ReviewBMC health services research2026
Promoting and inhibiting factors for the implementation of evidence-based non-invasive treatment programs for patients with knee- and/or hip-osteoarthritis: a rapid review.
Review in BMC health services research, 2026. 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
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoarthritis of the knee and/or hip joint are common conditions among older adults. Although multimodal therapy combining patient education, exercises and weight loss has proven effective, only a few countries offer implemented treatment programs. While some Scandinavian countries have achieved nationwide implementation, similar initiatives remain limited to research settings elsewhere. To date, limited evidence exists on factors that facilitate or hinder the successful implementation of these programs. This study therefore aims to synthesize scientific evidence on the implementation of evidence-based, non-invasive treatment programs for osteoarthritis of the knee and/or hip joint. QUESTION: What is the current state of international research on the implementation of evidence-based, non-invasive treatment programs for osteoarthritis of the knee and/or hip joint, and, which promoting and inhibiting factors regarding implementation have been reported?
designRapid review. LITERATURE SEARCH: The search term was derived using the PICo-scheme. Searches were conducted in PubMed, PEDro, Embase and Cochrane in September 2022. Reference lists of included titles were screened manually for relevant publications. STUDY SELECTION: Eligible studies reported on the implementation of non-invasive treatment programs for patients with osteoarthritis of the knee and/or hip joint including education and training and were published between 2008 and 2022 with full-text-availability. Studies focusing on in-patient services, competitive sports or languages other than English or German were excluded. Screening was supported by Rayyan and ASReview LAB. DATA SYNTHESIS: A qualitative content analysis according to Kuckartz using MAXQDA was performed.
resultsThe search identified 5,948 records. After screening, 40 studies were assessed in full text, of which 11 studies were included for data extraction. Four key dimensions relevant to implementation were identified: The scientific, political, organizational, and financial dimension. Promoting factors included scientific monitoring during implementation, central program support, cooperation between implementation teams, gradual implementation, free patient access to lower participation barriers, broad availability and efficient referral. Inhibiting factors comprised restrictive health policy frameworks, missing public funding for implementation costs and service provision, insufficient staff, incompatibility with existing care structures, insufficient coordination and management and limited authority of healthcare professionals in regional contexts.
conclusionThe rapid review highlights the multifactorial nature of the factors influencing the implementation of treatment programs and underscores the need to link practice and research.
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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.