Quality indicators for osteoarthritis pain management in the primary care setting

BMC Musculoskeletal Disorders

Research

Ezekiel Fink¹  Sagar P. Chokshi²  Ashvin K. Dewan³  Shetal-Nicholas Desai³  Elsie Rizk⁴  Tomona Iso⁴  Dipendra K. Aryal⁴  Joshua T. Swan⁵  Sarah A. Kazzaz⁶  Myriam Guevara⁶  Eleazar Flores⁷  Christopher P. Robben⁷  Veronica Vittone⁷  Anthony E. Brown⁷  Sudha Nagaraj⁷  Sharla Tajchman⁸ 

[1] Department of Neurology, Houston Methodist, Houston, TX, USA;Department of Neurosurgery, Houston Methodist, Houston, TX, USA;Department of Orthopedic Surgery, Houston Methodist, Houston, TX, USA;Department of Pharmacy, Houston Methodist, Houston, TX, USA;Department of Surgery, Houston Methodist, Houston, TX, USA;Department of Pharmacy, Houston Methodist, Houston, TX, USA;Department of Surgery, Houston Methodist, Houston, TX, USA;Center for Outcomes Research, Houston Methodist, Houston, TX, USA;Department of Surgery, Houston Methodist Hospital, 6550 Fannin Street, SM1661, 77030, Houston, TX, USA;Houston Methodist Academic Medicine Associates – Rheumatology, Houston Methodist, Houston, TX, USA;Houston Methodist Primary Care Group, Houston Methodist, Houston, TX, USA;Pfizer, Inc., New York, NY, USA;

关键词: Osteoarthritis;    Pain;    Quality indicators;    Primary care;    Opioid stewardship;   

DOI  :  10.1186/s12891-023-06637-x

 received in 2023-01-23, accepted in 2023-06-14,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDevelopment of valid and feasible quality indicators (QIs) is needed to track quality initiatives for osteoarthritis pain management in primary care settings.MethodsLiterature search identified published guidelines that were reviewed for QI extraction. A panel of 14 experts was assembled, including primary care physicians, rheumatologists, orthopedic surgeons, pain specialists, and outcomes research pharmacists. A screening survey excluded QIs that cannot be reliably extracted from the electronic health record or that are irrelevant for osteoarthritis in primary care settings. A validity screening survey used a 9-point Likert scale to rate the validity of each QI based on predefined criteria. During expert panel discussions, stakeholders revised QI wording, added new QIs, and voted to include or exclude each QI. A priority survey used a 9-point Likert scale to prioritize the included QIs.ResultsLiterature search identified 520 references published from January 2015 to March 2021 and 4 additional guidelines from professional/governmental websites. The study included 41 guidelines. Extraction of 741 recommendations yielded 115 candidate QIs. Feasibility screening excluded 28 QIs. Validity screening and expert panel discussion excluded 73 QIs and added 1 QI. The final set of 15 prioritized QIs focused on pain management safety, education, weight-management, psychological wellbeing, optimizing first-line medications, referral, and imaging.ConclusionThis multi-disciplinary expert panel established consensus on QIs for osteoarthritis pain management in primary care settings by combining scientific evidence with expert opinion. The resulting list of 15 prioritized, valid, and feasible QIs can be used to track quality initiatives for osteoarthritis pain management.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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