alexa The Waiting Game: A Primary Care Intervention to Improv
ISSN: 2161-0533

Orthopedic & Muscular System: Current Research
Open Access

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Review Article

The Waiting Game: A Primary Care Intervention to Improve Access to Specialist Care to Patients with Osteoarthritis

Laura Katherine Churchill1 and Dianne Bryant2*

1Fowler Kennedy Sports Medicine Clinic, Research Development, Western University, London, Ontario, Canada

2Clinical Epidemiologist, University of Western Ontario, London, Ontario, Canada

*Corresponding Author:
Dianne Bryant
Clinical Epidemiologist
University of Western Ontario
London, ON, N6G 1H1, Canada
Tel: 519-661-2111
Fax: 519-661-3178
E-mail: [email protected]

Received Date: May 23, 2014; Accepted Date: June 30, 2014; Published Date: July 05, 2014

Citation: Churchill LK, Bryant D (2014) The Waiting Game: A Primary Care Intervention to Improve Access to Specialist Care to Patients with Osteoarthritis. Orthopedic Muscul Syst 3: 158. doi: 10.4172/2161-0533.1000158

Copyright: © 2014 Churchill et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Osteoarthritis (OA) commonly presents in the knee, contributing to pain and impairment in those affected. Given
appropriate candidacy, surgical treatment for end-stage knee OA such as total knee replacement (TKR) and high
tibial osteotomy (HTO) are highly successful with negligible risk. Just as the population has aged over the past
decade, so too has the demand for surgical treatment of OA increasing wait times across Canada.
Cipriano et al. identified that wait times for TKR in Ontario are longer than clinically appropriate. Several North
American studies have demonstrated that general practitioner referrals to specialists do not result in subsequent
surgery. Targeting increasing the proportion of referrals that result in a surgical booking has the potential to
decrease the wait for initial consult, an important piece of the wait time continuum for knee OA.

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