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Publication type: Working paper – expertise – study
Title: How can the international clinical guidelines for knee osteoarthritis management be systematically implemented in Switzerland?
Authors: Ettlin, Lea
Niedermann Schneider, Karin
et. al: No
DOI: 10.21256/zhaw-22480
Extent: 27
Issue Date: 2020
Series: Policy Brief
Series volume: 6
Publisher / Ed. Institution: Swiss Learning Health System
Language: English
Subjects: Policy Brief; Knee Osteoarthritis management
Subject (DDC): 615.82: Physical therapy
616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: The challenges: International clinical guidelines for the conservative management of knee osteoarthritis (OA) recommend exercise, education, and weight control (if appropriate) as first-line treatment for all people with knee OA. However, findings from various health care settings have identified an underuse of exercise and education. A recent survey among medical specialists in Switzerland identified an evidence-performance gap, implying that the strong evidence in favour of exercise is not being transferred into clinical practice. On average, only 54% of patients with knee OA were reported to have been referred for specific exercise. The systematic application of structured exercise and education to translate the guideline recommendations into practice would help to overcome this evidence-performance gap in Switzerland. This policy brief summarises the main results from the above-mentioned survey, describes the challenges facing the improvement of conservative disease management (i.e. the systematic application of structured exercise and education) and presents options to address the challenges resulting in three key recommendations.
License (according to publishing contract): Licence according to publishing contract
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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