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Related Experiment Video

Updated: May 15, 2026

Establishment and Evaluation of a Sheep Model of Full-thickness Osteochondral Defect
05:23

Establishment and Evaluation of a Sheep Model of Full-thickness Osteochondral Defect

Published on: April 14, 2026

Developing a model osteoarthritis consultation: a Delphi consensus exercise.

Mark Porcheret1, Janet Grime, Chris Main

  • 1Arthritis Research UK Primary Care Centre, Keele University, Staffordshire, United Kingdom. m.porcheret@keele.ac.uk

BMC Musculoskeletal Disorders
|January 17, 2013
PubMed
Summary
This summary is machine-generated.

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This study developed a model osteoarthritis (OA) consultation for primary care, identifying 25 key tasks for assessing and managing joint pain. The model prioritizes a biomedical approach, aiming to improve evidence-based care for older adults with OA.

Area of Science:

  • Primary Care Medicine
  • Rheumatology
  • Evidence-Based Practice

Background:

  • Osteoarthritis (OA) is prevalent in general practice but often managed outside established guidelines.
  • The optimal structure for an OA consultation in primary care remains undefined.
  • This study aimed to define a model consultation for assessing and treating older adults with peripheral joint problems in general practice.

Purpose of the Study:

  • To develop a model osteoarthritis (OA) consultation for primary care settings.
  • To identify essential tasks for the initial assessment and treatment of older adults with peripheral joint pain.

Main Methods:

  • A postal Delphi consensus exercise involving general practitioners (GPs) and patients with OA experience.
  • Two expert groups (15 GPs, 14 patients) evaluated 61 potential consultation tasks.

Related Experiment Videos

Last Updated: May 15, 2026

Establishment and Evaluation of a Sheep Model of Full-thickness Osteochondral Defect
05:23

Establishment and Evaluation of a Sheep Model of Full-thickness Osteochondral Defect

Published on: April 14, 2026

  • A 90% agreement threshold was used to determine task inclusion in the model consultation.

    • Main Results:

    • A 25-task model OA consultation was established for initial patient-GP interactions.
    • Key areas covered include pain assessment, patient concerns, red flag screening, examination, diagnosis, information provision, exercise/weight management promotion, pain management, and follow-up.
    • Both groups favored a biomedical over a biopsychosocial approach, indicating a potential gap with current research evidence.

    Conclusions:

    • The study successfully identified GP and patient priorities for a model OA consultation.
    • Findings will guide the development of best practices and evidence-based guideline implementation for OA management in primary care.
    • The model aims to enhance the quality of osteoarthritis care delivered in general practice.