Article Text

Download PDFPDF
Non-operative management, supported by self-monitoring using web-based patient reported outcome measures (PROMs), in knee osteoarthritis
  1. Elinor Webb1,
  2. Rebekah J Parkes2,
  3. Anthony Thomas Gough2,
  4. Dan H Williams2
  1. 1 Medical School, University of Exeter, Exeter, UK
  2. 2 Department of Trauma and Orthopaedics, Royal Cornwall Hospitals NHS Trust, Truro, UK
  1. Correspondence to Anthony Thomas Gough, anthonygough{at}


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.

  • orthopaedics
  • degenerative joint disease
  • osteoarthritis
  • physiotherapy (sports medicine)

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors The case was identified by DHW (consultant T&O surgeon). The case was initially investigated and structured by EW with oversight from ATG. The learning points and were determined by RP, with EW and RP building the discussion. All members contributed to and approved the overall structure and contributed to editing of the final version.

  • Funding The introduction and evaluation of the clinic was a Shine programme supported by the Health foundation.

  • Competing interests DHW is a cofounder of My Clinical Outcomes.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Linked Articles