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EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis

Fernandes, L, Hagen, KB, Bijlsma, JWJ, Andreassen, O, Christensen, P, Conaghan, PG, Doherty, M, Geenen, R, Hammond, A, Kjeken, I, Lohmander, LS, Lund, H, Mallen, CD, Nava, T, Oliver, S, Pavelka, K, Pitsillidou, I, da Silva, JA, de la Torre, J, Zanoli, G and Vliet Vlieland, TPM 2013, 'EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis' , Annals of the Rheumatic Diseases, 72 (7) , pp. 1125-1135.

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The objective was to develop evidence -based recommendations and a research and educational agenda for the non-pharmacological management of hip and knee osteoarthritis (OA). The multidisciplinary task force comprised 21 experts: nurses, occupational therapists, physiotherapists, rheumatologists, orthopaedic surgeons, general practitioner, psychologist, dietician, clinical epidemiologist and patient representatives. After a preliminary literature review, a first task force meeting and five Delphi rounds, provisional recommendations were formulated in order to perform a systematic review. A literature search of Medline and eight other databases was performed up to February 2012. Evidence was graded in categories I–IV and agreement with the recommendations was determined through scores from 0 (total disagreement) to 10 (total agreement). Eleven evidence-based recommendations for the nonpharmacological core management of hip and knee OA were developed, concerning the following nine topics: assessment, general approach, patient information and education, lifestyle changes, exercise, weight loss, assistive technology and adaptations, footwear and work. The average level of agreement ranged between 8.0 and 9.1. The proposed research agenda included an overall need for more research into non-pharmacological interventions for hip OA, moderators to optimise individualised treatment, healthy lifestyle with economic evaluation and long-term follow-up, and the prevention and reduction of work disability. Proposed educational activities included the required skills to teach, initiate and establish lifestyle changes. The 11 recommendations provide guidance on the delivery of non-pharmacological interventions to people with hip or knee OA. More research and educational activities are needed, particularly in the area of lifestyle changes.

Item Type: Article
Themes: Health and Wellbeing
Schools: Schools > School of Health Sciences > Centre for Health Sciences Research
Journal or Publication Title: Annals of the Rheumatic Diseases
Refereed: Yes
ISSN: 0003-4967
Related URLs:
Funders: Non funded research
Depositing User: RH Shuttleworth
Date Deposited: 19 Feb 2015 14:19
Last Modified: 19 Feb 2015 14:19

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