Skip to main content
Journal cover image

Patient-reported outcomes to initiate a provider-patient dialog for the management of hip and knee osteoarthritis.

Publication ,  Journal Article
Golightly, YM; Allen, KD; Nyrop, KA; Nelson, AE; Callahan, LF; Jordan, JM
Published in: Semin Arthritis Rheum
October 2015

PURPOSE: Although many treatment guidelines exist for hip and knee osteoarthritis (OA), uptake in clinical practice is typically low. Valid patient-reported outcome measures (PROs) that can be easily used in the clinic could aid implementation and evaluation of treatment recommendations, and the tracking of symptoms and function over time. This project responded to a 2012 Call to Action of the Chronic Osteoarthritis Management Initiative of the United States Bone and Joint Initiative; we aimed to develop a tiered list of recommended PROs that could be feasibly applied in common clinical settings, across four domains of pain, function, fatigue, and sleep. METHODS: PROs were identified through a focused literature review. Clinicians and researchers with OA expertise evaluated each measure' feasibility for use in routine clinical practice, followed by meaningfulness in assessing OA outcomes. Eligible PROs were categorized by domain and ranked into Tiers One (very brief measures for initial use in clinical settings), Two (brief measures with more in-depth assessment), and Three (most detailed assessment). RESULTS: Total PROs identified were 172 for pain, 160 for function, 55 for fatigue, and 60 for sleep. Of these, 9 pain, 7 function, 7 fatigue, and 8 sleep PROs were ranked into one of three tiers. CONCLUSIONS: This three-tiered list of recommended PROs provides a basis for tools to systematically track outcomes, facilitate provider-patient dialog, and guide treatment for hip or knee OA. Research is needed to test the utility and feasibility of systematic implementation of these measures in primary care and specialty clinical settings.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Semin Arthritis Rheum

DOI

EISSN

1532-866X

Publication Date

October 2015

Volume

45

Issue

2

Start / End Page

123 / 131

Location

United States

Related Subject Headings

  • Primary Health Care
  • Physician-Patient Relations
  • Patient Outcome Assessment
  • Osteoarthritis, Knee
  • Osteoarthritis, Hip
  • Humans
  • Disease Management
  • Arthritis & Rheumatology
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Golightly, Y. M., Allen, K. D., Nyrop, K. A., Nelson, A. E., Callahan, L. F., & Jordan, J. M. (2015). Patient-reported outcomes to initiate a provider-patient dialog for the management of hip and knee osteoarthritis. Semin Arthritis Rheum, 45(2), 123–131. https://doi.org/10.1016/j.semarthrit.2015.04.008
Golightly, Yvonne M., Kelli D. Allen, Kirsten A. Nyrop, Amanda E. Nelson, Leigh F. Callahan, and Joanne M. Jordan. “Patient-reported outcomes to initiate a provider-patient dialog for the management of hip and knee osteoarthritis.Semin Arthritis Rheum 45, no. 2 (October 2015): 123–31. https://doi.org/10.1016/j.semarthrit.2015.04.008.
Golightly YM, Allen KD, Nyrop KA, Nelson AE, Callahan LF, Jordan JM. Patient-reported outcomes to initiate a provider-patient dialog for the management of hip and knee osteoarthritis. Semin Arthritis Rheum. 2015 Oct;45(2):123–31.
Golightly, Yvonne M., et al. “Patient-reported outcomes to initiate a provider-patient dialog for the management of hip and knee osteoarthritis.Semin Arthritis Rheum, vol. 45, no. 2, Oct. 2015, pp. 123–31. Pubmed, doi:10.1016/j.semarthrit.2015.04.008.
Golightly YM, Allen KD, Nyrop KA, Nelson AE, Callahan LF, Jordan JM. Patient-reported outcomes to initiate a provider-patient dialog for the management of hip and knee osteoarthritis. Semin Arthritis Rheum. 2015 Oct;45(2):123–131.
Journal cover image

Published In

Semin Arthritis Rheum

DOI

EISSN

1532-866X

Publication Date

October 2015

Volume

45

Issue

2

Start / End Page

123 / 131

Location

United States

Related Subject Headings

  • Primary Health Care
  • Physician-Patient Relations
  • Patient Outcome Assessment
  • Osteoarthritis, Knee
  • Osteoarthritis, Hip
  • Humans
  • Disease Management
  • Arthritis & Rheumatology
  • 3202 Clinical sciences
  • 1117 Public Health and Health Services