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- W4387619060 abstract "ObjectiveTo assess the quality of care, effectiveness, and cost-effectiveness over 12 months after implementing a structured model of care for hip and knee osteoarthritis in primary healthcare as compared to usual care.DesignIn this pragmatic cluster-randomized, controlled trial with a stepped-wedge cohort design we recruited 40 general practitioners, 37 physiotherapists, and 393 patients with symptomatic hip or knee OA from six municipalities (clusters) in Norway. The model included delivery of a 3-hour patient education and 8-12 weeks individually tailored exercise programs, and interactive workshops for general practitioners and physiotherapists. At 12 months, the patient-reported quality of care was assessed by the OsteoArthritis Quality Indicator questionnaire (16 items, pass rate 0-100%, 100%=best). Costs were obtained from patient-reported and national register data. Cost-effectiveness at the healthcare perspective was evaluated using incremental net monetary benefit (INMB).ResultsOf 393 patients, 109 were recruited during the control periods (control group) and 284 were recruited during interventions periods (intervention group). At 12 months the intervention group reported statistically significant higher quality of care compared to the control group (59% vs. 40%; mean difference: 17.6 (95% CI 11.1, 24.0)). Cost-effectiveness analyses showed that the model of care resulted in QALYs gained and cost-savings compared to usual care with mean INMB €2020 (95% CI 611, 3492) over 12 months.ConclusionsThis study showed that implementing the model of care for osteoarthritis in primary healthcare, improved quality of care and showed cost-effectiveness over 12 months compared to usual care.Trial registration numberClinicalTrials.gov NCT02333656" @default.
- W4387619060 created "2023-10-14" @default.
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- W4387619060 date "2023-10-01" @default.
- W4387619060 modified "2023-10-15" @default.
- W4387619060 title "Longer-term quality of care, effectiveness, and cost-effectiveness of implementing a model of care for osteoarthritis: a cluster-randomized controlled trial" @default.
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- W4387619060 doi "https://doi.org/10.1016/j.joca.2023.10.003" @default.
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