Rheumatology International

, Volume 33, Issue 7, pp 1821–1828 | Cite as

An innovative care model coordinated by a physical therapist and nurse practitioner for osteoarthritis of the hip and knee in specialist care: a prospective study

  • Veronique M. A. Voorn
  • Henricus M. Vermeulen
  • Rob G. H. H. Nelissen
  • Margreet Kloppenburg
  • Tom W. J. Huizinga
  • Nicolette A. C. Leijerzapf
  • Herman M. Kroon
  • Thea P. M. Vliet Vlieland
  • Henrica M. J. van der Linden
Original Article

Abstract

The subject of the study is to investigate whether health-related quality of life (HRQoL), pain and function of patients with hip or knee osteoarthritis (OA) improves after a specialist care intervention coordinated by a physical therapist and a nurse practitioner (NP) and to assess satisfaction with this care at 12 weeks. This observational study included all consecutive patients with hip or knee OA referred to an outpatient orthopaedics clinic. The intervention consisted of a single, standardized visit (assessment and individually tailored management advice, to be executed in primary care) and a telephone follow-up, coordinated by a physical therapist and a NP, in cooperation with an orthopaedic surgeon. Assessments at baseline and 10 weeks thereafter included the short form-36 (SF-36), EuroQol 5D (EQ-5D), hip or knee disability and osteoarthritis outcome score (HOOS or KOOS), the intermittent and constant osteoarthritis pain questionnaire (ICOAP) for hip or knee and a multidimensional satisfaction questionnaire (23 items; 4 point scale). Eighty-seven patients (57 female), mean age 68 years (SD 10.9) were included, with follow-up data available in 63 patients (72 %). Statistically significant improvements were seen regarding the SF-36 physical summary component score, the EQ-5D, the ICOAP scores for hip and knee, the HOOS subscale sports and the KOOS subscales pain, symptoms and activities of daily living. The proportions of patients reporting to be satisfied ranged from 79 to 98 % per item. In patients with hip and knee OA pain, function and HRQoL improved significantly after a single-visit multidisciplinary OA management intervention in specialist care, with high patient satisfaction.

Keywords

Osteoarthritis Quality of life Satisfaction Patient centred care Physical therapy modalities 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Veronique M. A. Voorn
    • 1
  • Henricus M. Vermeulen
    • 2
  • Rob G. H. H. Nelissen
    • 3
  • Margreet Kloppenburg
    • 4
  • Tom W. J. Huizinga
    • 4
  • Nicolette A. C. Leijerzapf
    • 3
  • Herman M. Kroon
    • 5
  • Thea P. M. Vliet Vlieland
    • 3
  • Henrica M. J. van der Linden
    • 3
  1. 1.Department of Medical Decision MakingLeiden University Medical CentreLeidenThe Netherlands
  2. 2.Department of Physical TherapyLeiden University Medical CentreLeidenThe Netherlands
  3. 3.Department of OrthopaedicsLeiden University Medical CentreLeidenThe Netherlands
  4. 4.Department of RheumatologyLeiden University Medical CentreLeidenThe Netherlands
  5. 5.Department of RadiologyLeiden University Medical CentreLeidenThe Netherlands

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