The concept of physical limitations in knee osteoarthritis: as viewed by patients and health professionals

Klokker, Louise, Osborne, Richard, Wæhrens, Eva E., Norgaard, Ole, Bandak, Elisabeth, Bliddal, Henning and Henriksen, Marius 2015, The concept of physical limitations in knee osteoarthritis: as viewed by patients and health professionals, Quality of life research, vol. 24, no. 10, pp. 2423-2432, doi: 10.1007/s11136-015-0976-9.

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Title The concept of physical limitations in knee osteoarthritis: as viewed by patients and health professionals
Author(s) Klokker, Louise
Osborne, Richard
Wæhrens, Eva E.
Norgaard, Ole
Bandak, Elisabeth
Bliddal, Henning
Henriksen, Marius
Journal name Quality of life research
Volume number 24
Issue number 10
Start page 2423
End page 2432
Total pages 10
Publisher Springer
Place of publication New York, N.Y.
Publication date 2015-10
ISSN 0962-9343
Keyword(s) Concept mapping
Knee OA
Patient perspective
Physical limitations
Summary Objective: To comprehensively identify components of the physical limitation concept in knee osteoarthritis (OA) and to rate the clinical importance of these using perspectives of both patients and health professionals.Design: Concept mapping, a structured group process, was used to identify and organize data in focus groups (patients) and via a global web-based survey (professionals). Ideas were elicited through a nominal group technique and then organized using multidimensional scaling, cluster analysis, participant validation, rating of clinical importance, and thematic analyses to generate a conceptual model of physical limitations in knee OA. Results: Fifteen Danish patients and 200 international professionals contributed to generating the conceptual model. Five clusters emerged: ‘Limitations/physical deficits’; ‘Everyday hurdles’; ‘You’re not the person you used to be’; ‘Need to adjust way of living’; and ‘External limitations,’ each with sub-clusters. Patients generally found their limitations more important than the professionals did. Conclusion: Patients and professionals agreed largely on the physical limitation concept in knee OA. Some limitations of high importance to patients were lower rated by the professionals, highlighting the importance of including patients when conceptualizing patient outcomes. These data offer new knowledge to guide selection of clinically relevant outcomes and development of outcome measures in knee OA.
Language eng
DOI 10.1007/s11136-015-0976-9
Field of Research 110314 Orthopaedics
Socio Economic Objective 920502 Health Related to Ageing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Springer
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Document type: Journal Article
Collections: Faculty of Health
Population Health
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