Evidence map›Paper›PMID 39949191›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2025

Routine-data-compatible quality indicators for the ambulatory care of osteoarthritis of the knee and hip: A systematic review.

Tobias Bock, Ronja Flemming, Philip Bammert, Rüdiger von Eisenhart-Rothe, Michael T Hirschmann, Leonie Sundmacher

Abstract readSystematic Review
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Routine-data-compatible quality indicators for the ambulatory care of osteoarthritis of the knee and hip: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tobias BockDepartment of Health Economics, Technical University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0002-5637-500X
Ronja FlemmingDepartment of Health Economics, Technical University of Munich, Munich, Germany.
Philip BammertDepartment of Health Economics, Technical University of Munich, Munich, Germany.
Rüdiger von Eisenhart-RotheDepartment of Orthopaedics and Sport Orthopaedics, University Hospital rechts der Isar, Technical University Munich, Munich, Germany.
Michael T HirschmannDepartment of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), University of Basel, Basel, Switzerland.
Leonie SundmacherDepartment of Health Economics, Technical University of Munich, Munich, Germany.

Funding

The German Federal Ministry of Education and Research (BMBF)
6 · The paper itself

Abstract

purposeGermany has high rates of total joint arthroplasty for osteoarthritis of the knee and hip. Ambulatory health interventions can affect the progression of these conditions and the need for total joint arthroplasty. Quality indicators and guideline recommendations facilitate the transparent measurement and demonstration of care quality. Therefore, a systematic literature review of quality indicators and guideline recommendations for ambulatory care of osteoarthritis of the knee and hip before total joint arthroplasty was conducted, focusing on those that could be quantified using routine data from German statutory health insurers.

methodsFive electronic databases for quality indicators and guidelines published between 2000 and 2021 related to the ambulatory management of osteoarthritis of the knee and hip before total joint arthroplasty were searched. Two reviewers independently selected and appraised the quality of the studies. To synthesise a routine-data-compatible set of quality indicators, similarities and differences among existing quality indicator sets and guideline recommendations were identified and resolved.

resultsThis systematic search yielded 10,841 potentially relevant records, leading to the identification of 20 sets of quality indicators and 35 guidelines with measures quantifiable using routine data. The present evidence synthesis produced 24 routine-data-compatible process quality indicators related to the type, order or frequency of musculoskeletal appointments, diagnostic imaging procedures, referrals to physical therapists and pharmaceutical prescriptions.

conclusionThe synthesised set of routine-data-compatible quality indicators can provide a resource-saving tool for offering individual feedback to physicians on the processes involved in the ambulatory management of osteoarthritis of the knee and hip. Engaging in interdisciplinary discussions on variations in quality indicator outcomes could contribute to improving interdisciplinary physician collaboration in ambulatory care for these conditions. LEVEL OF EVIDENCE: Level III.

Indexed as

Ambulatory CareOsteoarthritis, HipOsteoarthritis, KneeQuality Indicators, Health CareArthroplasty, Replacement, HipGermanyHumansPractice Guidelines as Topicambulatory carehipkneeosteoarthritisquality indicatorsroutine data

Identifiers

PMID39949191
PMCPMC12459328

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.