Most people waiting for osteoarthritis care never get it – it’s time to try a different approach
J. Haxby Abbott
1 * , Rawiri Keenan 2 , Gypsy Billing-Bullen 3 , Alison Pask 4 , Daniel O’Brien 5 , Ben Hudson 6 , Ben Darlow 2
+ Author Affiliations
- Author Affiliations
1 Centre for Musculoskeletal Outcomes Research, Department of Surgical Sciences, University of Otago Medical School, New Zealand.
2 Department of Primary Health Care and General Practice, University of Otago Wellington, New Zealand.
3 Waitemata District Health Board, Auckland, New Zealand.
4 Independent Dietitian, Wellington, New Zealand.
5 Auckland University of Technology, Auckland, New Zealand.
6 Department of General Practice, University of Otago Christchurch, New Zealand.
* Correspondence to: haxby.abbott@otago.ac.nz
Journal of Primary Health Care 14(2) 93-95 https://doi.org/10.1071/HC22063
Published: 27 June 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of The Royal New Zealand College of General Practitioners. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
References
[1] New Zealand Government. More to get surgery with additional funding. 14 May 1998. Available at https://www.beehive.govt.nz/release/more-get-surgery-additional-funding [Accessed 30 May 2020][2] New Zealand Government. Funding for 10,000 extra elective procedures. 3 October 2006. Available at https://www.beehive.govt.nz/release/funding-10000-extra-elective-procedures [Accessed 30 May 2020]
[3] New Zealand Government. $68m for more elective surgery operations. 20 May 2011. Available at https://www.beehive.govt.nz/release/68m-more-elective-surgery-operations [Accessed 30 May 2020]
[4] New Zealand Government. $96m to further increase elective surgery rates. 27 May 2016. Available at https://www.beehive.govt.nz/release/96m-further-increase-elective-surgery-rates [Accessed 30 May 2020]
[5] Harcombe H, Davie G, Derrett S, et al. Equity of publicly-funded hip and knee joint replacement surgery in New Zealand: results from a national observational study. N Z Med J 2016; 129 8–18.
| 27657154PubMed |
[6] New Zealand Government – Hon. Andrew Little. Speech at announcement of nationwide plan to tackle hospital waiting lists. 4 May 2022. Available at https://www.beehive.govt.nz/speech/speech-announcement-nationwide-plan-tackle-hospital-waiting-lists-auckland-4-may-2022 [Accessed 30 May 2020]
[7] Blakely T, Kvizhinadze G, Atkinson J, et al. Health system costs for individual and comorbid noncommunicable diseases: an analysis of publicly funded health events from New Zealand. PLoS Med 2019; 16 e1002716
| Health system costs for individual and comorbid noncommunicable diseases: an analysis of publicly funded health events from New Zealand.Crossref | GoogleScholarGoogle Scholar | 30620729PubMed |
[8] Wilson R, Abbott JH. The projected burden of knee osteoarthritis in New Zealand: healthcare expenditure and total joint replacement provision. N Z Med J 2019; 132 53–65.
| 31581182PubMed |
[9] Wilson RA, Gwynne-Jones DP, Sullivan TA, et al. Total hip and knee arthroplasties are highly cost-effective procedures: the importance of duration of follow-up. J Arthroplasty 2021; 36 1864–1872.e10.
| Total hip and knee arthroplasties are highly cost-effective procedures: the importance of duration of follow-up.Crossref | GoogleScholarGoogle Scholar | 33589278PubMed |
[10] Radio New Zealand. Hospital waiting lists: painful wait for surgery pre-dates Covid-19, sufferers say. 6 May 2022. Available at https://www.rnz.co.nz/news/national/466533/hospital-waiting-lists-painful-wait-for-surgery-pre-dates-covid-19-sufferers-say [Accessed 30 May 2020]
[11] Abbott JH, Ward AL, Crane C, et al. Implementation of a ‘Joint Clinic’ to resolve unmet need for orthopaedic services in patients with hip and knee osteoarthritis: a program evaluation. BMC Musculoskelet Disord 2019; 20 324
| Implementation of a ‘Joint Clinic’ to resolve unmet need for orthopaedic services in patients with hip and knee osteoarthritis: a program evaluation.Crossref | GoogleScholarGoogle Scholar | 31299929PubMed |
[12] Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non-surgical management of knee, hip and polyarticular osteoarthritis. Osteoarthritis Cartilage 2019; 27 1578–1589.
| OARSI guidelines for the non-surgical management of knee, hip and polyarticular osteoarthritis.Crossref | GoogleScholarGoogle Scholar | 31278997PubMed |
[13] Svege I, Nordsletten L, Fernandes L, et al. Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomised trial. Ann Rheum Dis 2015; 74 164–169.
| Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomised trial.Crossref | GoogleScholarGoogle Scholar | 24255546PubMed |
[14] Pisters MF, Veenhof C, Schellevis FG, et al. Long-term effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a randomized controlled trial comparing two different physical therapy interventions. Osteoarthritis Cartilage 2010; 18 1019–1026.
| Long-term effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: a randomized controlled trial comparing two different physical therapy interventions.Crossref | GoogleScholarGoogle Scholar | 20488250PubMed |
[15] Ackerman IN, Skou ST, Roos EM, et al. Implementing a national first-line management program for moderate-severe knee osteoarthritis in Australia: a budget impact analysis focusing on knee replacement avoidance. Osteoarthr Cartil Open 2020; 2 100070
| Implementing a national first-line management program for moderate-severe knee osteoarthritis in Australia: a budget impact analysis focusing on knee replacement avoidance.Crossref | GoogleScholarGoogle Scholar |
[16] Teoh LS, Eyles JP, Makovey J, et al. Observational study of the impact of an individualized multidisciplinary chronic care program for hip and knee osteoarthritis treatment on willingness for surgery. Int J Rheum Dis 2016; 20 1383–1392.
| Observational study of the impact of an individualized multidisciplinary chronic care program for hip and knee osteoarthritis treatment on willingness for surgery.Crossref | GoogleScholarGoogle Scholar | 27943562PubMed |
[17] Mazzei DR, Ademola A, Abbott JH, et al. Are education, exercise and diet interventions a cost-effective treatment to manage hip and knee osteoarthritis? A systematic review. Osteoarthritis Cartilage 2020; 29 456–470.
| Are education, exercise and diet interventions a cost-effective treatment to manage hip and knee osteoarthritis? A systematic review.Crossref | GoogleScholarGoogle Scholar | 33197558PubMed |
[18] MacDonald Werstuck M, Buccino J. Dietetic staffing and workforce capacity planning in Primary Health Care. Can J Diet Pract Res 2018; 79 181–185.
| Dietetic staffing and workforce capacity planning in Primary Health Care.Crossref | GoogleScholarGoogle Scholar | 30014721PubMed |
[19] New Zealand Government - Ministry of Health. The Mobility Action Programme. 29 November 2021. Available at https://www.health.govt.nz/our-work/preventative-health-wellness/mobility-action-programme [Accessed 30 May 2020]
[20] New Zealand Government - Ministry of Health. Evaluation of the Mobility Action Programme (MAP). 29 November 2021. Available at https://www.health.govt.nz/publication/evaluation-mobility-action-programme-map [Accessed 30 November 2021]
[21] The New Zealand Doctor. Interim agencies appoint group to reduce blown-out waiting lists. 4 May 2022. Available at https://www.nzdoctor.co.nz/article/news/interim-agencies-appoint-group-reduce-blown-out-waiting-lists [Accessed 30 May 2020]
[22] Baldwin J, Briggs A, Bagg W, et al. An osteoarthritis model of care should be a national priority for New Zealand. N Z Med J 2017; 130 78–86.
| 29240744PubMed |
[23] Abbott JH, Wilson R, Pinto D, et al. Incremental clinical effectiveness and cost effectiveness of providing supervised physiotherapy in addition to usual medical care in patients with osteoarthritis of the hip or knee: 2-year results of the MOA randomised controlled trial. Osteoarthritis Cartilage 2019; 27 424–434.
| Incremental clinical effectiveness and cost effectiveness of providing supervised physiotherapy in addition to usual medical care in patients with osteoarthritis of the hip or knee: 2-year results of the MOA randomised controlled trial.Crossref | GoogleScholarGoogle Scholar | 30553932PubMed |
[24] Wilson R, Chua J, Briggs AM, et al. The cost-effectiveness of recommended adjunctive interventions for knee osteoarthritis: results from a computer simulation model. Osteoarthr Cartil Open 2020; 2 100123
| The cost-effectiveness of recommended adjunctive interventions for knee osteoarthritis: results from a computer simulation model.Crossref | GoogleScholarGoogle Scholar |
