EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update
Language English Country United States Media electronic
Document type Journal Article, Practice Guideline
PubMed
38212040
PubMed Central
PMC11103326
DOI
10.1136/ard-2023-225041
PII: S0003-4967(24)00129-8
Knihovny.cz E-resources
- Keywords
- Osteoarthritis, Osteoarthritis, Knee, Physical Therapy Modalities, Rehabilitation, Therapeutics,
- MeSH
- Osteoarthritis, Knee * therapy rehabilitation MeSH
- Osteoarthritis, Hip * therapy rehabilitation MeSH
- Weight Loss MeSH
- Humans MeSH
- Evidence-Based Medicine MeSH
- Self-Help Devices MeSH
- Self-Management methods MeSH
- Exercise Therapy * methods MeSH
- Patient Education as Topic methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Practice Guideline MeSH
- Geographicals
- Europe MeSH
INTRODUCTION: Hip and knee osteoarthritis (OA) are increasingly common with a significant impact on individuals and society. Non-pharmacological treatments are considered essential to reduce pain and improve function and quality of life. EULAR recommendations for the non-pharmacological core management of hip and knee OA were published in 2013. Given the large number of subsequent studies, an update is needed. METHODS: The Standardised Operating Procedures for EULAR recommendations were followed. A multidisciplinary Task Force with 25 members representing 14 European countries was established. The Task Force agreed on an updated search strategy of 11 research questions. The systematic literature review encompassed dates from 1 January 2012 to 27 May 2022. Retrieved evidence was discussed, updated recommendations were formulated, and research and educational agendas were developed. RESULTS: The revised recommendations include two overarching principles and eight evidence-based recommendations including (1) an individualised, multicomponent management plan; (2) information, education and self-management; (3) exercise with adequate tailoring of dosage and progression; (4) mode of exercise delivery; (5) maintenance of healthy weight and weight loss; (6) footwear, walking aids and assistive devices; (7) work-related advice and (8) behaviour change techniques to improve lifestyle. The mean level of agreement on the recommendations ranged between 9.2 and 9.8 (0-10 scale, 10=total agreement). The research agenda highlighted areas related to these interventions including adherence, uptake and impact on work. CONCLUSIONS: The 2023 updated recommendations were formulated based on research evidence and expert opinion to guide the optimal management of hip and knee OA.
Center for treatment of Rheumatic and Musculoskeletal Diseases Diakonhjemmet Hospital Oslo Norway
Centre for Evidence Based Practice Western Norway University of Applied Sciences Bergen Norway
Comprehensive Health Research Center Universidade Nova de Lisboa Lisboa Portugal
Department of Academic Rheumatology University of Nottingham Nottingham UK
Department of Clinical Sciences Lund Orthopaedics Lund University Lund Sweden
Department of Rheumatology Leiden University Medical Center Leiden The Netherlands
Department of Rheumatology Zuyderland Medical Centre Heerlen Heerlen The Netherlands
EULAR Patient Research Partner Cyprus League Against Rheumatism Nicosia Cyprus
EULAR Patient Research Partner Deutsche Rheuma Liga Bonn Germany
Keele University School of Medicine Keele UK
Orthopaedic Ward Casa di Cura Santa Maria Maddalena Novara Italy
Positivamente Centro de Psicología Madrid Spain
Rehabilitation Research Department Vrije Universiteit Brussel Brussel Belgium
Research and Innovation Sint Maartenskliniek Nijmegen The Netherlands
Research Institute for Primary Care and Health Sciences Keele University School of Medicine Keele UK
School of Nursing and Midwifery Keele University Keele UK
UMHAT St Iv Rilski Clinic of Rheumatology Medical University Sofia Sofia Bulgaria
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