EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update

IntroductionHip 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 managemen...

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Bibliographic Details
Published in:Annals of the rheumatic diseases Vol. 83; no. 6; pp. 730 - 740
Main Authors: Moseng, Tuva, Vliet Vlieland, Theodora P M, Battista, Simone, Beckwée, David, Boyadzhieva, Vladimira, Conaghan, Philip G, Costa, Daniela, Doherty, Michael, Finney, Andrew G, Georgiev, Tsvetoslav, Gobbo, Milena, Kennedy, Norelee, Kjeken, Ingvild, Kroon, Féline P B, Lohmander, L Stefan, Lund, Hans, Mallen, Christian D, Pavelka, Karel, Pitsillidou, Irene A, Rayman, Margaret P, Tveter, Anne Therese, Vriezekolk, Johanna E, Wiek, Dieter, Zanoli, Gustavo, Østerås, Nina
Format: Journal Article
Language:English
Published: England BMJ Publishing Group Ltd and European League Against Rheumatism 01.06.2024
Elsevier Limited
BMJ Publishing Group
Subjects:
Arthritis
Clinical Medicine
Cognition & reasoning
Cost analysis
Disease
Drug therapy
Europe
Evidence-Based Medicine
Exercise
Exercise Therapy - methods
Hip
Humans
Intervention
Klinisk medicin
Knee
Literature reviews
Management
Medical and Health Sciences
Medicin och hälsovetenskap
Osteoarthritis
Osteoarthritis, Hip - rehabilitation
Osteoarthritis, Hip - therapy
Osteoarthritis, Knee
Osteoarthritis, Knee - rehabilitation
Osteoarthritis, Knee - therapy
Patient Education as Topic - methods
Physical Therapy Modalities
Quality of life
Recommendation
Rehabilitation
Revisions
Self-Help Devices
Self-Management - methods
Therapeutics
Weight Loss
Europe
Osteoarthritis, Knee
Physical Therapy Modalities
Rehabilitation
Osteoarthritis
Therapeutics
ISSN:0003-4967, 1468-2060, 1468-2060
Online Access:Get full text
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Summary:IntroductionHip 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.MethodsThe 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.ResultsThe 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.ConclusionsThe 2023 updated recommendations were formulated based on research evidence and expert opinion to guide the optimal management of hip and knee OA.
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ISSN:0003-4967
1468-2060
1468-2060
DOI:10.1136/ard-2023-225041