Quality Indicator | Draft OA QI (UK) | Draft Norwegian OA-QI (first English translation) | Published Norwegian OA-QI (tested for validity and reliability)a | RUG and research team’s recommendations for final OA QI (UK) (✓ = retain or add; X = not required) | RUG and research team’s recommendations (Changes to wording for final OA QI (UK)) |
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Patient has received information about OA | Have you been given any information about your joint problem(s) from your surgery? | Have you been informed about how the disease naturally evolves? | Have you been given information about how the disease usually develops over time? | ✓ | Retain (with draft OA QI (UK) wording and ‘written or verbal’ information included) |
Patient has received information about treatment for OA | Have you been given any information regarding treatment for your joint problem(s) from your surgery? | Have you been informed about treatment? | Have you been given information about different treatment alternatives? | ✓ | Retain (Adopt draft Norwegian OA-QI wording) |
Patient has received information about self-managing OA (advice) | Have you been given any advice on how you might help yourself to manage or deal with your joint problem(s)? | Have you been informed about self-management? | Have you been given information about how you can live with the disease? | ✓ | Retain (with draft OA QI (UK) wording) |
Patient has received information about self-managing OA (support) | Have you been given any support on how you might help yourself to manage or deal with your joint problem(s)? | - | - | ✓ | Retain (with draft OA QI (UK) wording) |
Patient has received information about self-managing OA (support) | Have you been given any support from your ‘surgery’ or other health care professionals e.g. physiotherapists or occupational therapists to help you manage your joint problem(s)? | - | - | X | Not required |
Patient has received a follow up review | Have you been given a follow up review of your joint problem(s) at least once? | - | - | X | Not required |
Patient has received a follow up review | Have you been given a follow up review of your joint problem(s) ever? | - | - | X | Not required |
Patient has received advice about changing lifestyle | - | Have you been offered advice about lifestyle change? | Have you been given information about how you can change your lifestyle? | X | Not required |
Patient has received advice about exercise or activities for OA (current participation in exercise) | Do you participate in any exercise? | - | - | X | Not required |
Patient has received advice about exercise or activities for OA | Have you been offered information or advice on exercise or physical activity to help you with your joint problem(s)? | Have you been informed about the impact of muscle strengthening or aerobic exercise programs? | Have you been given information about the importance of physical activity and exercise? | ✓ | Retain (with draft OA QI (UK) wording but ‘muscle strengthening’ included) |
Patient has received a referral to exercise or activity programmes for OA | Have you been offered a referral for exercise or activity programme for your joint problem(s) (e.g. tai chi, swimming, keep fit)? | Have you been referred to services for a directed or supervised strengthening or aerobic exercise programs? | Have you been referred to someone who can advise you about physical activity and exercise (e.g. a physiotherapist)? | ✓ | Adopt draft Norwegian OA-QI wording |
Patient has received referral about exercise or activities for OA (exercise programme suggested) | Has an exercise or activity programme been suggested to help you manage with your joint problem(s)? | - | - | X | Not required |
Patient has received advice about body weight and joint pain | - | Have you been advised to lose weight, if you are overweight and obese? | If you are overweight, have you been advised to lose weight? | ✓ | Adopt draft Norwegian OA-QI wording (‘if you are overweight’ removed) |
Patient has received a referral for weight loss | - | Have you been referred to services for losing weight, if you are overweight and obese? | If you are overweight, have you been referred to someone who can help you to lose weight? | ✓ | Adopt draft Norwegian OA-QI wording (‘if you are overweight’ removed and examples of weight loss services added) |
Patient has received a referral for an assessment of activities of daily living | If you have had problems related to activities of daily living, have these problems been assessed in the last year? | If you have had problems related to daily activities, have these problems been assessed by health personnel in the last year? | X | Not required | |
Patient has received a referral for physiotherapy | Have you been offered a referral for physiotherapy for your joint problem(s)? | X | Not required | ||
Patient has received a referral for an assessment for aids for daily living | - | If you have problems related to other activities of daily living, has your need for assistive devices (e.g. splints, assistive technology for cooking or personal hygiene) been assessed? | If you have problems related to other daily activities, has your need different appliances and aids been assessed (e.g. splints, assistive technology for cooking or personal hygiene, a special chair)? | ✓ | Adopt draft Norwegian OA-QI wording (‘assistive devices’ changed to ‘appliances and aids to daily living’) |
Patient has received a referral for an assessment for walking aids | - | If you have problems related to walking, has your need for ambulatory assistive devices (e.g. stick, crutch, or walker) been assessed? | If you have problems with walking, has your need for a walking aid been assessed (e.g. stick, crutch, or walker)? | ✓ | Adopt draft Norwegian OA-QI wording (‘ambulatory assistive devices’ changed to ‘a walking aid’) |
Patient has received as assessment of his/her pain | - | If you have pain, has your pain been assessed in the last year? | If you have pain, has it been assessed in the past year? | X | Not required |
Patient has received advice about the use of medications to relieve joint pain | Have you been offered advice by your surgery about taking paracetamol before taking other tablets? | If you have pain, was paracetamol the recommended pharmacological therapy for your osteoarthritic pain? | If you have pain, was acetaminophen the first medicine that was recommend for your osteoarthritic pain? | ✓ | Adopt draft Norwegian OA-QI wording (‘pharmacological’ and ‘osteoarthritic’ removed) |
Patient has received advice about the use of medications to relieve joint pain | Have you been offered advice by your surgery about taking the following medication: paracetamol? | - | - | X | Not required |
Patient has received advice about the use of medications to relieve joint pain (Recommendation for stronger analgesia) | - | If you have prolonged severe pain, for which paracetamol does not provide pain relief, have you been offered stronger analgesic drugs (e.g.,…)? | If you have prolonged severe pain, which is not relieved sufficiently by paracetamol, have you been offered stronger pain killers (e.g., coproxamol, co-dydramol, tramadol, co-codamol, dihydrocodeine, codeine)? | ✓ | Adopt draft Norwegian OA-QI wording (‘analgesic’ changed to ‘painkilling’) |
Patient has received advice about the use of medications to relieve joint pain (Anti-inflammatory drug information) | Have you been offered advice by your surgery about taking the following medication: topical anti-inflammatory creams or gels (e.g. Votarol gel, diclofenac, ibuprofen cream)? | If you use anti-inflammatory drugs (e.g. …), have you received information about the effects and potential side effects associated with this drug? | If you are taking antiinflammatory drugs, have you been given information about the effects and possible side effects of this medicine (e.g., ibuprofen, Nurofen, Brufen, diclofenac, Voltarol, naproxen, Naprosyn, Celebrex)? | ✓ | Adopt draft Norwegian OA-QI wording |
Patient has received advice about the use of medications to relieve joint pain (capsaicin cream) | Have you been offered advice by your surgery about taking the following medication: capsaicin cream? | - | - | X | Not required |
Patient has received advice about the use of medications to relieve joint pain (Consideration for corticosteroid injection) | - | If you have experienced an acute deterioration in symptoms, has a corticosteroid injection been considered? | If you have experienced an acute deterioration of your symptoms, has a corticosteroid injection been considered? | ✓ | Adopt draft Norwegian OA-QI wording |
Patient has been considered for referral for surgery | - | If you experience severe symptomatic osteoarthritis, and pharmacological therapy and exercises have no response, have you been referred for evaluation of surgery (e.g., total joint replacement)? | If you are severely troubled by your osteoarthritis, and exercise and medicine do not help, have you been referred and assessed for an operation (e.g., joint replacement)? | ✓ | Adopt draft Norwegian OA-QI wording |