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Table 2 Patient-reported quality of osteoarthritis care: individual item pass rates and odds ratio for item achievement

From: Improving osteoarthritis management in primary healthcare: results from a quasi-experimental study

Individual QI items

Individual item pass ratesa

OR (95% CI) for item achievement

Pre-implemen-tation

Post-implemen-tation

Δ Post – Pre pass rates

Crude model

p-value

Adjusted modelb

p-value

Information about OA from a HP (n = 308c)

84

89

↑5

1.7 (0.83, 3.40)

0.152

1.8 (0.86, 3.60)

0.124

Information about different treatment alternatives (n = 308)

67

79

↑12

1.9 (1.08, 3.24)

0.024

1.8 (1.04, 3.14)

0.037

Information on self-management (n = 308)

69

84

↑15

2.4 (1.33, 4.32)

0.003

2.6 (1.43, 4.79)

0.002

Information about importance of physical activity (n = 328)

91

96

↑5

2.2 (0.81, 6.19)

0.120

2.3 (0.83, 6.47)

0.108

Referred to HP for physical ctivity/exercise (n = 316)

87

90

↑3

1.4 (0.68, 2.93)

0.344

1.4 (0.66, 2.86)

0.406

Advised to lose weight (n = 158)

49

45

↓4

0.9 (0.44, 1.66)

0.649

0.8 (0.43, 1.65)

0.618

Referred for support to lose weight (n = 163)

12

14

↓2

1.2 (0.45, 3.31)

0.680

1.0 (0.33, 2.87)

0.966

Assessed for functional ability (n = 186)

33

35

↑2

1.1 (0.57, 2.01)

0.835

1.1 (0.56, 2.06)

0.823

Assessed the need for walking aids (n = 168)

36

22

↓14

0.5 (0.24, 1.01)

0.055

0.5 (0.25, 1.10)

0.089

Assessed the need for other aids (n = 151)

13

4

↓9

0.3 (0.06, 1.30)

0.105

0.3 (0.06, 1.32)

0.109

Joint pain assessed by HP (n = 309)

79

80

↑1

1.1 (0.61, 1.91)

0.804

1.1 (0.62, 1.97)

0.746

Paracetamol recommended as first line (n = 303)

72

67

↓5

0.8 (0.49, 1.34)

0.415

0.9 (0.53, 1.48)

0.639

Offered stronger pain killers (n = 213)

47

55

↑8

1.4 (0.78, 2.42)

0.271

1.3 (0.75, 2.38)

0.319

Information about anti-inflammatory medication (n = 206)

62

68

↑6

1.4 (0.74, 2.47)

0.321

1.3 (0.70, 2.37)

0.412

Offered steroid injection (n = 206)

24

23

↓4

1.0 (0.50, 1.87)

0.915

0.9 (0.47, 1.83)

0.837

Referred to orthopaedic surgeon (n = 208)

51

54

↑3

1.1 (0.64, 2.02)

0.648

1.1 (0.64, 2.04)

0.658

  1. HP Healthcare professional, OA Osteoarthritis, OR Odds ratio, QI Quality indicator
  2. a Individual item pass rates were calculated as the proportion of patients reporting that the QI was passed (‘Yes’) divided by the proportion of patients who were eligible (‘Yes’ or ‘No’) for that QI item (in percentage). Pass rates range from 0 to 100, with 100 representing that all eligible patients reported pass (‘Yes’) for that QI item
  3. b Logistic regression model adjusted for patients’ sex and age
  4. c Number of eligible patients for the QI item, i.e., patients that have responded ‘Yes’ or ‘No’ to that item. Patient responses ‘Not applicable’ are ignored
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BMC Musculoskeletal Disorders

ISSN: 1471-2474

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