Management of mild-to-moderate osteoarthritis: a study of the primary care perspective

Postgrad Med. 2011 Jan;123(1):126-34. doi: 10.3810/pgm.2011.01.2254.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Female
  • Guideline Adherence
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Middle Aged
  • Osteoarthritis / physiopathology
  • Osteoarthritis / therapy*
  • Physical Therapy Modalities
  • Practice Guidelines as Topic
  • Primary Health Care / organization & administration*
  • Referral and Consultation

Substances

  • Anti-Inflammatory Agents, Non-Steroidal