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

Linda Fernandes; Kare B. Hagen; Johannes W.J. Bijlsma; Oyvor Andreassen; Pia Christensen; Philip G. Conaghan; Michael Doherty; Rinie Geenen; Alison Hammond; Ingvild Kjeken; L. Stefan Lohmander; Hans Lund; Christian D. Mallen; Tiziana Nava; Susan Oliver; Karel Pavelka; Irene Pitsillidou; Jose Antonio da Silva; Jenny de la Torre; Gustavo Zanoli; Theodora P.M. Vliet Vlieland

doi:10.1136/annrheumdis-2012-202745

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

Linda Fernandes, Kare B. Hagen, Johannes W.J. Bijlsma, Oyvor Andreassen, Pia Christensen, Philip G. Conaghan, Michael Doherty, Rinie Geenen, Alison Hammond, Ingvild Kjeken, L. Stefan Lohmander, Hans Lund, Christian D. Mallen, Tiziana Nava, Susan Oliver, Karel Pavelka, Irene Pitsillidou, Jose Antonio da Silva, Jenny de la Torre, Gustavo ZanoliTheodora P.M. Vliet Vlieland

Institut for Idræt og Ernæring - Fedmeforskning

639 Citationer (Scopus)

Abstract

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 non-pharmacological 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.

Originalsprog	Engelsk
Tidsskrift	Annals of the Rheumatic Diseases
Vol/bind	72
Udgave nummer	7
Sider (fra-til)	1125-1135
Antal sider	11
ISSN	0003-4967
DOI	https://doi.org/10.1136/annrheumdis-2012-202745
Status	Udgivet - jul. 2013

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10.1136/annrheumdis-2012-202745

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Fernandes, L., Hagen, K. B., Bijlsma, J. W. J., Andreassen, O., Christensen, P., Conaghan, P. G., Doherty, M., Geenen, R., Hammond, A., Kjeken, I., Lohmander, L. S., Lund, H., Mallen, C. D., Nava, T., Oliver, S., Pavelka, K., Pitsillidou, I., da Silva, J. A., de la Torre, J., ... Vlieland, T. P. M. V. (2013). EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Annals of the Rheumatic Diseases, 72(7), 1125-1135. https://doi.org/10.1136/annrheumdis-2012-202745

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 & Vlieland, TPMV 2013, 'EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis', Annals of the Rheumatic Diseases, bind 72, nr. 7, s. 1125-1135. https://doi.org/10.1136/annrheumdis-2012-202745

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title = "EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis",

abstract = "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 non-pharmacological 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.",

author = "Linda Fernandes and Hagen, {Kare B.} and Bijlsma, {Johannes W.J.} and Oyvor Andreassen and Pia Christensen and Conaghan, {Philip G.} and Michael Doherty and Rinie Geenen and Alison Hammond and Ingvild Kjeken and Lohmander, {L. Stefan} and Hans Lund and Mallen, {Christian D.} and Tiziana Nava and Susan Oliver and Karel Pavelka and Irene Pitsillidou and {da Silva}, {Jose Antonio} and {de la Torre}, Jenny and Gustavo Zanoli and Vlieland, {Theodora P.M. Vliet}",

note = "CURIS 2013 NEXS 352",

year = "2013",

month = jul,

doi = "10.1136/annrheumdis-2012-202745",

language = "English",

volume = "72",

pages = "1125--1135",

journal = "Annals of the Rheumatic Diseases",

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T1 - EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis

AU - Fernandes, Linda

AU - Hagen, Kare B.

AU - Bijlsma, Johannes W.J.

AU - Andreassen, Oyvor

AU - Christensen, Pia

AU - Conaghan, Philip G.

AU - Doherty, Michael

AU - Geenen, Rinie

AU - Hammond, Alison

AU - Kjeken, Ingvild

AU - Lohmander, L. Stefan

AU - Lund, Hans

AU - Mallen, Christian D.

AU - Nava, Tiziana

AU - Oliver, Susan

AU - Pavelka, Karel

AU - Pitsillidou, Irene

AU - da Silva, Jose Antonio

AU - de la Torre, Jenny

AU - Zanoli, Gustavo

AU - Vlieland, Theodora P.M. Vliet

N1 - CURIS 2013 NEXS 352

PY - 2013/7

Y1 - 2013/7

N2 - 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 non-pharmacological 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.

AB - 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 non-pharmacological 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.

U2 - 10.1136/annrheumdis-2012-202745

DO - 10.1136/annrheumdis-2012-202745

M3 - Journal article

C2 - 23595142

SN - 0003-4967

VL - 72

SP - 1125

EP - 1135

JO - Annals of the Rheumatic Diseases

JF - Annals of the Rheumatic Diseases

IS - 7

ER -

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

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