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Osteoarthritis: care and management [CG177]

Measuring the use of this guidance

Recommendation: 1.3.1

Offer accurate verbal and written information to all people with osteoarthritis to enhance understanding of the condition and its management, and to counter misconceptions, such as that it inevitably progresses and cannot be treated. Ensure that information sharing is an ongoing, integral part of the management plan rather than a single event at time of presentation. 

What was measured: The proportion of people with an osteoarthritis diagnosis consulting at GP practice for osteoarthritis following staff training who received written information.
Data collection end: February 2014
42%
Area covered: Local
Source: Jordan K P, Edwards J J, Porcheret M, Healey E L, Jinks C, Bedson J, Clarkson K, Hay E M, and Dziedzic K S. (2017). Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): A cluster randomised controlled trial in primary care. Osteoarthritis and Cartilage., 11.


Recommendation: 1.4.1

Advise people with osteoarthritis to exercise as a core treatment (see recommendation 1.2.5), irrespective of age, comorbidity, pain severity or disability. Exercise should include: local muscle strengthening and general aerobic fitness. It has not been specified whether exercise should be provided by the NHS or whether the healthcare professional should provide advice and encouragement to the person to obtain and carry out the intervention themselves. Exercise has been found to be beneficial but the clinician needs to make a judgement in each case on how to effectively ensure participation. This will depend upon the person's individual needs, circumstances and self-motivation, and the availability of local facilities.

What was measured: The proportion of people with an osteoarthritis diagnosis consulting at GP practice for osteoarthritis following staff training who received written exercise advice.
Data collection end: February 2014
33%
Area covered: Local
Source: Jordan K P, Edwards J J, Porcheret M, Healey E L, Jinks C, Bedson J, Clarkson K, Hay E M, and Dziedzic K S. (2017). Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): A cluster randomised controlled trial in primary care. Osteoarthritis and Cartilage., 11.


Recommendation: 1.4.3

Offer interventions to achieve weight loss as a core treatment (see recommendation 1.2.5) for people who are obese or overweight. 

What was measured: The proportion of overweight people with an osteoarthritis diagnosis consulting at GP practice for osteoarthritis following staff training who received written weight loss advice.
Data collection end: February 2014
24%
Area covered: Local
Source: Jordan K P, Edwards J J, Porcheret M, Healey E L, Jinks C, Bedson J, Clarkson K, Hay E M, and Dziedzic K S. (2017). Effect of a model consultation informed by guidelines on recorded quality of care of osteoarthritis (MOSAICS): A cluster randomised controlled trial in primary care. Osteoarthritis and Cartilage., 11.



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