{"id":1098,"date":"2024-01-31T10:38:43","date_gmt":"2024-01-31T10:38:43","guid":{"rendered":"https:\/\/blogs.bmj.com\/rheumsummaries\/?p=1098"},"modified":"2024-01-31T10:51:27","modified_gmt":"2024-01-31T10:51:27","slug":"update-recommendations-for-hip-and-knee-osteoarthritis","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/rheumsummaries\/2024\/01\/31\/update-recommendations-for-hip-and-knee-osteoarthritis\/","title":{"rendered":"Update: Recommendations for hip and knee osteoarthritis"},"content":{"rendered":"

This is the lay version of the EULAR recommendations for managing osteoarthritis in the hip or knee using\u00a0 non-drug management options. The original publication can be downloaded from the EULAR website:\u00a0 www.eular.org.\u00a0<\/span><\/p>\n

Moseng T, Vliet Vlieland TPM, Battista S, et alEULAR recommendations for the non-pharmacological core <\/span>\u00a0<\/span>management of hip and knee osteoarthritis: 2023 updateAnnals of the Rheumatic Diseases Published <\/span>\u00a0<\/span>Online First: 11 January 2024. doi: 10.1136\/ard-2023-225041<\/span>\u00a0<\/span><\/a><\/p>\n

Introduction
\n<\/b>EULAR \u2013 the European Alliance of Associations for Rheumatology \u2013 gives advice to health professionals\u00a0 such as doctors, nurses, physiotherapists, occupational therapists, and patients about the best way to treat\u00a0 and manage diseases. In 2023, EULAR produced new recommendations focused on non-drug approaches\u00a0 to help people with osteoarthritis in their hips or knees.\u00a0\u00a0<\/span><\/p>\n

Doctors, nurses, other health professionals, and patients worked together to develop this new advice. The\u00a0 patients in the team ensured that the patient point of view was included.\u00a0\u00a0<\/span><\/p>\n

What do we already know?
\n<\/b>Osteoarthritis is very common. Around 11% of adults have osteoarthritis in their hips, and 24% have it in their\u00a0 knees. Osteoarthritis is age related, and usually starts to affect people in middle age. Osteoarthritis is the\u00a0 most common cause of disability for elderly people, resulting in pain and limited mobility and participation.\u00a0\u00a0<\/span><\/p>\n

Recommendations for managing osteoarthritis are divided into those looking at drug therapies, non-drug\u00a0 treatments, and surgery. Since there is no cure for osteoarthritis, non-drug management options are a core\u00a0 treatment. These approaches aim to relieve symptoms and improve or maintain physical function.\u00a0<\/span><\/p>\n

EULAR first wrote recommendations focusing on non-drug options for people with osteoarthritis in their hips\u00a0 or knees in 2013. This new update takes into account new evidence that has been collected since then.\u00a0\u00a0<\/span><\/p>\n

What do the recommendations say?
\n<\/b>In total, there are two overarching principles and eight recommendations. The principles say that in people\u00a0 with osteoarthritis in their hips or knees, the initial assessment should use a biopsychosocial approach to\u00a0 consider physical and psychological status, activities of daily living, participation including work, social\u00a0 determinants and environmental factors. They also stress that treatment should be based on shared\u00a0 decision-making considering the needs, preferences, and capabilities of each individual person.\u00a0<\/span><\/p>\n

Each recommendation is based on the best current knowledge from studies of scientific evidence or expert\u00a0 opinion. The more stars a recommendation has the stronger the evidence is. However, recommendations\u00a0 with limited scientific evidence may be important, because the experts can have a strong opinion even when\u00a0 the published evidence may be lacking.\u00a0<\/span><\/p>\n

One star (*) means it is a recommendation with limited scientific evidence.\u00a0\u00a0<\/span><\/p>\n

Two stars (**) means it is a recommendation with some scientific evidence.\u00a0<\/span><\/p>\n

Three stars (***) means it is a recommendation with quite a lot of scientific evidence. Four stars (****) means <\/span>\u00a0<\/span>it is a recommendation supported with a lot of scientific evidence.<\/span><\/p>\n

Recommendations\u00a0<\/b><\/p>\n