authors: L Chou; P Shamdasani; A M Briggs; F M Cicuttini; K Sullivan; K L M D Seneviwickrama; A E Wluka Journal: Osteoporos Int Date: 2017-07-31 Impact factor: 4.507
Authors: K S Dziedzic; E L Healey; M Porcheret; E K Afolabi; M Lewis; A Morden; C Jinks; G A McHugh; S Ryan; A Finney; C Main; J J Edwards; Z Paskins; A Pushpa-Rajah; E M Hay Journal: Osteoarthritis Cartilage Date: 2017-10-14 Impact factor: 6.576
Authors: A He; Y Ning; Y Wen; Y Cai; K Xu; Y Cai; J Han; L Liu; Y Du; X Liang; P Li; Q Fan; J Hao; X Wang; X Guo; T Ma; F Zhang Journal: Bone Joint Res Date: 2018-06-05 Impact factor: 5.853
Authors: Louisa Chou; Lisa Ellis; Michelle Papandony; K L Maheeka D Seneviwickrama; Flavia M Cicuttini; Kaye Sullivan; Andrew J Teichtahl; Yuanyuan Wang; Andrew M Briggs; Anita E Wluka Journal: PLoS One Date: 2018-04-16 Impact factor: 3.240
Authors: Louisa Chou; Tom A Ranger; Waruna Peiris; Flavia M Cicuttini; Donna M Urquhart; Kaye Sullivan; Maheeka Seneviwickrama; Andrew M Briggs; Anita E Wluka Journal: PLoS One Date: 2018-11-08 Impact factor: 3.240
Authors: Kim L Bennell; Catherine Keating; Belinda J Lawford; Alexander J Kimp; Thorlene Egerton; Courtney Brown; Jessica Kasza; Libby Spiers; Joseph Proietto; Priya Sumithran; Jonathan G Quicke; Rana S Hinman; Anthony Harris; Andrew M Briggs; Carolyn Page; Peter F Choong; Michelle M Dowsey; Francis Keefe; Christine Rini Journal: BMC Musculoskelet Disord Date: 2020-03-12 Impact factor: 2.362
Authors: Belinda J Lawford; Rana S Hinman; Jessica Kasza; Rachel Nelligan; Francis Keefe; Christine Rini; Kim L Bennell Journal: J Med Internet Res Date: 2018-05-09 Impact factor: 5.428