Developing a minimum standard of care for treating people with osteoarthritis of the hip and knee

Best Practice & Research. Clinical Rheumatology
Lyn MarchCaroline Brand

Abstract

We reviewed three recently published guidelines for the management of osteoarthritis (OA) and considered the evidence and potential for implementation. From this we propose a minimum standard of care, or a 'core set' of interventions, that should be offered to all patients with OA of the hip and/or knee. Eight core recommendations emerged where it is recommended that health-care professionals: Provide advice about, and offer access to appropriate information for OA self-management and lifestyle change; Provide advice about weight loss if patient is overweight or obese and refer to services as required; Provide advice for land-based exercises incorporating aerobic and strengthening components and refer to services as required; Recommend adequate paracetamol for pain relief; Make patients aware that non-steroid anti-inflammatory drugs (NSAIDs) or coxibs can improve symptoms in majority but this comes with potential for harm and that risk potential varies--be aware of and minimise the individual's risk potential; Offer intra-articular steroids for short-term relief of a flare or acute deterioration in symptoms; Offer stronger analgesic relief if prolonged severe symptoms; Offer access to assessment for arthroplasty for consumers w...Continue Reading

References

Oct 10, 2002·Hormone Research·Dominique SimonPaul Czernichow
Oct 17, 2002·JAMA : the Journal of the American Medical Association·Thomas BodenheimerKevin Grumbach
Dec 21, 2002·BMJ : British Medical Journal·UNKNOWN Clinicians for the Restoration of Autonomous Practice (CRAP) Writing Group
Jul 2, 2003·Journal of the American Geriatrics Society·David H SolomonNanette Wenger
Oct 28, 2003·Disease Management : DM·Thomas Bodenheimer
Dec 23, 2003·Journal of the American Geriatrics Society·David B ReubenNeil S Wenger
Oct 9, 2004·Annals of the Rheumatic Diseases·W ZhangUNKNOWN EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)
Dec 15, 2004·The Milbank Quarterly·Trisha GreenhalghOlivia Kyriakidou
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Amit X GargR Brian Haynes
Mar 18, 2006·BMJ : British Medical Journal·David J Hunter, David T Felson
Sep 6, 2006·Circulation·Harlan M KrumholzUNKNOWN American Heart Association Disease Management Taxonomy Writing Group
Oct 19, 2006·Clinical Rheumatology·Robert J Petrella, Paul Davis
Nov 6, 2007·Journal of the American Geriatrics Society·Vineet M AroraDavid O Meltzer
Jan 1, 2008·Arthritis and Rheumatism·Rana S HinmanKim L Bennell
Feb 28, 2008·Nature Clinical Practice. Rheumatology·Richard H OsborneAnne Rogers
Mar 4, 2008·BMJ : British Medical Journal·Philip G ConaghanUNKNOWN Guideline Development Group
Mar 15, 2008·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·David Greenfield, Jeffrey Braithwaite
Apr 29, 2008·Arthritis and Rheumatism·Priscilla T RodriguesRicardo Fuller
Sep 20, 2008·The American Journal of Bioethics : AJOB·UNKNOWN Joint Centre for Bioethics Pandemic Ethics Working Group, Ross Upshur
Jan 22, 2009·Respiratory Medicine·Karin M M LemmensRobbert Huijsman
Jul 30, 2009·BMC Musculoskeletal Disorders·Stephen P MessierBarbara J Nicklas

❮ Previous
Next ❯

Citations

Oct 20, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Henning MadryAndrea Facchini
Nov 20, 2012·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Sandra NolteRichard H Osborne
Dec 8, 2014·Best Practice & Research. Clinical Rheumatology·Robyn SpeerinAndrew M Briggs
Dec 12, 2012·Best Practice & Research. Clinical Rheumatology·Elizabeth M Badley, Aileen M Davis
Oct 4, 2011·Burns : Journal of the International Society for Burn Injuries·Dina WattersonPeter Cameron
Nov 17, 2015·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Sarah PurcellCarla M Prado
May 15, 2013·Journal of Biomedical Informatics·Kate ButtonIrena Spasić
Dec 3, 2014·The Journal of Arthroplasty·Antonia F ChenMatthew S Austin
Jun 28, 2016·Journal of Advanced Nursing·Tiina PellinenTarja Kettunen
May 28, 2011·Australian Journal of Primary Health·Jennifer M NewtonLyn Clearihan
Jul 22, 2017·Nature Reviews. Drug Discovery·Bennett G ChildsJan M van Deursen
Jan 16, 2014·The Cochrane Database of Systematic Reviews·Féline P B KroonVeronica Pitt
Jun 4, 2010·Nature Reviews. Rheumatology·Kim L Bennell, Stephen P Messier
Dec 9, 2010·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Min Young KimChun Bae Kim
May 17, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·J DevineU Ravens-Sieberer
Apr 18, 2012·Cancer·Kerri M Winters-StoneKristin L Campbell
May 10, 2013·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Wenqing YangRu Li
May 22, 2020·The Australian and New Zealand Journal of Psychiatry·Donel M MartinColleen K Loo
Jan 26, 2011·Scandinavian Journal of Rheumatology·G F SnijdersUNKNOWN NOAC Study Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antipsychotic-Induced Weight Gain

Antipsychotic-induced weight gain (aiwg) is a common adverse effect of this treatment, particularly with second-generation antipsychotics, and it is a major health problem around the world. Here are the latest discoveries pertaining to AIWG.