SP0044 Functional Consequences of Hand Osteoarthritis

Hand osteoarthritis (OA) is not a single disease but a group of complex conditions ranging from a syndrome of joint pain accompanied by functional limitation to highly characterised subsets of radiographic hand OA. Whilst hand OA is one of the commonest forms of osteoarthritis there is a “knowledge-to-practice” gap in recognising and addressing functional consequences of hand OA across the clinical pathway.This presentation will consider functional consequences of hand OA at four levels: societal (population level); health care delivery (organisational level); health care professional level; and the impact on the person living with hand OA (individual level). It will draw on findings from three large cohorts of adults 50 years and over studied in North West Midlands, UK (n=30,000) (1–3) to describe the functional consequences of hand OA at a population level. Findings from a randomised controlled trial (3), an implementation study (4) and qualitative data (5) will be used to illustrate health care (e.g. primary care; occupational therapy) for the functional consequences of hand OA. The impact on the individual will be described using qualitative data of participant experiences of living with hand OA (6).Proposals for closing the “knowledge-to-practice” gap for the functional consequences of hand OA will be discussed.ReferencesDziedzic K, Thomas E, Hill S, et al. The impact of musculoskeletal hand problems in older adults: findings from the North Staffordshire Osteoarthritis Project (NorStOP). Rheumatology (Oxford). 2007Jun;46(6):963–7.Myers H, Nicholls E, Handy J, et al. The Clinical Assessment Study of the Hand (CAS-HA): a prospective study of musculoskeletal hand problems in the general population. BMC Musculoskelet Disord. 2007 Aug 30;8:85.Dziedzic K, Nicholls E, Hill S, et al. Self-management approaches for osteoarthritis in the hand: a 2×2 factorial randomised trial. Ann Rheum Dis. 2015 Jan;74(1):108–18.Dziedzic KS, Healey EL, Porcheret M, et al. Implementing the NICE osteoarthritis guidelines: a mixed methods study and cluster randomised trial of a model osteoarthritis consultation in primary care – the Management of OsteoArthritis In Consultations (MOSAICS) study protocol. Implement Sci. 2014 Aug 27;9:95.Hill S, Dziedzic KS, Nio Ong B. Patients' perceptions of the treatment and management of hand osteoarthritis: a focus group enquiry. Disabil Rehabil. 2011;33(19–20):1866–72.Hill S, Dziedzic KS, Ong BN. The functional and psychological impact of hand