Development of quality indicators for hand osteoarthritis care – Results from an European consensus study

Background: People with hand osteoarthritis (OA) often have poor access to recommended treatments. To enhance care quality, quality indicators (QIs) based on clinical recommendations are essential. Current QI sets, like the Osteoarthritis Quality Indicator Questionnaire (OA-QI v.2), primarily addres...

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Main Authors: Daniel H. Bordvik, Yeliz Prior, Rachael Bamford, Francis Berenbaum, Mathilda Björk, Thalita Blanck, Barbara Slatkowsky Christensen, Krysia Dziedzic, John Edwards, Nazemin Gilanliogullari, Carol Graham, Ida K. Haugen, Margreet Kloppenburg, Hellen Laheij, Marco J.P.F. Ritt, Tanja Stamm, Anne Therese Tveter, Nina Østerås, Ingvild Kjeken
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Osteoarthritis and Cartilage Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2665913125000147
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author Daniel H. Bordvik
Yeliz Prior
Rachael Bamford
Francis Berenbaum
Mathilda Björk
Thalita Blanck
Barbara Slatkowsky Christensen
Krysia Dziedzic
John Edwards
Nazemin Gilanliogullari
Carol Graham
Ida K. Haugen
Margreet Kloppenburg
Hellen Laheij
Marco J.P.F. Ritt
Tanja Stamm
Anne Therese Tveter
Nina Østerås
Ingvild Kjeken
author_facet Daniel H. Bordvik
Yeliz Prior
Rachael Bamford
Francis Berenbaum
Mathilda Björk
Thalita Blanck
Barbara Slatkowsky Christensen
Krysia Dziedzic
John Edwards
Nazemin Gilanliogullari
Carol Graham
Ida K. Haugen
Margreet Kloppenburg
Hellen Laheij
Marco J.P.F. Ritt
Tanja Stamm
Anne Therese Tveter
Nina Østerås
Ingvild Kjeken
author_sort Daniel H. Bordvik
collection DOAJ
description Background: People with hand osteoarthritis (OA) often have poor access to recommended treatments. To enhance care quality, quality indicators (QIs) based on clinical recommendations are essential. Current QI sets, like the Osteoarthritis Quality Indicator Questionnaire (OA-QI v.2), primarily address hip- and knee OA, and not hand OA. Objectives: To adapt the OA-QI v.2 for assessing patient-reported quality of hand OA care. Design: We used the OA-QI v.2. set as a starting point and adapted it to reflect hand OA care. A literature search was performed to identify potential QIs for hand OA following the Rand/UCLA Appropriateness method. A European expert panel, comprising researchers, clinicians, and patient research partners, participated in online meetings to discuss adaptation and suggest new QIs based on treatment recommendations for hand OA, and anonymously rated each suggested QI regarding its importance, validity, usefulness, and feasibility. Consensus was defined by predefined rating cut-off scores. The adapted questionnaire was translated from English into Norwegian. Cognitive debriefing interviews with Norwegian and UK hand OA patients were conducted to ensure clarity. Results: Our initial literature search provided 1670 articles, with none describing relevant QIs. After three voting rounds, sixteen QI items reached consensus, reflecting current hand OA care standards. Items were generally well understood, requiring only minor clarity amendments after patient interviews (N ​= ​28). Conclusion: The OA-QI v.2 was successfully adapted into a 16-item Hand OA-QI set ensuring alignment with international care standards for hand OA through literature review, international expert panels and patient feedback on language and layout.
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spelling doaj-art-2f16f240c3f24907beef96e62d0eea4f2025-02-10T04:34:54ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-03-0171100578Development of quality indicators for hand osteoarthritis care – Results from an European consensus studyDaniel H. Bordvik0Yeliz Prior1Rachael Bamford2Francis Berenbaum3Mathilda Björk4Thalita Blanck5Barbara Slatkowsky Christensen6Krysia Dziedzic7John Edwards8Nazemin Gilanliogullari9Carol Graham10Ida K. Haugen11Margreet Kloppenburg12Hellen Laheij13Marco J.P.F. Ritt14Tanja Stamm15Anne Therese Tveter16Nina Østerås17Ingvild Kjeken18Center for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway; Rehabilitation West A/S, Haugesund, Norway; Corresponding author. Center for treatment of rheumatic and musculoskeletal diseases (REMEDY) Diakonhjemmet Hospital, Hospital, Box 23 Vinderen, NO-0319 Oslo, Norway.Centre for Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UKNottingham CityCare Partnership CIC, Nottingham, UKDepartment of Rheumatology, Sorbonne University, INSERM, APHP Saint-Antoine Hospitalier, FrancePain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Unit of Occupational Therapy, Linköping University, Linköping, SwedenCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, NorwayCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, NorwayImpact Accelerator Unit, School of Medicine, Keele University, UKImpact Accelerator Unit, School of Medicine, Keele University, UKCentre for Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, UK; European University of Lefke, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Lefke, Northern Cyprus, TR-10 Mersin, TurkeyRheumatology Occupational Therapy Service, Haywood Hospital, Midlands Partnership University NHS Foundation Trust, Stoke-on-Trent, Staffordshire, UKCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, NorwayDepartment of Rheumatology and Clinical Epidemiology, Leiden University Medical Center, Leiden, the NetherlandsLeiden University Medical Center, Leiden, the NetherlandsDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, the NetherlandsInstitute for Outcomes Research, Center for Medical Data Science, Medical University of Vienna, Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Vienna, AustriaCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway; Institute of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, NorwayCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, NorwayCenter for Treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, NorwayBackground: People with hand osteoarthritis (OA) often have poor access to recommended treatments. To enhance care quality, quality indicators (QIs) based on clinical recommendations are essential. Current QI sets, like the Osteoarthritis Quality Indicator Questionnaire (OA-QI v.2), primarily address hip- and knee OA, and not hand OA. Objectives: To adapt the OA-QI v.2 for assessing patient-reported quality of hand OA care. Design: We used the OA-QI v.2. set as a starting point and adapted it to reflect hand OA care. A literature search was performed to identify potential QIs for hand OA following the Rand/UCLA Appropriateness method. A European expert panel, comprising researchers, clinicians, and patient research partners, participated in online meetings to discuss adaptation and suggest new QIs based on treatment recommendations for hand OA, and anonymously rated each suggested QI regarding its importance, validity, usefulness, and feasibility. Consensus was defined by predefined rating cut-off scores. The adapted questionnaire was translated from English into Norwegian. Cognitive debriefing interviews with Norwegian and UK hand OA patients were conducted to ensure clarity. Results: Our initial literature search provided 1670 articles, with none describing relevant QIs. After three voting rounds, sixteen QI items reached consensus, reflecting current hand OA care standards. Items were generally well understood, requiring only minor clarity amendments after patient interviews (N ​= ​28). Conclusion: The OA-QI v.2 was successfully adapted into a 16-item Hand OA-QI set ensuring alignment with international care standards for hand OA through literature review, international expert panels and patient feedback on language and layout.http://www.sciencedirect.com/science/article/pii/S2665913125000147Hand osteoarthritisQuality indicatorsPatient-reportedCareHealth services
spellingShingle Daniel H. Bordvik
Yeliz Prior
Rachael Bamford
Francis Berenbaum
Mathilda Björk
Thalita Blanck
Barbara Slatkowsky Christensen
Krysia Dziedzic
John Edwards
Nazemin Gilanliogullari
Carol Graham
Ida K. Haugen
Margreet Kloppenburg
Hellen Laheij
Marco J.P.F. Ritt
Tanja Stamm
Anne Therese Tveter
Nina Østerås
Ingvild Kjeken
Development of quality indicators for hand osteoarthritis care – Results from an European consensus study
Osteoarthritis and Cartilage Open
Hand osteoarthritis
Quality indicators
Patient-reported
Care
Health services
title Development of quality indicators for hand osteoarthritis care – Results from an European consensus study
title_full Development of quality indicators for hand osteoarthritis care – Results from an European consensus study
title_fullStr Development of quality indicators for hand osteoarthritis care – Results from an European consensus study
title_full_unstemmed Development of quality indicators for hand osteoarthritis care – Results from an European consensus study
title_short Development of quality indicators for hand osteoarthritis care – Results from an European consensus study
title_sort development of quality indicators for hand osteoarthritis care results from an european consensus study
topic Hand osteoarthritis
Quality indicators
Patient-reported
Care
Health services
url http://www.sciencedirect.com/science/article/pii/S2665913125000147
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