Management of Mild-to-Moderate Osteoarthritis: A Study of the Primary Care Perspective
Management of Mild-to-Moderate Osteoarthritis: A Study of the Primary Care Perspective
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DOI：
10.3810/pgm.2011.01.2254
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发表时间：
2011-01-01
影响因子：
4.2
通讯作者：
Abdolrasulnia, Mazi
中科院分区：
文献类型：
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作者：
Glauser, Terry A.;Salinas, Gregory D.;Abdolrasulnia, Mazi
目的：检查初级保健临床医生关于轻中度骨关节炎（OA）管理的知识、态度和实践模式。设计：以个案为基础的调查。方法：一项调查被分发给251名医生，医生助理（PA），和执业护士（NP）在初级保健环境。该调查评估了轻中度OA患者管理的实践模式，以及对指南和未来教育主题的态度，可能对临床医生有益。结果：我们发现，初级保健临床医生最有可能治疗轻中度OA与口服非甾体抗炎药方案。初始或复发性OA患者“很可能”被推荐接受物理治疗维持计划。三分之二的受访者声称不熟悉国际骨关节炎研究协会的OA管理指南。结论：本研究反映了对初级保健医生、NP和PA进行OA管理的进一步教育的必要性。
Objectives: Examine the knowledge, attitudes, and practice patterns of primary care clinicians regarding the management of mild-to-moderate osteoarthritis (OA). Design: Case vignette-based survey. Methods: A survey was distributed to 251 physicians, physician assistants (PAs), and nurse practitioners (NPs) in the primary care setting. The survey assessed practice patterns in the management of patients with mild-to-moderate OA, as well as attitudes toward guidelines and future educational topics that may be of benefit to the clinician. Results: We found that primary care clinicians are most likely to treat mild-to-moderate OA with an oral nonsteroidal anti-inflammatory drug regimen. Patients with initial or recurrent OA were "very likely" to be recommended to a physical therapy maintenance program. Two-thirds of respondents claimed to be unfamiliar with Osteoarthritis Research Society International guidelines for OA management. Conclusion: This study reflects the need for further education for primary care physicians, NPs, and PAs on the management of OA.