Medicine Service, VA Medical Center, 510, 20th street South, FOT 805B, Birmingham, AL 35233, USA; Department of Medicine at School of Medicine, University of Alabama at Birmingham, 1720 Second Ave. South, Birmingham, AL 35294-0022, USA; Division of Epidemiology at School of Public Health, University of Alabama at Birmingham, 1720 Second Ave. South, Birmingham, AL 35294-0022, USA.
Joint Bone Spine. 2023 May;90(3):105535. doi: 10.1016/j.jbspin.2023.105535. Epub 2023 Jan 25.
To examine patient perceived solutions to barriers to effective non-surgical knee osteoarthritis (OA) treatments in a diverse racial/ethnic group.
Nominal groups were conducted with consecutive patients with knee OA at a medical center clinic, oversampling for African Americans with knee OA. Participants discussed potential solutions and rank-ordered their concerns.
Thirteen nominal groups with 46 knee OA patients were conducted with mean age, 60.8 years (standard deviation [sd], 10.0) and knee OA duration, 8.1 years (sd, 5.4); 22% were men, and 56% were African American. The following solutions were in the top three ranked solutions in 13 NGTs: (A) more research, effective and/or safer new medications/treatments, and joint cartilage restoration (8 groups; 15% votes [43/276]); (B) early diagnosis (2 groups; 7% votes [20/276]); (C) better and more effective communication (5 groups; 10% votes [29/276]); (D) public and patient education (4 groups; 8% votes [22/276]); (E) motivation and behavioral modification (4 groups; 9% votes [26/276]); (F) team approach (1 group; 1% votes [2/276]); (G) personalized medicine (6 groups; 8% votes [24/276]); (H) cheaper and more affordable medications and treatments (3 groups; 5% votes [15/276]).
A diverse group of participants with knee OA identified several solutions to barriers to the effectiveness of current knee OA treatments. This new knowledge can inform the development and implementation of future interventions to improve the outcomes of people with knee OA.
在一个多样化的种族/族裔群体中，研究患者对有效非手术性膝骨关节炎（OA）治疗障碍的感知解决方案。
在医疗中心诊所对膝 OA 患者进行名义小组讨论，对膝 OA 患者进行了过采样，以纳入更多的非裔美国人。参与者讨论了潜在的解决方案，并对其关注问题进行了排序。
共进行了 13 个名义小组讨论，纳入了 46 例膝 OA 患者，平均年龄为 60.8 岁（标准差[SD]，10.0），膝 OA 病程为 8.1 年（SD，5.4）；22%为男性，56%为非裔美国人。在 13 个 NGT 中，以下解决方案在排名前三的解决方案中：（A）更多的研究、更有效和/或更安全的新药物/治疗方法以及关节软骨修复（8 个小组；15%的选票[43/276]）；（B）早期诊断（2 个小组；7%的选票[20/276]）；（C）更好和更有效的沟通（5 个小组；10%的选票[29/276]）；（D）公众和患者教育（4 个小组；8%的选票[22/276]）；（E）动机和行为改变（4 个小组；9%的选票[26/276]）；（F）团队方法（1 个小组；1%的选票[2/276]）；（G）个性化医疗（6 个小组；8%的选票[24/276]）；（H）更便宜和更负担得起的药物和治疗方法（3 个小组；5%的选票[15/276]）。
一个多样化的膝骨关节炎患者群体确定了一些解决当前膝骨关节炎治疗效果障碍的方案。这些新知识可以为未来干预措施的制定和实施提供信息，以改善膝骨关节炎患者的结局。
