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Osteoarthritis of the knee clinical care standard indicators: 5b-Proportion of patients with knee osteoarthritis prescribed oral non-steroidal anti-inflammatory drugs (NSAIDs) with documented assessment of risks

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 5b-Proportion of patients with knee osteoarthritis prescribed oral non-steroidal anti-inflammatory drugs (NSAIDs) with documented assessment of risks
METeOR identifier:Help on this term644304
Registration status:Help on this termHealth, Standard 02/08/2017
Description:Help on this term

Proportion of patients with knee osteoarthritis prescribed oral NSAIDs with the risks of gastrointestinal bleeding, cardiovascular disease and renal complications documented in their medical record (paper or electronic).

Rationale:Help on this term

Oral NSAIDs are not appropriate for patients with high comorbidity risk (McAlindon et al. 2014), and are associated with increased risk of serious gastrointestinal, cardiovascular and renal harms (Chou et al. 2011). The risks are higher for oral NSAIDs than for topical NSAIDs (Derry et al. 2016).

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

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with knee osteoarthritis prescribed oral NSAIDs with documented assessment of gastrointestinal bleeding risk, cardiovascular disease risks and renal risks.

Denominator:Help on this term

Number of patients with knee osteoarthritis prescribed oral NSAIDs.

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: primary and specialist care (including hospital-based specialist care).

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

Chou R, McDonagh MS, Nakamoto E & Griffin J 2011. Analgesics for Osteoarthritis: An Update of the 2006 Comparative Effectiveness Review. Review No. 38. Rockville: Agency for Healthcare Research and Quality.

Derry S, Conaghan P, Da Silva JA, Wiffen PJ & Moore RA 2016. Topical NSAIDs for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev 4: Cd007400.

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
.

McAlindon TE, Bannuru RR, Sullivan MC, Arden NK, Berenbaum F, Bierma-Zeinstra SM et al. 2014. OARSI guidelines for the non-surgical management of knee osteoarthritis. Osteoarthritis and Cartilage 22(3): 363-388.

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