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Type: Artigo
Title: Panlar Consensus Recommendations For The Management In Osteoarthritis Of Hand,hhip, And Knee
Author: Rillo
Oscar; Riera
Humberto; Acosta
Carlota; Liendo
Veronica; Bolanos
Joyce; Monterola
Ligia; Nieto
Edgar; Arape
Rodolfo; Franco
Luisa M.; Vera
Mariflor; Papasidero
Silvia; Espinosa
Rolando; Esquivel
Jorge A.; Souto
Renee; Rossi
Cesar; Molina
Jose F.; Salas
Jose; Ballesteros
Francisco; Radrigan
Francisco; Guibert
Marlene; Reyes
Gil; Chico
Araceli; Camacho
Walter; Urioste
Lorena; Garcia
Abraham; Iraheta
Isa; Gutierrez
Carmen E.; Aragon
Raul; Duarte
Margarita; Gonzalez
Margarita; Castaneda
Oswaldo; Angulo
Juan; Coimbra
Ibsen; Munoz-Louis
Roberto; Saenz
Ricardo; Vallejo
Carlos; Briceno
Julio; Acuna
Ramon P.; De Leon
Anibal; Reginato
Anthony M.; Moller
Ingrid; Caballero
Carlo V.; Quintero
Abstract: 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. Methods: 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. Results: 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. Conclusions: 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.
Subject: Randomized Controlled-trial
Placebo-controlled Trial
Nonsteroidal Antiinflammatory Drugs
Platelet-rich Plasma
Controlled Clinical-trial
Bone-marrow Lesions
Chondroitin Sulfate
Editor: Lippincott Williams & Wilkins
Citation: Jcr- Journal Of Clinical Rheumatology. Lippincott Williams & Wilkins, v. 22, p. 345 - 354, 2016.
Rights: fechado
Identifier DOI: 10.1097/RHU.0000000000000449
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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