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as most salient or pertinent were then further discussed in a world café format. The latter were focused on “solving problems or roadblocks”, and identifying ways that the issues could be addressed in Alberta. The primary issues identified were as follows: Day 1 – Management and prevention of OA and obesity · How to better support Albertans living with both OA and obesity · What programs or strategies to prevent obesity and OA can be implemented across Alberta (and how) · What provincial level approaches can be used to evaluate quality improvement initiatives focused on OA and obesity across the life span · What knowledge translation opportunities should be exploited Day 2 – Arthroplasty for patients with OA and obesity · What are the options and/or pathways for patients to reach their healthiest self prior to considering surgery · Communication strategies to effectively disseminate the information from the workshop 20 Bone and Joint Health Strategic Clinical Network · What strategies can be used to shift perceptions regarding arthroplasty (surgery) as being the ultimate goal for all patients In addition to the above, two dedicated breakout sessions were held that provided an opportunity for participants to provide constructive input and feedback on two initiatives currently under development in Alberta and directly applicable for the Albertan with OA and obesity: · Readiness of Patients with Obesity for Arthroplasty Checklist – developed in collaboration with the DON SCN – its purpose is to provide a comprehensive tool which could be used by health care professionals to consider the various factors that impact determination of appropriateness for a patient with OA and obesity for arthroplasty · OA Care Framework – being developed by the BJH SCN, it applies a stepped-care approach in addressing how Albertans with OA manage living with OA and how they may access the health care system to support their care needs. The goal of this session was to explore if the framework requires further modification and adaption to specifically consider the Albertan with OA and obesity. Next steps White paper – The white paper will now be finalized and posted on the BJH SCN website, where it can be publicly accessed We will be working with Kristine Godziuk to publish the knowledge synthesis and a meeting report. Action teams - The BJH SCN led the initiation of this multi-stakeholder discussion on how we address the challenges faced by Albertans living with OA and obesity and the health care system which aims to provide high quality care. The role of the BJH SCN going forward from the workshop is to facilitate action around key topics identified through workshop discussions. It is imperative that the momentum generated at the workshop be maintained, to ensure that there is productive and proactive action on the issues raised. Therefore, we recognize it is our responsibility for enabling the movement forward. Given our provincial leadership role, the BJH SCN is well positioned to enable and facilitate intra-provincial collaborations with essential stakeholders to move the agenda forward. Based on a review and analysis of priorities emanating from the world cafés on Day 1 and Day 2 and input from the facilitators of the two break-out sessions, the following priority areas of work emerged: 21 Bone and Joint Health Strategic Clinical Network 1. Identify ways to modify or adapt exercise programs (e.g. GLA:D, Joint Effort) to enable participation of individuals with morbid obesity 2. Develop an OA Care Pathway sub-stream that considers the challenges and complications of those with obesity 3. Develop a thinking hub for innovative and out of the box thinking to drive or inform future research questions on OA and obesity 4. Development of a provincial guidance statement regarding risk and appropriateness related to arthroplasty for Albertans with obesity 5. Implementation of evidence-based osteoarthritis prevention programs across Alberta 6. Identify approaches for provincial level data capture and evaluation of quality improvement initiatives 7. Initiate perception change regarding the role of surgery in the treatment of chronic conditions, and implement the stepped care approach to management These priority areas will be addressed by “Action Teams” which will be formed by volunteers from the workshop or the broader community (based on expressed interest). Each will be tasked with identifying specific recommendations and engaging in the required activities to advance the work in that area within a 12 to18 month period. Deliverables may include, but are not limited to, one or more of the following: · Guidelines for Primary Care and Surgeons, as well as patients · Outcomes database development · Knowledge synthesis/literature reviews · Progress reports (biannual) · Presentations to appropriate SCN Core Committees · Peer reviewed publications · Research project grants proposals/applications Our goal is to initiate up to three Action Teams by end of October 2017. The Scientific Director (DH) and Assistant Scientific Director (AKR) of the BJH SCN will provide oversight. The Action Teams will report directly to the BJH SCN Scientific Office. Changes in Body Weight After Total Hip Arthroplasty: Short-term and Long-term Effects Nienke Paans, Martin Stevens, Robert
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