PANLAR Consensus Recommendations for the Management in Osteoarthritis of Hand, Hip, and Knee
| Autor: | Carlota Acosta, Joyce Bolanos, Carlos Vallejo, Carmen E. Gutierrez, Carlo Vinicio Caballero, Juan Angulo, Silvia Papasidero, Lorena Urioste, Julio Briceño, Oswaldo Castañeda, Cesar Rossi, Gil Reyes, Roberto Muñoz-Louis, José A. Salas, Edgar Nieto, H. Riera, Marlene Guibert, Ramón Pérez Acuña, Francisco J. Ballesteros, Raul Aragon, Ligia Monterola, Rolando Espinosa, Anthony M. Reginato, Abraham Garcia, Mariflor Vera, Maritza Quintero, Rodolfo Arape, Araceli Chico, Luisa Mariela Franco, Veronica Liendo, Margarita Gonzalez, Francisco Radrigan, Walter Camacho, Anibal De Leon, Renee Souto, Oscar Rillo, Ibsen Bellini Coimbra, José Fernando Molina, Isa Iraheta, Ricardo Saenz, Margarita Duarte, Jorge Esquivel, Ingrid Möller |
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| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Consensus Delphi Technique MEDLINE Alternative medicine Delphi method Osteoarthritis Osteoarthritis Hip 03 medical and health sciences 0302 clinical medicine Rheumatology medicine Humans 030212 general & internal medicine Research evidence 030203 arthritis & rheumatology Evidence-Based Medicine business.industry Evidence-based medicine Osteoarthritis Knee musculoskeletal system medicine.disease Hand Practice Guidelines as Topic Physical therapy business |
| Zdroj: | Journal of clinical rheumatology : practical reports on rheumaticmusculoskeletal diseases. 22(7) |
| ISSN: | 1536-7355 |
| Popis: | The objective of this consensus is to update the recommendations for the treatment of hand, hip, and knee osteoarthritis (OA) by agreeing on key propositions relating to the management of hand, hip, and knee OA, by identifying and critically appraising research evidence for the effectiveness of the treatments and by generating recommendations based on a combination of the available evidence and expert opinion of 18 countries of America.Recommendations were developed by a group of 48 specialists of rheumatologists, members of other medical disciplines (orthopedics and physiatrists), and three patients, one for each location of OA. A systematic review of existing articles, meta-analyses, and guidelines for the management of hand, hip, and knee OA published between 2008 and January 2014 was undertaken. The scores for Level of Evidence and Grade of Recommendation were proposed and fully consented within the committee based on The American Heart Association Evidence-Based Scoring System. The level of agreement was established through a variation of Delphi technique.Both "strong" and "conditional" recommendations are given for management of hand, hip, and knee OA and nonpharmacological, pharmacological, and surgical modalities of treatment are presented according to the different levels of agreement.These recommendations are based on the consensus of clinical experts from a wide range of disciplines taking available evidence into account while balancing the benefits and risks of nonpharmacological, pharmacological, and surgical treatment modalities, and incorporating their preferences and values. Different backgrounds in terms of patient education or drug availability in different countries were not evaluated but will be important. |
| Databáze: | OpenAIRE |
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