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Osteoarthritis of the knee clinical care standard indicators: 4a-Proportion of patients newly diagnosed with knee osteoarthritis with a documented recommendation regarding regular exercise

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4a-Proportion of patients newly diagnosed with knee osteoarthritis with a documented recommendation regarding regular exercise
METeOR identifier:Help on this term644289
Registration status:Help on this termHealth, Standard 02/08/2017
Description:Help on this term

Proportion of patients who are newly diagnosed with knee osteoarthritis with a documented recommendation to obtain advice from a relevant health professional for appropriate exercise, or to participate in regular exercise independently or as part of an exercise program.

Rationale:Help on this term

Exercise reduces pain and improves physical function in patients with osteoarthritis (Fransen & McConnell 2008; Jamtvedt et al. 2008).

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

Collection and usage attributes

Population group age from:Help on this term

45 years

Computation description:Help on this term

Both the numerator and denominator include patients newly diagnosed with knee osteoarthritis. ‘Newly diagnosed’ means the patient was diagnosed or referred with knee osteoarthritis in the last three months.

For the numerator, ‘recommendation regarding regular exercise’ includes recommendation to obtain advice from a relevant health professional for appropriate exercise, or to participate in regular exercise independently or as part of an exercise program. ‘Documented’ means that the advice provided to the patient or the referral to a relevant health professional to obtain advice regarding regular exercise is entered in to the patient’s clinical notes maintained by the practice (paper or electronic).

Both the numerator and the denominator exclude patients for whom exercise is contraindicated.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients newly diagnosed with knee osteoarthritis with a documented recommendation regarding regular excercise.

Denominator:Help on this term

Number of patients newly diagnosed with knee osteoarthritis.

Comments:Help on this term

This indicator has been adapted from the Health care quality indicators for osteoarthritis (European Musculoskeletal Conditions Surveillance and Information Network 2008).

Representational attributes

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

N[NN]

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

European Musculoskeletal Conditions Surveillance and Information Network 2008. Health care quality indicators for osteoarthritis. Truro: European Musculoskeletal Conditions Surveillance and Information Network. Viewed 29 March 2016, http://www.eumusc.net/myUploadData/files/EUMUSC
%20Health%20care%20quality%20indicators%20for%20
OA%20KE.pdf
.

Fransen M & McConnell S 2008. Exercise for osteoarthritis of the knee. Cochrane Database of Systematic Reviews(4): CD004376.

Jamtvedt G, Dahm KT, Christie A, Moe RH, Haavardsholm E, Holm I et al. 2008. Physical therapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Physical Therapy 88(1): 123-136.

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