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Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

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العنوان: Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials
المؤلفون: Hay, EM, Dziedzic, KS, Foster, NE, Peat, G, van der Windt, DA, Bartlam, B, Bucknall, M, Edwards, JJ, Healey, EL, Holden, MA, Hughes, R, Jinks, C, Jordan, KP, Jowett, S, Lewis, AM, Mallen, CD, Morden, A, Nicholls, E, Ong, BN, Porcheret, M, Wulff, J, Kigozi, J, Oppong, R, Paskins, Z, Croft, P
بيانات النشر: National Institute for Health Research
سنة النشر: 2018
المجموعة: Keele University: Keele Research Repository
مصطلحات موضوعية: R Medicine (General), RA Public aspects of medicine
الوصف: Background Osteoarthritis (OA) is the most common long-term condition managed in UK general practice. However, care is suboptimal despite evidence that primary care and community-based interventions can reduce OA pain and disability. Objectives The overall aim was to improve primary care management of OA and the health of patients with OA. Four parallel linked workstreams aimed to (1) develop a health economic decision model for estimating the potential for cost-effective delivery of primary care OA interventions to improve population health, (2) develop and evaluate new health-care models for delivery of core treatments and support for self-management among primary care consulters with OA, and to investigate prioritisation and implementation of OA care among the public, patients, doctors, health-care professionals and NHS trusts, (3) determine the effectiveness of strategies to optimise specific components of core OA treatment using the example of exercise and (4) investigate the effect of interventions to tackle barriers to core OA treatment, using the example of comorbid anxiety and depression in persons with OA. Data sources The North Staffordshire Osteoarthritis Project database, held by Keele University, was the source of data for secondary analyses in workstream 1. Methods Workstream 1 used meta-analysis and synthesis of published evidence about effectiveness of primary care treatments, combined with secondary analysis of existing longitudinal population-based cohort data, to identify predictors of poor long-term outcome (prognostic factors) and design a health economic decision model to ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: text
اللغة: English
Relation: https://eprints.keele.ac.uk/id/eprint/6813/1/Bookshelf_NBK513689.pdf; Hay, EM orcid:0000-0002-9545-4296 , Dziedzic, KS orcid:0000-0002-1168-8993 , Foster, NE orcid:0000-0003-4429-9756 , Peat, G orcid:0000-0002-9008-0184 , van der Windt, DA orcid:0000-0002-7248-6703 , Bartlam, B, Bucknall, M, Edwards, JJ, Healey, EL, Holden, MA, Hughes, R, Jinks, C, Jordan, KP orcid:0000-0003-4748-5335 , Jowett, S, Lewis, AM, Mallen, CD orcid:0000-0002-2677-1028 , Morden, A, Nicholls, E, Ong, BN, Porcheret, M orcid:0000-0003-3850-9171 , Wulff, J, Kigozi, J, Oppong, R, Paskins, Z orcid:0000-0002-7783-2986 and Croft, P (2018) Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials. Programme Grants for Applied Research, 6 (4). 1 - 260.
DOI: 10.3310/pgfar06040
الاتاحة: https://eprints.keele.ac.uk/id/eprint/6813/
https://eprints.keele.ac.uk/id/eprint/6813/1/Bookshelf_NBK513689.pdf
https://www.journalslibrary.nihr.ac.uk/pgfar/pgfar06040#/abstract
https://doi.org/10.3310/pgfar06040
Rights: cc_by_nc_4
رقم الانضمام: edsbas.4EF02835
قاعدة البيانات: BASE
الوصف
DOI:10.3310/pgfar06040