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Tag Archives: knee osteoarthritis
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Group Health Study Shows the Use of Decision Aids was Linked with Sharply Reduced Rates of Elective Surgery for Arthritis
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. Continue reading
The President's Corner: September 2012
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. Continue reading
Shared Decision-Making® Program Research
View all results of this resource type.Decision Quality Instrument for Treatment of Hip and Knee Osteoarthritis: A Psychometric Evaluation
Sepucha K, Stacey D, Clay C, et al. Decision quality instrument for treatment of hip and knee osteoarthritis: a psychometric evaluation. BMC Musculoskelet Disord. 2011;12(1):149.
Read the abstract.
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Tagged hip osteoarthritis, knee osteoarthritis, Shared Decision-Making® programs
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Featured Shared Decision Making Publications
View all results of this resource type.Introducing Decision Aids at Group Health was Linked to Sharply Lower Hip and Knee Surgery Rates and Costs
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. Continue reading
In The News
View all results of this resource type.[HealthLeaders Media] Informed Decision Tools Largely Reduce Ortho Joint Surgeries
"The two decision tools, which were developed by the Informed Medical Decisions Foundation in Boston and Health Dialog, explain to patients details of the surgery they are about to have, what non-surgical options exist, what life-style changes they could make, and what physical therapy and walking aids or pain medications, or complementary and alternative therapies might be selected instead of surgery."Read the full article.
[The Boston Globe] Do You Really Need a Knee Replacement?
"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.
Informed Medical Decisions Foundation Funded Research
View all results of this resource type.Developing Measures of Decision Quality
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. Continue reading
Evaluation of DVD and Internet Decision Aids for Hip and Knee Osteoarthritis: Focus on Health Literacy
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. Continue reading
Informed Medical Decisions Foundation Decision Aids
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Managing Early Arthritis of the Knee
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. Continue reading
What to do with a Torn Meniscus
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. Continue reading
