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Type: Artigo
Title: PANLAR consensus recommendations for the management in osteoarthritis of hand, hip, and knee
Author: Rillo, Oscar
Riera, Humberto
Acosta, Carlota
Liendo, Verónica
Bolaños, Joyce
Monterola, Ligia
Nieto, Edgar
Arape, Rodolfo
Franco, Luisa M.
Vera, Mariflor
Papasidero, Silvia
Espinosa, Rolando
Esquivel, Jorge A.
Souto, Renee
Rossi, Cesar
Molina, José F.
Salas, José
Ballesteros, Francisco
Radrigan, Francisco
Guibert, Marlene
Reyes, Gil
Chico, Araceli
Camacho, Walter
Urioste, Lorena
Garcia, Abraham
Iraheta, Isa
Gutierrez, Carmen E.
Aragón, Raúl
Duarte, Margarita
Gonzalez, Margarita
Castañeda, Oswaldo
Angulo, Juan
Coimbra, Ibsen
Munoz-Louis, Roberto
Saenz, Ricardo
Vallejo, Carlos
Briceño, Julio
Acuña, Ramón P.
De León, Anibal
Reginato, Anthony M.
Möller, Ingrid
Caballero, Carlo V.
Quintero, Maritza
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: Osteoartrite
Country: Estados Unidos
Editor: Lippincott Williams & Wilkins
Rights: Fechado
Identifier DOI: 10.1097/RHU.0000000000000449
Date Issue: 2016
Appears in Collections:FCM - Artigos e Outros Documentos

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