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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