Evaluation of disease burden, patient journey, unmet diagnosis and treatment needs of patients with HIP and knee osteoarthritis in Turkey: A study through Delphi Methodology
Küçük Resim Yok
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Elsevier Ltd
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: To get information-driven insights from expert physicians regarding multiple aspects of the patient journey in knee and hip OA and establish a consensus for future studies and decision tree models in Turkey. Design: 157 questions were asked in total during this three-round modified Delphi-method panel to 10 physical medicine and rehabilitation specialists (2 have rheumatology and 3 have algology subspeciality), one orthopaedic surgeon and one algology specialist from anaesthesia specialty background. A consensus was achieved when 80% of the panel members agreed with an item. Contradictions between different disciplines were accepted as a non-consensus factor. Results: Panellists agreed that American College of Rheumatology classification criteria is mostly sufficient to provide an OA diagnosis in clinical practice, OA patients with ?5 Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain or physical function score can be defined as moderate-to-severe OA if they have an additional ?2 Kellgren-Lawrence (KL) score, a minimum improvement of 30% from baseline in WOMAC pain or function subscales or in PGA score can be accepted as moderate treatment response where ?50% improvement from baseline in those scores as substantial response. Panellists stated that arthroplasty procedures need to be delayed as long as possible, but this delay should not jeopardize a beneficial and successful operation. Conclusions: These findings show that there is a significant disease burden, unmet treatment needs for patients with moderate-to-severe OA in Turkey from experts’ perspective. Therefore, an updated systematic approach and decision tree models are needed to be implemented. © 2022
Açıklama
Anahtar Kelimeler
arthroplasty, diagnosis, disease burden, osteoarthritis, severity, treatment response, nonsteroid antiinflammatory agent, arthroplasty, Article, blood examination, comorbidity, consensus, decision making, Delphi study, disease burden, disease duration, disease severity, echography, health care personnel, health service, hip osteoarthritis, human, human experiment, Kellgren-Lawrence grade, knee osteoarthritis, nuclear magnetic resonance imaging, orthopedic surgeon, osteoarthritis, physical function score, quality of life, radiodiagnosis, scoring system, semi structured interview, synovial fluid level, treatment response, Western Ontario and McMaster Universities Osteoarthritis Index
Kaynak
Osteoarthritis and Cartilage Open
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
5
Sayı
1
