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001-es BibID:BIBFORM075279
035-os BibID:(WoS)000455953500014 (Scopus)85052871018
Első szerző:Kloppenburg, Margreet
Cím:2018 update of the EULAR recommendations for the management of hand osteoarthritis / Margreet Kloppenburg, Féline P. B. Kroon, Francisco J. Blanco, Michael Doherty, Krysia S. Dziedzic, Elsie Greibrokk, Ida K. Haugen, Gabriel Herrero-Beaumont, Helgi Jonsson, Ingvild Kjeken, Emmanuel Maheu, Roberta Ramonda, Marco J. P. F. Ritt, Wilma Smeets, Josef S. Smolen, Tanja A. Stamm, Zoltan Szekanecz, Ruth Wittoek, Loreto Carmona
Dátum:2019
ISSN:0003-4967
Megjegyzések:Since publication of the European League Against Rheumatism (EULAR) recommendations for management of hand osteoarthritis (OA) in 2007 new evidence has emerged. The aim was to update these recommendations. EULAR standardised operating procedures were followed. A systematic literature review was performed, collecting the evidence regarding all non-pharmacological, pharmacological and surgical treatment options for hand OA published to date. Based on the evidence and expert opinion from an international task force of 19 physicians, healthcare professionals and patients from 10 European countries formulated overarching principles and recommendations. Level of evidence, grade of recommendation and level of agreement were allocated to each statement. Five overarching principles and 10 recommendations were agreed on. The overarching principles cover treatment goals, information provision, individualisation of treatment, shared decision-making and the need to consider multidisciplinary and multimodal (non-pharmacological, pharmacological, surgical) treatment approaches. Recommendations 1?3 cover different nonpharmacological treatment options (education, assistive devices, exercises and orthoses). Recommendations 4?8 describe the role of different pharmacological treatments, including topical treatments (preferred over systemic treatments, topical non-steroidal anti-inflammatory drugs (NSAIDs) being first-line choice), oral analgesics (particularly NSAIDs to be considered for symptom relief for a limited duration), chondroitin sulfate (for symptom relief), intra-articular glucocorticoids (generally not recommended, consider for painful interphalangeal OA) and conventional/ biological disease-modifying antirheumatic drugs (discouraged). Considerations for surgery are described in recommendation 9. The last recommendation relates to follow-up. The presented EULAR recommendations provide up-to-date guidance on the management of hand OA, based on expert opinion and research evidence.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Annals of the Rheumatic Diseases. - 78 : 1 (2019), p. 16-24. -
További szerzők:Kroon, Féline P. B. Blanco, Francisco J. Doherty, Michael Dziedzic, Krysia S. Greibrokk, Elsie Haugen, Ida K. Herrero-Beaumont, Gabriel Jonsson, Helgi Kjeken, Ingvild Maheu, Emmanuel Ramonda, Roberta Ritt, Marco J. P. F. Smeets, Wilma Smolen, Josef S. Stamm, Tanja A. Szekanecz Zoltán (1964-) (reumatológus, belgyógyász, immunológus) Wittoek, Ruth Carmona, Loreto
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