ArticleJournal of orthopaedic surgery and research2025
Development of routine-data-compatible quality indicators for the management of osteoarthritis of the knee and hip in ambulatory care: a RAND-modified Delphi consensus process.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveHigh rates of total joint arthroplasty (TJA) in patients with osteoarthritis of the knee and hip in Germany have raised concerns about the insufficient use of ambulatory health care services. Quality indicators (QIs) can help assess the provision of care and identify deficits in health care delivery. To build on a preceding systematic review, we conducted a Delphi process to develop QIs that can be quantified using routine data from German statutory health insurers and used for the ambulatory management of osteoarthritis of the knee and hip before TJA.
methodsWe conducted a three-round RAND-modified Delphi consensus process consisting of an initial online questionnaire (Round 1), a virtual panel meeting with an additional online questionnaire (Round 2), and a final online questionnaire (Round 3). A panel of eight physicians, one physical therapist and one patient advocacy organisation representative evaluated QIs derived from a systematic review for relevance, clarity and feasibility. The panel also proposed additional QIs for consideration.
resultsFollowing pre-selection by two non-panel physicians, 19 of the 24 QIs identified in the systematic review were included in the first Delphi round. During the panel meeting, panellists proposed six additional QIs. Ultimately, consensus was reached on twelve routine-data-compatible QIs related to diagnostic imaging, exercise therapy, medication, preconditions for TJA, and interprofessional collaboration among physicians.
conclusionThe evidence- and consensus-based QIs are intended to support health care providers in monitoring and improving care processes, and may serve as a basis for identifying and addressing variation in care quality.
Indexed as
Identifiers
What Socratic holds
Registered trials
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.