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Osteoarthritis of the knee clinical care standard indicators: 1a-Local arrangements to ensure that patients newly diagnosed with knee osteoarthritis have a comprehensive assessment

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 1a-Local arrangements to ensure that patients newly diagnosed with knee osteoarthritis have a comprehensive assessment
METeOR identifier:Help on this term644252
Registration status:Help on this termHealth, Standard 02/08/2017
Description:Help on this term

Documented evidence of local arrangements to ensure that patients who are newly diagnosed with knee osteoarthritis have a comprehensive assessment undertaken.

Rationale:Help on this term

Assessment of a comprehensive range of factors is essential to clinical decision-making (Pencharz & MacLean 2004).

Indicator set:Help on this termClinical care standard indicators: osteoarthritis of the knee Health, Standard 02/08/2017

Collection and usage attributes

Computation description:Help on this term

The local arrangements should specify that all newly diagnosed patients with knee osteoarthritis have a comprehensive assessment undertaken.

A ‘comprehensive assessment’ involves a clinician taking a detailed history of the patient that includes the presenting symptoms and other health conditions, a physical examination (including measurement of height and weight to calculate body mass index), and a psychosocial evaluation, to identify factors (especially level of pain) that may impact on the patient’s ability to do their usual daily activities and participate in work, leisure and social activities. A comprehensive assessment should use a clinically validated assessment tool. A range of clinically validated assessment tools is available (see list in the Comments section).

‘Newly diagnosed’ means that the patient was diagnosed or referred with knee osteoarthritis in the last three months.

Computation:Help on this term

Healthcare settings where care is provided to patients with knee osteoarthritis that have documented evidence of local arrangements, should record ‘Yes’.

Otherwise, the healthcare setting should record ‘No’.

Comments:Help on this term

A comprehensive assessment should use clinically validated assessment tools, such as:

This indicator has been adapted from the Osteoarthritis quality standard (NICE 2015).

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term


Accountability attributes

Other issues caveats:Help on this term

Applicable setting: all healthcare settings where care is provided to patients with knee osteoarthritis, including primary care, specialist care, hospitals and community settings.

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Busija L, Buchbinder R & Osborne RH 2016. Development and preliminary evaluation of the OsteoArthritis Questionnaire (OA-Quest): a psychometric study. Osteoarthritis and Cartilage 24(8):1357-66.

Gignac MA 2005. Arthritis and employment: an examination of behavioral coping efforts to manage workplace activity limitations. Arthritis & Rheumatism 53(3):328-36.

Gignac MA, Sutton D, & Badley EM 2007. Arthritis symptoms, the work environment, and the future: Measuring perceived job strain among employed persons with arthritis. Arthritis & Rheumatism 57(5):738-47.

Henry JD & Crawford JR 2005. The 21-item version of the Depression Anxiety Stress Scales (DASS–21): Normative data and psychometric evaluation in a large non-clinical sample. British Journal of Clinical Psychology 44:227–239.

Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-LT et al. 2016. Anxiety and depression checklist (K10). Melbourne: beyondblue. Viewed 9 April 2017,

NICE (National Institute for Health and Care Excellence) 2015. Osteoarthritis Quality standard 87. London: NICE.

NSW Agency for Clinical Innovation Pain Management Network 2017a. Verbal numerical rating scale (VNRS). Sydney: NSW ACI. Viewed 9 April 2017,

NSW Agency for Clinical Innovation Pain Management Network 2017b. Visual analogue scale (VAS). Sydney: NSW ACI. Viewed 9 April 2017,

OARSI (Osteoarthritis Research Society International) 2013. Physical performance measures. Viewed 9 April 2017,

Pencharz JN & MacLean CH 2004. Measuring quality in arthritis care: the Arthritis Foundation's Quality Indicator set for osteoarthritis. Arthritis & Rheumatism 51(4): 538-548.

Richardson J, Iezzi A, Khan MA & Maxwell A 2014. Validity and reliability of the Assessment of Quality of Life (AQoL-8D) multi attribute utility instrument. Patient 7(1):85-96.

Roos EM, Roos HP, Lohmander LS, Ekdahl C & Beynnon BD 1998. Knee Injury and Osteoarthritis Outcome Score (KOOS) - development of a self-administered outcome measure. Journal of Orthopaedic & Sports Physical Therapy 28:88–96.

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