Implementation of Best-Evidence Osteoarthritis Care: Perspectives on Challenges for, and Opportunities From, Low and Middle-Income Countries.
Jillian P Eyles, Saurab Sharma, Rosa Weiss Telles, Mosedi Namane, David J Hunter, Jocelyn L Bowden
PMID 36188801WHAT IT FOUND
Clinicians in South Africa, Brazil, and Nepal describe how poverty and fragmented health systems block best-evidence osteoarthritis care.
The paper maps these barriers to policy priorities but reports no patient outcomes or tested interventions.
What this paper is
This is a narrative review summarizing perspectives from three clinician-researchers on barriers to osteoarthritis care in South Africa, Brazil, and Nepal. It discusses health system challenges and potential opportunities using a policy framework, but it reports no original patient data, no clinical trial results, and no tested interventions. There is no finding here that changes clinical practice.
The easy way to misread this
Do not treat the suggested strategies, such as using telehealth or training physiotherapists, as evidence-based interventions. These are expert opinions and policy recommendations from a review, not results from a clinical trial showing these methods improve patient outcomes.