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Team Approach: A Multidisciplinary Approach to the Management of Hip and Knee Osteoarthritis

Jayakumar, Prakash MBBS, MRCS(Eng), DPhil1,2; Moore, Meredith Licata Grogan BS1; Bozic, Kevin J. MD, MBA1

doi: 10.2106/JBJS.RVW.18.00133
Team Approach Review Articles
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Disclosures

  • » Osteoarthritis of the hip and knee is common and contributes substantially to the global burden of disability, comorbid disease, and health-care expenditure.
  • » Osteoarthritis is traditionally managed with nonoperative and operative interventions that demonstrate substantial variations in costs, utilization, and access to care. The provision of these treatments by a range of health-care professionals lends itself to a coordinated, multidisciplinary team approach.
  • » This review characterizes a team approach in the management of hip and knee osteoarthritis from a systems perspective, describes an integrated care delivery model targeting lower-extremity joint pain, and illustrates this model’s functionality with the case of a 69-year-old overweight man with severe bilateral knee osteoarthritis and depression.
  • » A comprehensive team approach involves multiple disciplines that are fully accountable and responsive to the needs, preferences, and values of patients over the full episode of care.
  • » Future studies should assess, for individuals with osteoarthritis of the hip and knee, the impact of different team approaches and models of care on health outcomes, health-care spending, and utilization.

1Department of Surgery and Perioperative Care (P.J., M.L.G.M., and K.J.B.) and Value Institute for Health & Care (P.J.), Dell Medical School at The University of Texas at Austin, Austin, Texas

2The Commonwealth Fund, New York, NY

E-mail address for P. Jayakumar: prakash.jayakumar@austin.utexas.edu

E-mail address for M.L.G. Moore: meredith.moore@austin.utexas.edu

E-mail address for K.J. Bozic: kevin.bozic@austin.utexas.edu

Investigation performed at the Department of Surgery and Perioperative Care and the Value Institute for Health & Care, Dell Medical School at The University of Texas at Austin, Austin, Texas

Disclosure: There was no source of external funding for this study. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked “yes” to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (http://links.lww.com/JBJSREV/A463).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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