{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:26:46Z","timestamp":1788265606226,"version":"build-2803163510"},"reference-count":51,"publisher":"The Journal of Rheumatology","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>Osteoarthritis (OA) is one of the leading causes of pain and disability. Given the constraint in the provision of care, there is a need to develop and assess effectiveness of new treatment models. The objective was to compare satisfaction with and effectiveness of a new integrated multidisciplinary outpatient program with usual care in an outpatient clinic for patients with OA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>Patients with clinical OA referred to a rheumatology outpatient clinic were randomized to a 3.5-h multidisciplinary group-based educational program followed by individual consultations, or to usual care. The primary outcome was satisfaction with the health service evaluated on a numerical rating scale (0 = extremely unsatisfied, 10 = extremely satisfied) after 4 months. Secondary outcomes included health-related quality of life measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>Of 391 patients, 86.4% (n = 338) were women, and mean age was 61.2 (SD 8.0) years. At 4 months, patients who received integrated multidisciplinary care were significantly more satisfied with the health service compared with controls, with a mean difference of \u22121.05 (95% CI \u22121.68 to \u22120.43, p &lt; 0.001). Among secondary outcomes, only self-efficacy with other symptoms scale (10\u2013100) improved significantly in the multidisciplinary group compared with controls at 4 months (3.59, 95% CI 0.69\u20136.5, p = 0.02). At 12 months, the Australian\/Canadian Hand Osteoarthritis Index pain (0\u201310) and fatigue scores (0\u201310) were slightly worse in the multidisciplinary group with differences of 0.38 (95% CI 0.06\u20130.71, p = 0.02) and 0.55 (95% CI 0.02\u20131.07, p = 0.04), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Patients receiving an integrated multidisciplinary care model were more satisfied with healthcare than those receiving usual care, whereas there were no clinically relevant improvements in health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.150157","type":"journal-article","created":{"date-parts":[[2015,12,15]],"date-time":"2015-12-15T21:39:53Z","timestamp":1450215593000},"page":"411-418","source":"Crossref","is-referenced-by-count":21,"title":["Effectiveness of an Integrated Multidisciplinary Osteoarthritis Outpatient Program versus Outpatient Clinic as Usual: A Randomized Controlled Trial"],"prefix":"10.3899","volume":"43","author":[{"given":"Rikke Helene","family":"Moe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margreth","family":"Grotle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingvild","family":"Kjeken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge Christoffer","family":"Olsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petter","family":"Mowinckel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Espen A.","family":"Haavardsholm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00e5re Birger","family":"Hagen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tore K.","family":"Kvien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till","family":"Uhlig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2015,12,15]]},"reference":[{"key":"2018112909351982000_43.2.411.1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204763"},{"key":"2018112909351982000_43.2.411.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.11.001"},{"key":"2018112909351982000_43.2.411.3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2011.150078"},{"key":"2018112909351982000_43.2.411.4","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1002\/acr.21596","article-title":"American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee","volume":"64","author":"Hochberg","year":"2012","journal-title":"Arthritis Care Res"},{"key":"2018112909351982000_43.2.411.5","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.028886"},{"key":"2018112909351982000_43.2.411.6","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.084772"},{"key":"2018112909351982000_43.2.411.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2010.01.013"},{"key":"2018112909351982000_43.2.411.8","first-page":"793","article-title":"National survey on the non-pharmacological modalities prescribed by French general practitioners in the treatment of lower limb (knee and hip) osteoarthritis. 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