Table 3

Statements for inclusion in the model OA consultation
Statement1 No. (%) GP Group would include (n = 15) No. (%) Patient Group would include (n = 14)
The GP:2
Encourages the patient to give a full account of the problem(s), including the reason for coming today 15 (100) 11 (79)
Finds out how long the patient has had the knee problem for and whether the problem comes and goes 14 (93) 12 (86)
Asks specific questions about the amount and type of any pain 14 (100) 11 (79)
Asks about other knee symptoms such as stiffness, locking and giving way 13 (93) 12 (86)
Asks about problems with mobility, such as walking, going up and down stairs, and getting in and out of a chair 13 (93) 9 (64)
Asks if, and how, the knee problem affects activities such as work, hobbies, sports and general leisure activities 14 (100) 7 (50)
Asks about previous problems with the knee, knee operations, knee injections 13 (93) 11 (79)
Asks about problems with other joints, especially the other knee and the hips 14 (93) 8 (62)
Asks about the patient’s ideas, concerns, fears and feelings about the problem 14 (93) 7 (54)
Asks if the patient has tried anything to help the problem, and if yes, what/how used/how effective 15 (100) 12 (92)
Checks if there is anything in the patient’s story to suggest a fracture, cancer, inflammatory or septic arthritis 14 (93) 7 (54)
Examines the knee joint and surrounding tissues 15 (100) 11 (85)
Informs the patient that the most likely reason for the problem is osteoarthritis and explains the reason(s) for coming to this diagnosis 15 (100) 12 (92)
Gives a brief explanation of osteoarthritis 14 (93) 12 (92)
Asks if the patient has any unanswered questions 15 (100) 8 (57)
Hands the guidebook to the patient with the advice to read it 14 (93) 8 (62)
Encourages the patient to consider the use of “NICE core treatments”, increased physical activity/muscle strengthening exercises/dietary changes to lose weight, if needed 14 (93) 10 (77)
Emphasises, when relevant, the benefit of losing weight: that if weight is lost then the pain reduces 14 (93) 10 (77)
Emphasises, when relevant, the benefit of exercise in helping to lose weight in addition to the benefits for osteoarthritis 14 (93) 8 (62)
Enquires about the patient’s need for painkillers 15 (100) 13 (100)
Recommends the use of paracetamol and/or topical NSAIDs (creams or ointments) before the use of other painkillers 15 (100) 13 (100)
Summarises the management plan and re-checks that it is acceptable to the patient 14 (93) 9 (64)
Advises the patient to make a follow up appointment with the specially trained healthcare professional 15 (100) 13 (93)
Uses free-text to record the consultation in the paper/electronic records 14 (93) 8 (67)
In addition to statement above records coded data on the; i) diagnosis and ii) main elements of the consultation, such as the level of pain, the BMI and advice to exercise 15 (100) 10 (77)

1 Statement in bold if 90% or more agreement in BOTH groups.

2 “The GP” is the stem for all the statements.

Porcheret et al.

Porcheret et al. BMC Musculoskeletal Disorders 2013 14:25   doi:10.1186/1471-2474-14-25

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