Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care.


Journal Article (Review)

A number of controversies and challenges exist for the management of OA in health care. This paper describes the challenges and gaps in OA care, particularly in relation to population health management, complex interventions and outcomes. It sets this in the context of competing health priorities and multimorbidity, access to high quality conservative care, non-pharmacological therapies, resource limitations and models of care. The overuse of some therapies and neglect of others are discussed, as well as the potential for self-management. The roles of patient and public involvement and the healthcare team are highlighted in enhancing best care for OA and providing solutions for closing the evidence-to-practice gap. Implementation of models of care offer one solution to the challenges and progress of such implementation is described. Areas for further research are highlighted.

Full Text

Duke Authors

Cited Authors

  • Dziedzic, KS; Allen, KD

Published Date

  • May 1, 2018

Published In

Volume / Issue

  • 57 / suppl_4

Start / End Page

  • iv88 - iv98

PubMed ID

  • 29684219

Pubmed Central ID

  • 29684219

Electronic International Standard Serial Number (EISSN)

  • 1462-0332

Digital Object Identifier (DOI)

  • 10.1093/rheumatology/key062


  • eng

Conference Location

  • England