Ettlin, Lea

Huber, Erika Omega

Nast, Irina

Niedermann Schneider, Karin

ZHAW digitalcollection

  1School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland       2 Osteoarthritis Research Society International (OARSI), European Alliance of Associations for Rheumatology                                 (Eular), American College of Rheumatology ACR)                                        Finding 3 – Barriers and facilitators What are the most important factors (not) to suggest exercise? Conclusion              Background International clinical guideline recommendations for knee osteoarthritis (OA) management2:      Issue in Switzerland regarding conservative management: • Sparse information • Unclear, whether, and to what extent, the guidelines are applied • There might be an underuse of exercise and education  Conservative non-pharmacological management of knee osteoarthritis in Switzerland: there is an evidence-performance gap  Lea Ettlin1, I. Nast1, E. Huber1, K. Niedermann1, UAS Zurich    Exercise      Education  Weight control                                                      Aim of the study • To survey current practice of general practitioners (GPs), rheumatologists, and orthopaedic surgeons • To evaluate the influence factors on decision-making towards exercise  • To explore the perceived barriers and facilitators for the referral to exercise Methods Exploratory sequential mixed-methods design - 11 semi-structured interviews with general practitioners (GPs), rheumatologists and orthopaedic surgeons - Online survey informed by the interviews, sent to the members of three Swiss scientific medical societies Finding 1 – Current Practice What diagnostic tools are used to complement clinical assessments?   What are the most used treatment options? - Patient education (98.6%) - Recommendation on sports (96.0%) - Pharmacological treatment (89.8%) - Physiotherapy (83.2%) 0% 50% 100%Other…None than clinicLaboratoryMRIX-RayAll participants (n=226) GPs (n=72)Rheumatologists (n=84) Orthopaedic surgeons (n=70)Finding 2 – Decision-making How many knee OA patients are referred to exercise? Mean (SD):  53.95% (27.80)  What influences the decision-making of the medical specialists?  0% 10% 20% 30% 40% 50%Clinical guidelinesDegree of OAClinical picture of OAClinical expertiseHigh level of suffering andexpectation of the patientAll particpants (n=197) GPs  (n=62)Rheumatologists (n=73) Orthopaedic surgeons (n=62)→ A structured exercise and education programme may help to close the gap  

Conservative non-pharmacological management of knee osteoarthritis in Switzerland : there is an evidence-performance gap

https://digitalcollection.zhaw.ch/bitstream/11475/22481/3/2021_Ettlin-etal_Conservative-non-pharmacological-management-of-knee-osteoarthritis-in-Switzerland.pdf

Conservative non-pharmacological management of knee osteoarthritis in Switzerland : there is an evidence-performance gap

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