Non-operative management, supported by self-monitoring using web-based patient reported outcome measures (PROMs), in knee osteoarthritis

• Published in: BMJ case reports Vol. 2018; p. bcr-2017-223560
• Main Authors: Webb, Elinor, Parkes, Rebekah J, Gough, Anthony Thomas, Williams, Dan H
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 01.09.2018; BMJ Publishing Group
• Series: Case Report
• Subjects: Aged; Arthritis; Case reports; Conservative Treatment; Female; Humans; Internet; Knee; Novel Treatment (New Drug/Intervention; Established Drug/Procedure in New Situation); Osteoarthritis, Knee - therapy; Pain; Patient Reported Outcome Measures; Patient-centered care; Patients; Physical therapy; Self-Management; orthopaedics; degenerative joint disease; physiotherapy (sports medicine); osteoarthritis
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2017-223560

Despite being straightforward to collect and key to providing patient-centred, individualised care, the routine use of patient reported outcome measures (PROMs) remains limited in the National Health Service. Herein is described the case of a 69-year-old woman who presented to secondary care with osteoarthritis. Web-based PROMs were used to track the patient’s symptoms and function. Lifestyle changes were recommended to manage the osteoarthritis. Monitoring enabled the patient to take control of her disease management. Two years later, she continues to manage her knee symptoms conservatively, recording progress by using a web-based system. This case illustrates how web-based PROMs can be used to support conservative management of knee osteoarthritis by both empowering patients and minimising the burden on secondary care outpatient services.