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Outcomes of a structured exercise and education program for hip and knee osteoarthritis across different clinical and geographic settings in Australia: a cohort study of 9,938 participants

Review written by Dr Anthony Teoli info

Key Points

  1. Participants with knee osteoarthritis (OA) attending private clinics showed slightly better outcomes than those in public clinics, though the differences were small and not likely to be clinically meaningful.
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BACKGROUND & OBJECTIVE

International clinical guidelines for managing osteoarthritis (OA) consistently recommend patient education, exercise, and weight management (where indicated) as first-line treatments for hip and knee OA (1). Structured education and exercise programs, such as Good Life with osteoArthritis from Denmark (GLA:D®) (2), have been developed to facilitate delivery of guideline-recommended first-line care. However, further investigation is needed to determine whether the program is consistently effective across different clinical and geographical settings.

The objective of this study was to compare three-month outcomes for hip and knee OA by clinic setting (public vs private), geographic location (metropolitan vs rural/remote) and educational level (indicator of socioeconomic status [SES]).

International clinical guidelines for managing osteoarthritis (OA) consistently recommend patient education, exercise, and weight management (where indicated) as first-line treatments for hip and knee OA.
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People with hip and knee OA experienced clinically meaningful short-term improvements in pain, physical function, and quality of life following participation in the GLA:D® program.

METHODS

  • This longitudinal study used outcome data from 15,186 patients from the GLA:D® Australia registry. GLA:D® interventions included two structured group education sessions (60–90 minutes each) and 12 one-hour group exercise classes over a six-week period.
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