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Table 2 Comparison of the draft OA QI (UK) and Norwegian OA-QI questionnaires

From: Patient-reported quality indicators for osteoarthritis: a patient and public generated self-report measure for primary care

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))
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
  1. aFinal wording of Norwegian OA-QI was published after the OA RUG group reviewed and compared the draft OA QI (UK) with the draft Norwegian OA-QI