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BMC Health Services Research
Published in: BMC Health Services Research 1/2022

Open Access 01-12-2022 | Knee Osteoarthritis | Research

Quality of knee osteoarthritis care in the Netherlands: a survey on the perspective of people with osteoarthritis

Authors: J. M. H. Oomen, Y. A. S. Peters, C. H. van den Ende, H. J. Schers, W. J. J. Assendelft, J. E. Vriezekolk, S. Koëter

Published in: BMC Health Services Research | Issue 1/2022

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Abstract

Background

Quality indicators (QIs) are used to monitor quality of care and adherence to osteoarthritis (OA) standards of care. Patient reported QIs can identify the most important gaps in quality of care and the most vulnerable patient groups. The aim of this study was to capture the perspective of people with knee OA (KOA) in the Netherlands on the quality of care received, and explore determinants related to lower achievement rates.

Methods

We sent an online survey to all members of The Dutch Knee Panel (n = 622) of the Sint Maartenskliniek Nijmegen, the Netherlands between September and October 2019. The survey consisted of a slightly adapted version of the “OsteoArthritis Quality Indicator” (OA-QI) questionnaire (18 items; yes, no, N/A); a rating of quality of KOA care on a 10-point scale; a question on whether or not one wanted to see change in the care for KOA; and an open-ended question asking recommendations for improvement of OA care. Furthermore, sociodemographic and disease related characteristics were collected. Pass rates for separate QIs and pass rates on patient level were calculated by dividing the number of times the indicator was achieved by the number of eligible persons for that particular indicator.

Results

A total of 434 participants (70%) completed the survey. The mean (SD) pass rate (those answering “Yes”) for separate QIs was 49% (20%); ranging from 15% for receiving referral for weight reduction to 75% for patient education on how to manage knee OA. The mean (SD) pass rate on patient level was 52% (23%). Presence of OA in other joints, comorbidities, and having a knee replacement were associated with higher pass rates. On average, a score of 6.5 (1.6) was given for the quality of care received, and the majority of respondents (59%) wanted change in the care for KOA. Of 231 recommendations made, most often mentioned were the need for tailoring of care (14%), more education (13%), and more empathy and support from healthcare providers (12%).

Conclusion

This study found patients are only moderately satisfied with the OA care received, and showed substantial gaps between perceived quality of care for OA and internationally accepted standards. Future research should focus on the underlying reasons and provide strategies to bridge these gaps.
Appendix
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Literature
1.
National Institute for Public Health and the Environment (RIVM); Public Health Future Exploration. In.; 2018.
2.
Fingleton C, Smart K, Moloney N, Fullen BM, Doody C. Pain sensitization in people with knee osteoarthritis: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2015;23(7):1043–56.PubMedCrossRef
3.
Sparling TL, Schmitt D, Miller CE, Guilak F, Somers TJ, Keefe FJ, Queen RM. Energy recovery in individuals with knee osteoarthritis. Osteoarthritis Cartilage. 2014;22(6):747–55.PubMedPubMedCentralCrossRef
4.
Bernad-Pineda M. de LH-S, Garces-Puentes MV: [Quality of life in patients with knee and hip osteoarthritis]. Rev Esp Cir Ortop Traumatol. 2014;58(5):283–9.PubMed
5.
Wolfe F, Hawley DJ, Wilson K. The prevalence and meaning of fatigue in rheumatic disease. J Rheumatol. 1996;23(8):1407–17.PubMed
6.
Murphy SL, Lyden AK, Phillips K, Clauw DJ, Williams DA. Association between pain, radiographic severity, and centrally-mediated symptoms in women with knee osteoarthritis. Arthritis Care Res (Hoboken ). 2011;63(11):1543–9.CrossRef
7.
Ferreira AH, Godoy PB, Oliveira NR, Diniz RA, Diniz RE, Padovani RC, Silva RC. Investigation of depression, anxiety and quality of life in patients with knee osteoarthritis: a comparative study. Rev Bras Reumatol. 2015;55(5):434–8.PubMedCrossRef
8.
Nielen M, Flinterman L, Kroneman M, Verheij R: Incidentie en prevalentie van gezondheidsproblemen in de Nederlandse huisartsenpraktijk in 2016. Uit: NIVEL Zorgregistraties eerste lijn [internet]. In.; 2017.
9.
Murphy L, Schwartz TA, Helmick CG, Renner JB, Tudor G, Koch G, Dragomir A, Kalsbeek WD, Luta G, Jordan JM. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum. 2008;59(9):1207–13.PubMedPubMedCentralCrossRef
10.
Smink AJ, Dekker J, Vliet Vlieland TP, Swierstra BA, Kortland JH, Bijlsma JW, Teerenstra S, Voorn TB, Bierma-Zeinstra SM, Schers HJ, et al. Health care use of patients with osteoarthritis of the hip or knee after implementation of a stepped-care strategy: an observational study. Arthritis Care Res (Hoboken). 2014;66(6):817–27.CrossRef
11.
Hagen KB, Smedslund G, Osteras N, Jamtvedt G. Quality of Community-Based Osteoarthritis Care: A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken ). 2016;68(10):1443–52.CrossRef
12.
Dosanjh S, Matta JM, Bhandari M. The final straw: a qualitative study to explore patient decisions to undergo total hip arthroplasty. Arch Orthop Trauma Surg. 2009;129(6):719–27.PubMedCrossRef
13.
Petursdottir U, Arnadottir SA, Halldorsdottir S. Facilitators and barriers to exercising among people with osteoarthritis: a phenomenological study. Phys Ther. 2010;90(7):1014–25.PubMedCrossRef
14.
Smink AJ, van den Ende CH, Vliet Vlieland TP, Swierstra BA, Kortland JH, Bijlsma JW, Voorn TB, Schers HJ, Bierma-Zeinstra SM, Dekker J. “Beating osteoARThritis”: development of a stepped care strategy to optimize utilization and timing of non-surgical treatment modalities for patients with hip or knee osteoarthritis. Clin Rheumatol. 2011;30(12):1623–9.
15.
Smith TO, Purdy R, Lister S, Salter C, Fleetcroft R, Conaghan PG. Attitudes of people with osteoarthritis towards their conservative management: a systematic review and meta-ethnography. Rheumatol Int. 2014;34(3):299–313.PubMedCrossRef
16.
Snijders GF, den Broeder AA, van Riel PL, Straten VH, de Man FH, van den Hoogen FH, van den Ende CH. Evidence-based tailored conservative treatment of knee and hip osteoarthritis: between knowing and doing. Scand J Rheumatol. 2011;40(3):225–31.PubMedCrossRef
17.
Thorstensson CA, Roos EM, Petersson IF, Arvidsson B. How do middle-aged patients conceive exercise as a form of treatment for knee osteoarthritis? Disabil Rehabil. 2006;28(1):51–9.PubMedCrossRef
18.
Barten DJ, Smink A, Swinkels IC, Veenhof C, Schers HJ, Vliet Vlieland T, de Bakker DH, Dekker J, van den Ende CH. Factors Associated With Referral to Secondary Care in Patients With Osteoarthritis of the Hip or Knee After Implementation of a Stepped-Care Strategy. Arthritis Care Res (Hoboken). 2017;69(2):216–25.CrossRef
19.
Selten EM, Vriezekolk JE, Geenen R, van der Laan WH, van der Meulen-Dilling RG, Nijhof MW, Schers HJ, van den Ende CH. Reasons for Treatment Choices in Knee and Hip Osteoarthritis: A Qualitative Study. Arthritis Care Res (Hoboken). 2016;68(9):1260–7.CrossRef
20.
Selten EMH, Vriezekolk JE, Nijhof MW, Schers HJ, van der Meulen-Dilling RG, van der Laan WH, Geenen R, van den Ende CHM. Barriers Impeding the Use of Non-pharmacological, Non-surgical Care in Hip and Knee Osteoarthritis: The Views of General Practitioners, Physical Therapists, and Medical Specialists. J Clin Rheumatol. 2017;23(8):405–10.PubMedCrossRef
21.
Hofstede SN. Marang-van de Mheen PJ, Vliet Vlieland TP, van den Ende CH, Nelissen RG, van Bodegom-Vos L: Barriers and Facilitators Associated with Non-Surgical Treatment Use for Osteoarthritis Patients in Orthopaedic Practice. PLoS ONE. 2016;11(1):e0147406.PubMedPubMedCentralCrossRef
22.
Ganz DA, Chang JT, Roth CP, Guan M, Kamberg CJ, Niu F, Reuben DB, Shekelle PG, Wenger NS, MacLean CH. Quality of osteoarthritis care for community-dwelling older adults. Arthritis Rheum. 2006;55(2):241–7.PubMedCrossRef
23.
Østerås N, Jordan KP, Clausen B, Cordeiro C, Dziedzic K, Edwards J, Grønhaug G, Higginbottom A, Lund H, Pacheco G, et al. Self-reported quality care for knee osteoarthritis: comparisons across Denmark, Norway, Portugal and the UK. RMD Open. 2015;1(1):e000136.PubMedPubMedCentralCrossRef
24.
Glazier RH, Badley EM, Wright JG, Coyte PC, Williams JI, Harvey B, Wilkins AL, Hawker GA. Patient and provider factors related to comprehensive arthritis care in a community setting in Ontario. Canada J Rheumatol. 2003;30(8):1846–50.PubMed
25.
Grønhaug G, Østerås N, Hagen KB. Quality of hip and knee osteoarthritis management in primary health care in a Norwegian county: a cross-sectional survey. BMC Health Serv Res. 2014;14:598.PubMedPubMedCentralCrossRef
26.
Østerås N, Garratt A, Grotle M, Natvig B, Kjeken I, Kvien TK, Hagen KB. Patient-reported quality of care for osteoarthritis: development and testing of the osteoarthritis quality indicator questionnaire. Arthritis Care Res (Hoboken). 2013;65(7):1043–51.CrossRef
27.
Li LC, Sayre EC, Kopec JA, Esdaile JM, Bar S, Cibere J. Quality of nonpharmacological care in the community for people with knee and hip osteoarthritis. J Rheumatol. 2011;38(10):2230–7.PubMedCrossRef
28.
Steel N, Bachmann M, Maisey S, Shekelle P, Breeze E, Marmot M, Melzer D. Self reported receipt of care consistent with 32 quality indicators: national population survey of adults aged 50 or more in England. BMJ. 2008;337: a957.PubMedPubMedCentralCrossRef
29.
McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. N Engl J Med. 2003;348(26):2635–45.PubMedCrossRef
30.
Brand CA, Harrison C, Tropea J, Hinman RS, Britt H, Bennell K. Management of osteoarthritis in general practice in Australia. Arthritis Care Res (Hoboken). 2014;66(4):551–8.CrossRef
31.
Teo PL, Hinman RS, Egerton T, Dziedzic KS, Kasza J, Bennell KL. Patient-reported quality indicators to evaluate physiotherapy care for hip and/or knee osteoarthritis- development and evaluation of the QUIPA tool. BMC Musculoskelet Disord. 2020;21(1):202.PubMedPubMedCentralCrossRef
32.
Dziedzic KS, Healey EL, Porcheret M, Afolabi EK, Lewis M, Morden A, Jinks C, McHugh GA, Ryan S, Finney A, et al. Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): a cluster randomised controlled trial. Osteoarthritis Cartilage. 2018;26(1):43–53.PubMedPubMedCentralCrossRef
33.
Broadbent J, Maisey S, Holland R, Steel N. Recorded quality of primary care for osteoarthritis: an observational study. Br J Gen Pract. 2008;58(557):839–43.PubMedPubMedCentralCrossRef
34.
Grønhaug G, Hagfors J, Borch I, Østerås N, Hagen KB. Perceived quality of health care services among people with osteoarthritis - results from a nationwide survey. Patient Prefer Adherence. 2015;9:1255–61.PubMedPubMedCentralCrossRef
35.
von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. (1743–9159 (Electronic)).
36.
Eysenbach G: Improving the quality of Web surveys: the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). (1438–8871 (Electronic)).
37.
38.
de Groot IB, Favejee MM, Reijman M, Verhaar JA, Terwee CB. The Dutch version of the knee injury and osteoarthritis outcome score: A validation study. In: Health Qual Life Outcomes. Volume 6, edn. 2008. p. 16.
39.
Blackburn S, Higginbottom A, Taylor R, Bird J, Østerås N, Hagen KB, Edwards JJ, Jordan KP, Jinks C, Dziedzic K. Patient-reported quality indicators for osteoarthritis: a patient and public generated self-report measure for primary care. Res Involvement Engagement. 2016;2(1):1–20.CrossRef
40.
Reibling N. Healthcare systems in Europe: towards an incorporation of patient access. J Eur Soc Policy. 2010;20(1):5–18.CrossRef
41.
Sloot R, Flinterman L, Heins M, Lafeber M, Boeije H, Poos R, Eysink P, Nielen M, Korevaar J: Reumatische aandoeningen in Nederland: ervaringen en kengetallen. In.; 2016.
42.
Nederland Z: Zinnige Zorg: verbetersignalement zorg voor artrose van knie en heup. In., Kwantitatieve tussenmeting 2014–2015 edn: Zorginstituut Nederland; 2018.
43.
Holden MA, Nicholls EE, Young J, Hay EM, Foster NE. UK-based physical therapists’ attitudes and beliefs regarding exercise and knee osteoarthritis: findings from a mixed-methods study. Arthritis Rheum. 2009;61(11):1511–21.
44.
Glauser TA, Salinas GD, Roepke NL, Williamson JC, Reese A, Gutierrez G, Abdolrasulnia M. Management of mild-to-moderate osteoarthritis: a study of the primary care perspective. Postgrad Med. 2011;123(1):126–34.PubMedCrossRef
45.
Geense WW, van de Glind IM, Visscher TL, van Achterberg T. Barriers, facilitators and attitudes influencing health promotion activities in general practice: an explorative pilot study. BMC Fam Pract. 2013;14:20.PubMedPubMedCentralCrossRef
46.
Egerton T, Diamond LE, Buchbinder R, Bennell KL, Slade SC. A systematic review and evidence synthesis of qualitative studies to identify primary care clinicians’ barriers and enablers to the management of osteoarthritis. Osteoarthritis Cartilage. 2017;25(5):625–38.
47.
Tripepi G, Jager KJ, Dekker FW, Zoccali C. Selection bias and information bias in clinical research. Nephron Clin Pract. 2010;115(2):c94–9.PubMedCrossRef
48.
Ganguli M, Lytle ME, Reynolds MD, Dodge HH. Random versus volunteer selection for a community-based study. J Gerontol Ser A-Biol Sci Med Sci. 1998;53(1):M39–46.
49.
Peeters GM, Alshurafa M, Schaap L, de Vet HC. Diagnostic accuracy of self-reported arthritis in the general adult population is acceptable. J Clin Epidemiol. 2015;68(4):452–9.PubMedCrossRef
50.
Short ME, Goetzel RZ, Pei X, Tabrizi MJ, Ozminkowski RJ, Gibson TB, Dejoy DM, Wilson MG. How accurate are self-reports? Analysis of self-reported health care utilization and absence when compared with administrative data. J Occup Environ Med. 2009;51(7):786–96.PubMedPubMedCentralCrossRef
51.
Blackburn S, Higginbottom A, Taylor R, Bird J, Osteras N, Hagen KB, Edwards JJ, Jordan KP, Jinks C, Dziedzic K. Patient-reported quality indicators for osteoarthritis: a patient and public generated self-report measure for primary care. Res Involv Engagem. 2016;2:5.PubMedPubMedCentralCrossRef
Metadata
Title
Quality of knee osteoarthritis care in the Netherlands: a survey on the perspective of people with osteoarthritis
Authors
J. M. H. Oomen
Y. A. S. Peters
C. H. van den Ende
H. J. Schers
W. J. J. Assendelft
J. E. Vriezekolk
S. Koëter
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2022
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-022-08014-1

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