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Risk Assessment and Management Program (RAMP) on knee osteoarthritis in primary care-a one-year pragmatic randomized

Regina Wing-Shan Sit1, Benjamin Hon-Kei Yip2, Shirley Yue-Kwan Choi2,3

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This study evaluated the Assessment and Management Program on Knee Osteoarthritis (RAMP-Knee OA) in Hong Kong. The program, a chronic care model, showed effectiveness in managing knee osteoarthritis pain and improving patient outcomes compared to usual care.

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Knee osteoarthritisPrimary careRisk Assessment and Management Program (RAMP)

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Area of Science:

  • Rheumatology
  • Gerontology
  • Public Health

Background:

  • Knee osteoarthritis (OA) is a prevalent cause of chronic pain and disability.
  • The Chronic Care Model (CCM) has demonstrated success in Hong Kong's primary care.
  • A novel CCM, RAMP-Knee OA, was developed to address OA management.

Purpose of the Study:

  • To assess the clinical effectiveness of the RAMP-Knee OA program.
  • To compare RAMP-Knee OA against usual care for knee OA patients.
  • To evaluate the impact of RAMP-Knee OA on pain, function, and biopsychosocial factors.

Main Methods:

  • A 52-week, open-label, randomized clinical trial involving 228 adults with knee OA.
  • Participants were assigned to either RAMP-Knee OA (n=114) or usual care (n=114).
  • Primary outcome: Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score at 52 weeks. Secondary outcomes included physical function, muscle mass, physical activity, self-efficacy, anxiety, depression, insomnia, loneliness, and quality of life.

Main Results:

  • The study is ongoing; results are pending.
  • Primary and secondary outcomes will be analyzed using analysis of covariance, adjusting for baseline values.
  • Secondary analyses will explore potential confounders and interaction effects.

Conclusions:

  • Findings will inform the implementation of CCM for knee OA in Hong Kong.
  • The study aims to bridge the gap between evidence and practice for OA management.
  • Results will highlight the benefits of a comprehensive CCM approach for knee OA patients.