University of Wisconsin–Madison Medical College of Wisconsin

Multimodal Care for Knee and Hip Osteoarthritis: A Pilot Feasibility Study of a Novel Approach to a Common Problem

Kathryn A. Miller, MD; Linda M. Baier Manwell, MS; David Rabago, MD

WMJ. Published online January 31, 2020.

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ABSTRACT

Background: Osteoarthritis is common and debilitating. Evidence-based care exists; there is a gap between recommended and received care. Multimodal treatment is recommended, with unknown effectiveness. We report pilot feasibility data for a new university-based clinic providing multimodal care for knee and hip osteoarthritis (KHOA).

Methods: Quality-improvement case series with the first 50 patients. A multidisciplinary team provided care. Feasibility outcomes included treatment duration, patient adherence, provision of guideline-recommended care, and satisfaction. Secondary outcomes included self-reported and objectively assessed patient measures.

Results: Fifty patients (59±10.5 years, 32 female) received guideline-recommended care; 40 adhered to 3.83±2.21 follow-up visits over 12.24±7.79 months; satisfaction was high. Objectively assessed outcomes improved, but self-reported outcomes did not.

Discussion: Early data suggest multimodal care for knee and hip osteoarthritis is feasible and may be associated with improved outcomes.


Author Affiliations: Division of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health (UWSMPH), Madison, Wis (Miller, Baier Manwell); Department of Family Medicine and Community Health, UWSMPH, Madison, Wis (Rabago).
Corresponding Author: Kathryn A. Miller, MD, Division of General Internal Medicine, Department of Medicine, University of Wisconsin School of Madison and Public Health, 2828 Marshall Court, Suite 100, Madison, WI 53705; phone 608.263.1631; email Kathryn.Miller2@uwmf.wisc.edu.
Acknowledgements: The authors gratefully acknowledge the following colleagues for their roles in the development and support of the UW KHOA Clinic: Elizabeth Trowbridge, MD; Lisa Bindl, MBA; Kip Schick PT, DPT, MBA; Nathan Wait; Jessica Johnson, PT, OCS; Lisa Nackers, PhD, MPH; Carol Clauson; Julianne Pofahl; Amanda Simpson, PT; Sean O’Hara, RD; Wendy Hahn, MS, RDN; Andrew Sandgren, PT, DPT; Brianna Gohlke, RD; and Angela Morgan, PA-C.
Funding/Support: None declared.
Financial disclosures: None declared.
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