Journal article

What are the patient factors that impact on decisions to progress to total knee replacement? A qualitative study involving patients with knee osteoarthritis

Penny O'Brien, Samantha Bunzli, Darshini Ayton, Michelle M Dowsey, Jane Gunn, Jo-Anne Manski-Nankervis

BMJ Open | BMJ PUBLISHING GROUP | Published : 2019

Abstract

OBJECTIVES: General practitioners (GPs) are often the first health professionals to assess patients with osteoarthritis (OA). Despite clinical guideline recommendations for non-surgical intervention as first-line therapies, the most frequent referral from a GP for a person with knee OA is to an orthopaedic surgeon. The aim of our study was to explore patient factors that impact on the decision to progress to total knee replacement (TKR), including the experience of patients in general practice, their perceptions of their condition, and their access and use of community-based allied health interventions. DESIGN: Qualitative investigation using semi-structured interviews. The Candidacy framewo..

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Grants

Awarded by NHMRC Centre for Research Excellence in Total Joint Replacement


Awarded by NHMRC Career Development Fellowship


Funding Acknowledgements

Research reported in this publication was funded and supported through the NHMRC Centre for Research Excellence in Total Joint Replacement (APP1116235), awarded to the University of Melbourne, Department of Surgery and St. Vincent's Hospital. A/Professor Michelle Dowsey is supported by an NHMRC Career Development Fellowship (APP1122526).