Osteoarthritis

Effectiveness of a New Service Delivery Model for Management of Knee Osteoarthritis in Primary Care: A Cluster Randomized Controlled Trial

Arthritis Care Res (Hoboken)Published Randomised controlled trial

Primary result · Knee pain (NRS 0-10), improvementResult — go to the resultDifference 0.8 of 10 points 95% CI 0.2–1.4

Authors' conclusion

The PARTNER model improved knee pain and function more than usual GP care.

Study context

Population
Patients aged ≥45 years with knee pain for >3 months, general practices in Victoria and New South Wales, Australia
Participants
217 patients38 practices
Comparison
PARTNER model vs usual GP care
Primary endpoint
Co-primary: change in knee pain (NRS 0-10, higher worse) and physical function (KOOS activities of daily living subscale 0-100, higher better)
Follow-up
12 months
Methodological details2-arm, cluster, superiority, randomisation at general practice level
  • 2-arm
  • Cluster
  • Superiority
  • Randomisation at general practice level

Primary result

Knee pain (NRS 0-10), improvement

Difference

0.8 of 10 points

95% CI 0.2–1.4

PARTNERvs Usual care
difference 0.8 of 10 points (95% CI 0.2–1.4)

As reported in the abstract

Further findings

OutcomeDifference (of 100 points) (95% CI)
Co-primary: physical function (KOOS ADL, 0-100), improvement · 12 monthsImprovement greater with intervention6.5 (2.3–10.7)
OutcomePARTNERUsual care
Total costs of medical visits and prescriptions · 12 months$3,940 Australian dollars$4,161 Australian dollars

Total costs of medical visits and prescriptions · 12 months

This difference was not statistically significant

Original publication

Effectiveness of a New Service Delivery Model for Management of Knee Osteoarthritis in Primary Care: A Cluster Randomized Controlled Trial. Arthritis Care Res (Hoboken). Published 29 December 2022. doi:10.1002/acr.25037

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