DOS 2018

DOS Kongressen 2018 · 263 Treatments received for knee osteoarthritis prior to assessment for knee replacement surgery Lina Holm Ingelsrud, Ewa Roos, Kirill Gromov, Anders Troelsen Department of Orthopaedic Surgery, Copenhagen University Hospital Hvidovre; Department of Sports Science and Clinical Biomechanics, University of Southern Denmark Background: Clinical care pathways for knee osteoarthritis (OA) are not always in line with clinical guidelines. Purpose / Aim of Study: To investigate 1) to which degree patients receive OA information and 2) which treatments patients with knee OA have attempted prior to referral to an orthopaedic surgeon for an assessment of knee replace- ment. Materials and Methods: Cross-sectional cohort study including all patients with scheduled first-time appointments for knee OA at Hvidovre outpatient orthopaedic clinic from April 2017 to February 2018. Postal questionnaires in- cluded the OsteoArthritis Quality Indicator questionnaire and questions about previous physiotherapist-delivered treatment for knee OA. Findings / Results: Out of 660 eligible patients, 517 responded (78%). Responders’ mean age was 66 years and 62.5% were female. 128 (25%) pa- tients had received information about OA development, 148 (29%) about pos- sible treatment modalities, 72 (14%) about self-management and 100 (19%) about lifestyle adaptation. 247 (48%) patients felt informed about physical ac- tivity benefits, while 185 (35%) had consulted a physiotherapist due to knee problems during the past year. The physiotherapist-delivered treatments were any type of exercise therapy for 115 (26%) and participation in the Good Life with osteoArthritis in Denmark treatment concept for 62 (12%) of respond- ing patients. Stretching was received by 45 (9%) and massage, acupuncture and ultrasound/laser was received by 48 (9%), 37 (7%) and 24 (5%) patients, respectively. Patients may have received several treatments in combination. Paracetamol was recommended as first-line pain medication to 349 (68%) pa- tients. Conclusions: Patients with knee OA are undertreated in primary care. Our re- sults call for better structure and uniform pathways for primary knee OA treat- ment before referral to an orthopaedic surgeon. 204.