After introducing video-based decision aids for people with knee and hip osteoarthritis, Group Health Cooperative saw a significant drop in rates of elective knee and hip replacement surgeries, as well as a drop in the cost of care. According to an article in the September issue of Health Affairs, Group Health found that introducing these decision aids resulted in a 38 percent reduction in knee replacement surgeries, a 26 percent reduction in hip replacement surgeries and a 12 percent decline in health care costs over a six month period.
This month, a much anticipated study was published in Health Affairs that addresses something we are often asked at the Informed Medical Decisions Foundation: What are the effects of decision aids on utilization rates and medical costs? Researchers from Group Health Cooperative found that when decisions aids were used for patients making a decision about whether or not to have elective knee or hip replacement surgeries, there was a significant drop in surgical procedures as more patients opted for more conservative, less costly treatment options.
Tagged cost, decision aids, Group Health, health care, hip osteoarthritis, hip replacement surgery, Jack Fowler, knee osteoarthritis, knee replacement surgery, Michael J. Barry, PBS, practice variation
An observational study reporting the changes in surgical rates and costs in the first eighteen months following the start of a program to introduce decision aids for hip and knee osteoarthritis in the Group Health system. They found a 38% reduction in knee surgeries and a 26% reduction in hip surgeries; findings consistent with results from randomized studies of decision aids.
"Dr. David Arterburn, lead author of the Health Affairs study and a researcher at Group Health Research Institute in Seattle, calls the procedure 'preference-sensitive' because the choice to have one isn't made solely on objective measures. That's where decision aids come in. The goal, he said, is 'to make sure that patients understand that there is more than one option when it comes to osteoarthritis treatment."
The decision aids referenced in this article were developed by the Informed Medical Decisions Foundation.
Read the full article.
Tagged arthritis, David Arterburn, decision aids, Group Health, Health Affairs, health care cost, hip osteoarthritis, informed decision, knee osteoarthritis, surgery, The Boston Globe
The field tests in the last year show that the items on the whole are performing as intended, and patients find the surveys acceptable and feasible. There is growing interest in the research community to use these instruments, and we have been exploring interest in clinical community to extend their use.
This study will advance the evidence base regarding best methods for facilitating informed decisions among patients with knee and hip osteoarthritis (OA) by comparing DVD and Crossroads online formats of decision aids (DAs) for these conditions.
Osteoarthritis (OA) cannot be cured, but several strategies are available to help people manage symptoms so they can stay active. To help people decide which treatment is right, the Informed Medical Decisions Foundation has developed a Shared Decision-Making® program called Managing Early-Stage Knee Osteoarthritis.
Tagged arthritis medications, arthritis treatment, arthroscopic surgery, exercise therapy, joint pain, knee arthritis, knee arthroscopy, knee osteoarthritis, knee pain, NSAIDs, Shared Decision-Making® programs
When people 40 and older have a torn meniscus, the treatment is usually not clear cut. People have choices and the best choice for them depends a lot on their preferences. To help people understand their knee problems, their treatment options and the uncertainties, the Foundation has developed a Shared Decision-Making® program called Treatment Choices for Torn Meniscus after Age 40.
Tagged arthroscopic surgery, exercise therapy, joint pain, knee arthroscopy, knee osteoarthritis, knee pain, meniscal tear, meniscectomy, meniscus surgery, NSAIDs, Shared Decision-Making® programs, torn meniscus