Osteoarthritis: Models for appropriate care across the disease continuum

Kelli D. Allen*, Peter F. Choong, Aileen M. Davis, Michelle M. Dowsey, Krysia S. Dziedzic, Carolyn Emery, David J. Hunter, Elena Losina, Alexandra E. Page, Ewa M. Roos, Søren T. Skou, Carina A. Thorstensson, Martin van der Esch, Jackie L. Whittaker

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review


Osteoarthritis (OA) is a leading cause of pain and disability worldwide. Despite the existence of evidence-based treatments and guidelines, substantial gaps remain in the quality of OA management. There is underutilization of behavioral and rehabilitative strategies to prevent and treat OA as well as a lack of processes to tailor treatment selection according to patient characteristics and preferences. There are emerging efforts in multiple countries to implement models of OA care, particularly focused on improving nonsurgical management. Although these programs vary in content and setting, key lessons learned include the importance of support from all stakeholders, consistent program delivery and tools, a coherent team to run the program, and a defined plan for outcome assessment. Efforts are still needed to develop, deliver, and evaluate models of care across the spectrum of OA, from prevention through end-stage disease, in order to improve care for this highly prevalent global condition.

Original languageEnglish
JournalBest Practice & Research: Clinical Rheumatology
Issue number3
Pages (from-to)503-535
Publication statusPublished - Jun 2016



  • Health services
  • Implementation
  • Osteoarthritis
  • Quality of healthcare
  • Delivery of Health Care/methods
  • Humans
  • Osteoarthritis/therapy

Cite this

Allen, K. D., Choong, P. F., Davis, A. M., Dowsey, M. M., Dziedzic, K. S., Emery, C., Hunter, D. J., Losina, E., Page, A. E., Roos, E. M., Skou, S. T., Thorstensson, C. A., van der Esch, M., & Whittaker, J. L. (2016). Osteoarthritis: Models for appropriate care across the disease continuum. Best Practice & Research: Clinical Rheumatology, 30(3), 503-535. https://doi.org/10.1016/j.berh.2016.09.003