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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Patterns of routine primary care for osteoarthritis in the UK
T2 - a cross-sectional electronic health records study
AU - Jackson, Holly
AU - Barnett, Lauren
AU - Jordan, Kelvin
AU - Dziedzic, Krysia
AU - Cottrell, Elizabeth
AU - Finney, Andrew
AU - Paskins, Zoe
AU - Edwards, John
PY - 2017/12/29
Y1 - 2017/12/29
N2 - Objective To determine common patterns of recorded primary care for osteoarthritis (OA), and patient and provider characteristics associated with the quality of recorded care.Design An observational study nested within a cluster-randomised controlled trial.Setting Eight UK general practices who were part of the Management of Osteoarthritis in Consultations study.Participants Patients recorded as consulting within the eight general practices for clinical OA.Primary outcomes Achievement of seven quality indicators of care (pain/function assessment, information provision, exercise/weight advice, analgesics, physiotherapy), recorded through an electronic template or routinely recorded in the electronic healthcare records, was identified for patients aged ≥45 years consulting over a 6-month period with clinical OA. Latent class analysis was used to cluster patients based on care received. Clusters were compared on patient and clinician-level characteristics.Results 1724 patients (median by practice 183) consulted with clinical OA. Common patterns of recorded quality care were: cluster 1 (38%, High) received most quality indicators of care; cluster 2 (11%, Moderate) had pain and function assessment, and received or were considered for other indicators; cluster 3 (17%, Low) had pain and function assessment, and received or were considered for paracetamol or topical non-steroidal anti-inflammatory drugs; cluster 4 (35%, None) had no recorded quality indicators. Patients with higher levels of recorded care consulted a clinician who saw more patients with OA, consulted multiple times and had less morbidity. Those in the High cluster were more likely to have recorded diagnosed OA and have knee/hip OA.Conclusions Patterns of recorded care for OA fell into four natural clusters. Appropriate delivery of core interventions and relatively safe pharmacological options for OA are still not consistently recorded as provided in primary care. Further research to understand clinical recording behaviours and determine potential barriers to quality care alongside effective training for clinicians is needed.Trial registration number ISRCTN06984617; Results.
AB - Objective To determine common patterns of recorded primary care for osteoarthritis (OA), and patient and provider characteristics associated with the quality of recorded care.Design An observational study nested within a cluster-randomised controlled trial.Setting Eight UK general practices who were part of the Management of Osteoarthritis in Consultations study.Participants Patients recorded as consulting within the eight general practices for clinical OA.Primary outcomes Achievement of seven quality indicators of care (pain/function assessment, information provision, exercise/weight advice, analgesics, physiotherapy), recorded through an electronic template or routinely recorded in the electronic healthcare records, was identified for patients aged ≥45 years consulting over a 6-month period with clinical OA. Latent class analysis was used to cluster patients based on care received. Clusters were compared on patient and clinician-level characteristics.Results 1724 patients (median by practice 183) consulted with clinical OA. Common patterns of recorded quality care were: cluster 1 (38%, High) received most quality indicators of care; cluster 2 (11%, Moderate) had pain and function assessment, and received or were considered for other indicators; cluster 3 (17%, Low) had pain and function assessment, and received or were considered for paracetamol or topical non-steroidal anti-inflammatory drugs; cluster 4 (35%, None) had no recorded quality indicators. Patients with higher levels of recorded care consulted a clinician who saw more patients with OA, consulted multiple times and had less morbidity. Those in the High cluster were more likely to have recorded diagnosed OA and have knee/hip OA.Conclusions Patterns of recorded care for OA fell into four natural clusters. Appropriate delivery of core interventions and relatively safe pharmacological options for OA are still not consistently recorded as provided in primary care. Further research to understand clinical recording behaviours and determine potential barriers to quality care alongside effective training for clinicians is needed.Trial registration number ISRCTN06984617; Results.
U2 - 10.1136/bmjopen-2017-019694
DO - 10.1136/bmjopen-2017-019694
M3 - Journal article
VL - 7
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 12
M1 - e019694
ER -