关于关节骨关节炎的非药物核心管理的EULAR建议:2023年更新
Tuva Moseng1, Theodora P M Vliet Vlieland2, Simone Battista3
1Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway tuva.moseng@diakonsyk.no.
Annals of the rheumatic diseases
|January 11, 2024
概括
更新的欧洲指南提供基于证据的策略,通过个性化计划,炼,体重管理和生活方式改变来管理关节炎 (OA),以改善患者的结果.
科学领域:
- 类风湿病学 类风湿病学
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
背景情况:
- 部和膝盖关节炎 (OA) 构成了日益严重的全球健康挑战.
- 非药物治疗对于缓解疼痛,改善功能和提高OA患者的生活质量至关重要.
- 由于广泛的新研究,现有的2013年EULAR建议需要更新.
研究的目的:
- 更新欧洲反风湿联盟 (EULAR) 对关节和膝关节OA非药物治疗的建议.
- 为医疗保健专业人员和患者提供最新的,基于证据的指导.
主要方法:
- 一个多学科的特别工作组遵循EULAR标准化操作程序.
- 从2012年1月到2022年5月进行的系统文献综述,涉及11个研究问题.
- 综合了证据,制定了最新的建议,并制定了研究/教育议程.
主要成果:
- 修订后的建议包括两个总体原则和八个基于证据的策略.
- 关键建议包括个性化管理计划,教育,量身定制的炼,体重管理,适当的鞋类/辅助工具,工作建议和行为改变技术.
- 对于更新的建议,达成了高水平的专家协议 (9.2-9.8/10).
结论:
- 2023年更新的EULAR建议提供了一个全面的,基于证据的框架,用于最佳的部和膝关节OA管理.
- 这些指导方针整合了研究结果和专家的共识,以提高患者的护理.
- 未来的研究重点包括坚持,干预采用和对工作能力的影响.
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