BMJ  2006;333 (11 November), doi:10.1136/bmj.333.7576.0-a

This week in the BMJ

Evidence based interventions reduce knee pain in older people

A pragmatic multicentre trial in primary care shows that older people with knee pain benefit from two strategies for delivering evidence based care. Hay and colleagues (10.1136/bmj.38977.590752.0B) randomised 325 patients, aged over 55, with knee osteoarthritis to receive an algorithm directed enhanced pharmacy review, community physiotherapy, or an advice leaflet with follow-up telephone call (control). Compared with controls, patients in both intervention groups reported reduced pain and improved joint function and used fewer non-steroidal anti-inflammatory drugs in the short term. Physiotherapy reduced GP consultations for knee pain.


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