Presentation on theme: "A New Vision for Chronic Osteoarthritis Management A Call to Action from the Chronic Osteoarthritis Management Initiative (COAMI)"— Presentation transcript:
A New Vision for Chronic Osteoarthritis Management A Call to Action from the Chronic Osteoarthritis Management Initiative (COAMI)
What is COAMI? A Work Group representing: Health care professionals who treat patients with osteoarthritis (OA) orthopaedic nurses and surgeons specialists in rheumatology, rehabilitation and sports medicine osteopathic physicians physical therapists athletic trainers Providers who may not specialize in OA, but see patients at risk Pediatricians and pediatric nurses, family physicians, nurse practitioners, physician assistants Epidemiologists and researchers studying OA People with arthritis and the Arthritis Foundation
The Burden of OA OA is prevalent Most common type of arthritis, affecting 27 million Americans (and 10% of adults) OA is disabling Significant cause of disability and pain Interferes with work and activity levels Undermines physical activity levels recommended for weight loss and controlling other chronic diseases OA is co-occurring Over half (52 percent) of patients with diagnosed diabetes also have OA OA is costly $42.3 billion spent on 905,000 knee and hip replacements in 2009 alone
Missed Opportunities to Approach OA as a Chronic Disease
A Vision for the Future Not every case of OA can be prevented, but a significant degree of the pain and disability caused by OA can and should be prevented or ameliorated.
Treat OA as a chronic disease Adopt best practices of other successful chronic disease models Ask patients about joint pain, mobility, and function Reinforce and support weight management, physical activity, and pain management A Unique Role for Health Care Professionals
What Will It Take? COAMI Recommendations Develop an OA Call to Action, specifically geared to health care professionals Convene an OA Management Conference of Health care providers Identify areas of agreement and gaps Review models of care Develop a research agenda and priorities Reach out to other partners to include them in future COAMI work (COAMI and USBJI represented in OAAA)
What Will It Take? COAMI Recommendations (Continued) Explore standardizing screening tools and indicators of OA, to make early diagnosis more consistent and likely such as the E.g., AF risk assessment of OA of the knee and the Fracture Risk Assessment Tool (FRAX) model Develop tools and prompts that promote patient engagement in learning about and managing OA (and pre-OA) E.g., OA Action Alliance Materials, Exercise is Medicine™
What Will It Take? COAMI Recommendations (Continued) Lend COAMI’s support to existing advocacy and awareness efforts of the OA Action Alliance and others and seek specific opportunities to reinforce key messages: OA should be managed as a chronic disease “Pre-OA” (like pre-diabetes) could be identified and addressed more systematically by health care providers Health care providers should support and motivate patients to become more physically active, prevent injury where possible, seek self management and maintain a healthy weight
What Will It Take? COAMI Recommendations (Continued) Develop and support an OA-specific research agenda to fill gaps in evidence and practice Managing patients with mild to moderate symptoms and limitations Identifying and tracking OA risk factors (e.g., using Electronic Medical Records) Educating clinicians about musculoskeletal conditions and OA
OAAA and COAMI Collaboration COAMI aims to coordinate the health care professional’s role in the management of OA OAAA aims to deliver public health awareness messages through its membership Drive people with pre-OA and OA to a more coordinated approach to the medical management of OA What other ways can our organizations together support COAMI’s and OAAA’s recommendations?