From: High and low value care recommended and undertaken prior to knee or hip arthroplasty: a survey study
Total N = 399 | Knee arthroplasty | Hip arthroplasty | |||||
---|---|---|---|---|---|---|---|
Intervention | Proportion recommended (95% CI) | Proportion uptake (95% CI) | Proportion recommended (95% CI) | Proportion uptake (95% CI) | Proportion recommended (95% CI) | Proportion uptake (95% CI) | |
Structured strength program | 35.4 (30.3–40.7) | 91.7 (85.2–95.9) | 41.3 (35.1–47.7) | 90.2 (82.7–95.2) | 19.8 (12.2–29.4) | 100 (84.5–100) | |
Structured walking program | 22.4 (18.1–27.2) | 78.9 (68.1–84.5) | 24.3 (19.1–30.1) | 86.7 (75.4–94.1) | 17.6 (10.4–26.9) | 68.8 (41.3–88.9) | |
Yoga/Pilates/mind-body | 2.4 (1-4.6) | 50 (15.7–84.3) | 2.4 (0.8–5.2) | 66.7 (22.2–95.7) | 2.2 (0.2–7.7) | 0.0 (0.0-84.2) | |
Dietary weight management | 24.5 (20-29.4) | 80.7 (70.6–88.6) | 26.3 (20.9–32.2) | 80.0 (68.2–88.9) | 18.7 (11.3–28.2) | 82.4 (56.6–96.2) | |
Topical NSAIDS | 18 (14-22.5) | 88.5 (77.8–95.2) | 20.2 (15.4–25.8) | 86.0 (73.2–94.2) | 12.1 (6.2–18.1) | 100 (71.5–100) | |
Hydrotherapy | 11.2 (8-15.1) | 78.9 (62.7–90.4) | 11.3 (7.6–15.9) | 82.1 (63.1–93.9) | 9.9 (4.6–17.9) | 66.7 (29.9–92.5) | |
Walking stick | 34.5 (29.4–39.8) | 82.1 (73.1–88.5) | 33.6 (27.7–39.9) | 81.9 (71.2–89.5) | 37.4 (27.4–48.1) | 82.4 (65.5–93.2) | |
Crutches | 7.7 (5.1–11) | 84.6 (65.1–95.6) | 6.9 (4.1–10.8) | 94.1 (71.3–99.8) | 9.9 (4.6–17.9) | 66.7 (29.9–92.5) | |
Knee brace/sleeve | 13.6 (10.1–17.7) | 78.3 (63.6–89.1) | 18.2 (13.6–24) | 80.0 (65.4–90.4) | 1.1 (0.0-5.9) | 0 (0.0-97.5) | |
Walking frame | 4.1 (3.3–6.8) | 0 (0.0-0.2) | 3.2 (1.4–6.3) | 0 (0.0-3.7) | 6.6 (2.4–13.8) | 0 (0.0-4.6) | |
Oral NSAIDS | 31.6 (26.6–36.8) | 91.6 (84.6–96) | 34.8 (28.9–41.1) | 91.9 (83.9–96.7) | 23.1 (14.9–33.1) | 90.5 (69.7–98.8) | |
Intra-articular corticosteroid | 20.4 (16.2–25) | 94.2 (85.8–98.4) | 21.9 (16.8–27.5) | 96.3 (87.2–99.5) | 16.5 (9.5–25.7) | 86.7 (59.5–98.3) | |
Foot orthoses/wedge | 5 (2.9–7.9) | 88.2 (63.5–98.5) | 5.7 (3.1–9.3) | 78.6 (49.2–95.3) | 3.3 (0.1–9.3) | 100 (29.2–100) | |
Anti-epileptic medication | 4.1 (2.2–6.8) | 100 (76.8–100) | 4 (1.9–7.3) | 100 (69.1–100) | 4.4 (1.2–10.9) | 100 (39.8–100) | |
Simple analgesics | 68.1 (62.9–73.1) | 94.8 (91.1–97.3) | 70.9 (64.7–76.4) | 94.9 (90.5–97.6) | 60.4 (49.6–70.5) | 94.5 (84.9–98.9) | |
Weak opioid | 18 (14-22.5) | 95.1 (86.3–98.1) | 16.6 (12.1–21.8) | 100 (91.4–100) | 22 (13.9–31.9) | 85.0 (62.1–96.8) | |
Strong opioid | 9.4 (6.5–13.1) | 68.8 (50.0-83.9) | 8.5 (5.3–12.7) | 57.1 (34-78.2) | 12.1 (6.2–18.1) | 90.9 (58.7–99.8) | |
Arthroscope | 4.4 (2.5–7.2) | 93.3 (68.1–99.8) | 5.7 (3.1–9.3) | 92.9 (66.1–99.8) | 1.1 (0.0-5.9) | 0.0 (0.0-97.5) |