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Table 3 Compliance to the Stepped-Care-Strategy in patients with hip/knee osteoarthritis in Dutch general practice (2006-2011) (n = 11 248)

From: Treatment of hip/knee osteoarthritis in Dutch general practice and physical therapy practice: an observational study

 

N

(%)

Step 1:

Number of patients who received ≥1 of the advised step-1 modalities

9396

(84)

 

Education or lifestyle advise*

9332

(99)

Prescription of acetaminophen

342

(4)

Both modalities

278

(3)

Step 2:

Number of patients who received ≥1 of the advised step-2 modalities

2311

(21)

Prior application of step-1 modalities:

Any step 1 modality

1961

(85)

1. Education or lifestyle advise*

1947

(85)

2. Prescription of acetaminophen

153

(7)

Both education (1.) & prescription (2.)

139

(6)

Step 3:

Number of patients who received ≥1 of the advised step-3 modalities

1988

(18)

Prior application of step-1 modalities:

Any step 1 modality

1794

(90)

1. Education or lifestyle advise*

1791

(90)

2. Prescription of acetaminophen

68

(3)

Both education (1.) & prescription (2.)

65

(3)

Prior application of step-2 modalities:

Any step 2 modality

534

(27)

3. Prescription of (topical) NSAID

365

(18)

4. Prescription of tramadol

132

(7)

5. Referral for physical therapy

143

(7)

6. Referral for dietary therapy

5

(<1)

Both prescription (3. or 4.) & referral (5. or 6.)

45

(2)

Prior application of step-1 and step-2 modalities:

Both education (1.) & prescription (2. & (3. or 4.)) & referral (5. or 6.)

0

(0)

  1. Abbreviations: n Number, NSAIDs Non-Steroidal Anti-Inflammatory Drug
  2. * Since education and lifestyle advises both were not registered in the NIVEL Primary Care Database, it was assumed that GPs educated their patients when ‘consults’ or ‘visits’ were registered in the medical record [13]