Proportion of patients with hip osteoarthritis in primary care identified by differing clinical criteria: a cross-sectional study of 4699 patients

James J. Young; Søren T. Skou; Bart W. Koes; Dorte T. Grønne; Ewa M. Roos

doi:10.1016/j.ocarto.2020.100111

Proportion of patients with hip osteoarthritis in primary care identified by differing clinical criteria: a cross-sectional study of 4699 patients

James J. Young^*
, Søren T. Skou
, Bart W. Koes
, Dorte T. Grønne
, Ewa M. Roos

^*Corresponding author for this work

General Practice

University of Southern Denmark
Canadian Memorial Chiropractic College
Næstved-Slagelse-Ringsted Hospitals

Research output: Contribution to journal › Article › Academic › peer-review

9 Citations (Scopus)

21 Downloads (Pure)

Abstract

Objective:

Differing clinical criteria for hip osteoarthritis (OA) are applied in primary care, but little is known regarding the utility of these criteria. The aim of this study was to evaluate and compare the proportion of patients in a primary care setting with hip OA fulfilling the American College of Rheumatology (ACR), the National Institute for Health and Care Excellence (NICE), and the Danish Health Authority (DHA) criteria.

Design:

A cross-sectional analysis of baseline data from the Good Life with osteoArthritis in Denmark (GLA:D®) program, a treatment program for patients with symptoms or functional limitations associated with hip OA. The prevalence of hip OA according to the ACR, NICE, and DHA criteria was calculated in all patients and in a subgroup of patients with self-reported radiographic hip OA.

Results:

4699 patients were included in the analysis. Mean age (SD) was 66.8 (9.7) years and 71% of the patients were female. 64%, 80%, and 94% fulfilled the ACR, DHA, and NICE criteria, respectively. In those self-reporting radiographic hip OA, the corresponding numbers were 66%, 81%, and 94%. A limited number of patients (4%) did not fulfill any of the criteria.

Conclusions:

The NICE criteria identified the most patients that were treated because of their symptoms or functional limitations. The DHA and especially the ACR criteria did not identify a significant proportion of these patients. The results suggest the NICE criteria are appropriate to identify individuals treated for hip OA in primary care.

Original language	English
Article number	100111
Journal	Osteoarthritis and Cartilage Open
Volume	2
Issue number	4
DOIs	https://doi.org/10.1016/j.ocarto.2020.100111
Publication status	Published - Dec 2020

Bibliographical note

Funding Information:
The authors thank the clinicians and patients involved in collecting data for GLA:D®. STS is currently funded by a grant from Region Zealand (Exercise First) and a grant from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation program (grant agreement No 801790).

Publisher Copyright:
© 2020 Osteoarthritis Research Society International (OARSI)

Role of the funding source
No financial support was received for this study. The initiation of
GLA:D® was partly funded by the Danish Physiotherapy Association's
fund for research, education and practice development; the Danish
Rheumatism Association; and the Physiotherapy Practice Foundation.
The funders did not have any role in this study.

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Proportion of patients with hip osteoarthritis in primary care identified by differing clinical criteriaFinal published version, 236 KBLicence: CC BY-NC-ND

Cite this

@article{abbd959c34f44149aca2d3ca855be0de,

title = "Proportion of patients with hip osteoarthritis in primary care identified by differing clinical criteria: a cross-sectional study of 4699 patients",

abstract = "Objective: Differing clinical criteria for hip osteoarthritis (OA) are applied in primary care, but little is known regarding the utility of these criteria. The aim of this study was to evaluate and compare the proportion of patients in a primary care setting with hip OA fulfilling the American College of Rheumatology (ACR), the National Institute for Health and Care Excellence (NICE), and the Danish Health Authority (DHA) criteria. Design:A cross-sectional analysis of baseline data from the Good Life with osteoArthritis in Denmark (GLA:D{\textregistered}) program, a treatment program for patients with symptoms or functional limitations associated with hip OA. The prevalence of hip OA according to the ACR, NICE, and DHA criteria was calculated in all patients and in a subgroup of patients with self-reported radiographic hip OA. Results: 4699 patients were included in the analysis. Mean age (SD) was 66.8 (9.7) years and 71\% of the patients were female. 64\%, 80\%, and 94\% fulfilled the ACR, DHA, and NICE criteria, respectively. In those self-reporting radiographic hip OA, the corresponding numbers were 66\%, 81\%, and 94\%. A limited number of patients (4\%) did not fulfill any of the criteria. Conclusions: The NICE criteria identified the most patients that were treated because of their symptoms or functional limitations. The DHA and especially the ACR criteria did not identify a significant proportion of these patients. The results suggest the NICE criteria are appropriate to identify individuals treated for hip OA in primary care.",

author = "Young, \{James J.\} and Skou, \{S{\o}ren T.\} and Koes, \{Bart W.\} and Gr{\o}nne, \{Dorte T.\} and Roos, \{Ewa M.\}",

note = "Funding Information: The authors thank the clinicians and patients involved in collecting data for GLA:D{\textregistered}. STS is currently funded by a grant from Region Zealand (Exercise First) and a grant from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation program (grant agreement No 801790). Publisher Copyright: {\textcopyright} 2020 Osteoarthritis Research Society International (OARSI) Role of the funding source No financial support was received for this study. The initiation of GLA:D{\textregistered} was partly funded by the Danish Physiotherapy Association's fund for research, education and practice development; the Danish Rheumatism Association; and the Physiotherapy Practice Foundation. The funders did not have any role in this study.",

year = "2020",

month = dec,

doi = "10.1016/j.ocarto.2020.100111",

language = "English",

volume = "2",

journal = "Osteoarthritis and Cartilage Open",

issn = "2665-9131",

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T1 - Proportion of patients with hip osteoarthritis in primary care identified by differing clinical criteria

T2 - a cross-sectional study of 4699 patients

AU - Young, James J.

AU - Skou, Søren T.

AU - Koes, Bart W.

AU - Grønne, Dorte T.

AU - Roos, Ewa M.

N1 - Funding Information: The authors thank the clinicians and patients involved in collecting data for GLA:D®. STS is currently funded by a grant from Region Zealand (Exercise First) and a grant from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation program (grant agreement No 801790). Publisher Copyright: © 2020 Osteoarthritis Research Society International (OARSI) Role of the funding source No financial support was received for this study. The initiation of GLA:D® was partly funded by the Danish Physiotherapy Association's fund for research, education and practice development; the Danish Rheumatism Association; and the Physiotherapy Practice Foundation. The funders did not have any role in this study.

PY - 2020/12

Y1 - 2020/12

N2 - Objective: Differing clinical criteria for hip osteoarthritis (OA) are applied in primary care, but little is known regarding the utility of these criteria. The aim of this study was to evaluate and compare the proportion of patients in a primary care setting with hip OA fulfilling the American College of Rheumatology (ACR), the National Institute for Health and Care Excellence (NICE), and the Danish Health Authority (DHA) criteria. Design:A cross-sectional analysis of baseline data from the Good Life with osteoArthritis in Denmark (GLA:D®) program, a treatment program for patients with symptoms or functional limitations associated with hip OA. The prevalence of hip OA according to the ACR, NICE, and DHA criteria was calculated in all patients and in a subgroup of patients with self-reported radiographic hip OA. Results: 4699 patients were included in the analysis. Mean age (SD) was 66.8 (9.7) years and 71% of the patients were female. 64%, 80%, and 94% fulfilled the ACR, DHA, and NICE criteria, respectively. In those self-reporting radiographic hip OA, the corresponding numbers were 66%, 81%, and 94%. A limited number of patients (4%) did not fulfill any of the criteria. Conclusions: The NICE criteria identified the most patients that were treated because of their symptoms or functional limitations. The DHA and especially the ACR criteria did not identify a significant proportion of these patients. The results suggest the NICE criteria are appropriate to identify individuals treated for hip OA in primary care.

AB - Objective: Differing clinical criteria for hip osteoarthritis (OA) are applied in primary care, but little is known regarding the utility of these criteria. The aim of this study was to evaluate and compare the proportion of patients in a primary care setting with hip OA fulfilling the American College of Rheumatology (ACR), the National Institute for Health and Care Excellence (NICE), and the Danish Health Authority (DHA) criteria. Design:A cross-sectional analysis of baseline data from the Good Life with osteoArthritis in Denmark (GLA:D®) program, a treatment program for patients with symptoms or functional limitations associated with hip OA. The prevalence of hip OA according to the ACR, NICE, and DHA criteria was calculated in all patients and in a subgroup of patients with self-reported radiographic hip OA. Results: 4699 patients were included in the analysis. Mean age (SD) was 66.8 (9.7) years and 71% of the patients were female. 64%, 80%, and 94% fulfilled the ACR, DHA, and NICE criteria, respectively. In those self-reporting radiographic hip OA, the corresponding numbers were 66%, 81%, and 94%. A limited number of patients (4%) did not fulfill any of the criteria. Conclusions: The NICE criteria identified the most patients that were treated because of their symptoms or functional limitations. The DHA and especially the ACR criteria did not identify a significant proportion of these patients. The results suggest the NICE criteria are appropriate to identify individuals treated for hip OA in primary care.

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U2 - 10.1016/j.ocarto.2020.100111

DO - 10.1016/j.ocarto.2020.100111

M3 - Article

AN - SCOPUS:85108504798

SN - 2665-9131

VL - 2

JO - Osteoarthritis and Cartilage Open

JF - Osteoarthritis and Cartilage Open

IS - 4

M1 - 100111

ER -

Proportion of patients with hip osteoarthritis in primary care identified by differing clinical criteria: a cross-sectional study of 4699 patients

Abstract

Bibliographical note

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