A Retrospective Non-Comparative Analysis of the Quality of Care for Osteoarthritis at the General Out-Patient Department of Jos University Teaching Hospital, Nigeria

Abstract

Background: Osteoarthritis is a common condition in primary care and is often associated with disability and limitation of function requiring holistic care. Aim: The aim of this audit was to assess the quality of care provided by family physicians in the management of osteoarthritis at the General Out-patient Department (GOPD) of Jos University Teaching Hospital (JUTH) as well as ascertain if such care was in line with evidence‑based medicine. Methods: This was a retrospective noncomparative study. The recommendations of the Nigerian Standard Treatment Guidelines 2008 and the National Institute for Health and Care Excellence 2014 guidelines were used to form standard targets for each of the structural, process and outcome components of the care process. Each of the consultation rooms was inspected for the structure components of the care process. For the process and outcome components of care, the medical records of all patients being managed for osteoarthritis at the GOPD of JUTH over a 1‑year period were retrieved and studied. Results: For one aspect of the structural component (i.e. availability of weighing scale for each consultation room), 80% of the standard target was met which was below the standard target of 100%. The highest performance under the process component was for the documentation of risk associated with the use of nonsteroidal anti‑inflammatory drugs (NSAIDs) and documentation for NSAID/cyclooxygenase‑2 inhibitors use with a gastro‑protective agent. For both of these, 22.4% of the standard target was met; less than the standard target of 100% and 80% respectively. None of the standard targets for the outcome component were met. Conclusion: The quality of care for patients with osteoarthritis in this practice setting was sub‑optimal. More can be done by family physicians with regards provision of comprehensive care for patients suffering from osteoarthritis.