Abstract
Osteoarthritis (OA) is a leading cause of pain and disability worldwide. Evidence-based guidelines and recommendations for the treatment of OA consider non-pharmacological modalities as the cornerstone of modern OA management. Nonetheless, research evidence from clinical trials on non-pharmacological interventions for the treatment of hand and hip OA is scarce and considerably less than that for knee OA. In addition, research on non-pharmacological interventions for OA appears highly on the list of patients' research priorities. Thus, there is a clear mismatch between the available research evidence for non-pharmacological interventions for hip and hand OA and both the treatment guidelines and the interests of patients.
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References
Towle, A. & Godolphin, W. Framework for teaching and learning informed shared decision making. BMJ 319, 766–771 (1999).
Gøtzsche, P. C. Do patients with osteoarthritis get the clinical research they need? Ann. Rheum. Dis. 59, 407–408 (2000).
Chard, J. A., Tallon, D. & Dieppe, P. A. Epidemiology of research into interventions for the treatment of osteoarthritis of the knee joint. Ann. Rheum. Dis. 59, 414–418 (2000).
Tallon, D., Chard, J. & Dieppe, P. Exploring the priorities of patients with osteoarthritis of the knee. Arthritis Care Res. 13, 312–319 (2000).
Tallon, D., Chard, J. & Dieppe, P. Relation between agendas of the research community and the research consumer. Lancet 355, 2037–2040 (2000).
Jordan, K. M. et al. EULAR recommendations 2003: an evidence based approach to the management of knee osteoarthritis. Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann. Rheum. Dis. 62, 1145–1455 (2003).
Murray, C. J. L. & Lopez, A. D. The Global Burden of Disease (World Health Organisation, Geneva, 1997).
Petersson, I. F. & Jacobsson, L. T. Osteoarthritis of the peripheral joints. Best Pract. Res. Clin. Rheumatol. 16, 741–760 (2002).
Peat, G. et al. The Knee Clinical Assessment Study—CAS(K). A prospective study of knee pain and knee osteoarthritis in the general population. BMC Musculoskelet. Disord. 5, 4 (2004).
Birrell, F., Lunt, M., Macfarlane, G. & Silman, A. Association between pain in the hip region and radiographic changes of osteoarthritis: results from a population-based study. Rheumatology (Oxford) 44, 337–341 (2005).
Oliveria, S. A., Felson, D. T., Reed, J. I., Cirillo, P. A. & Walker, A. M. Incidence of symptomatic hand, hip, and knee osteoarthritis among patients in a health maintenance organization. Arthritis Rheum. 38, 1134–1141 (1995).
Andrianakos, A. A. et al. Prevalence of symptomatic knee, hand, and hip osteoarthritis in Greece. The ESORDIG study. J. Rheumatol. 33, 2507–2513 (2006).
Grotle, M., Hagen, K. B., Natvig, B., Dahl, F. A. & Kvien, T. K. Prevalence and burden of osteoarthritis: results from a population survey in Norway. J. Rheumatol. 35, 677–684 (2008).
National Institute for Health and Clinical Excellence (NICE). Osteoarthritis: National Clinical Guideline for Care and Management in Adults [online], (2008).
Zhang, W. et al. EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann. Rheum. Dis. 64, 669–681 (2005).
Zhang, W. et al. EULAR evidence based recommendations for the management of hand osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann. Rheum. Dis. 66, 377–388 (2007).
Zhang, W. et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage 16, 137–162 (2008).
Towheed, T. E. Systematic review of therapies for osteoarthritis of the hand. Osteoarthritis Cartilage 13, 455–462 (2005).
Moe, R. H. et al. Effectiveness of nonpharmacological and nonsurgical interventions for hip osteoarthritis: an umbrella review of high quality systematic reviews. Phys. Ther. 87, 1716–1727 (2007).
Atkins, D. et al. Grading quality of evidence and strength of recommendations. BMJ 328, 1490 (2004).
Moe, R. H., Kjeken, I., Uhlig, T. & Hagen, K. B. Very limited evidence for the effect of non-pharmacological and non-surgical interventions for hand osteoarthritis: an overview of high quality systematic reviews. Ann. Rheum. Dis. 68 (Suppl. 3), 774 (2009).
Jamtvedt, G. et al. Physical therapy interventions for patients with osteoarthritis of the knee: an overview of systematic reviews. Phys. Ther. 88, 123–136 (2008).
Hewlett, S. et al. Patients and professionals as research partners: challenges, practicalities, and benefits. Arthritis Rheum. 55, 676–680 (2006).
Kjeken, I. et al. Research priorities, attitudes and experiences among persons with rheumatic diseases in Scandinavia. Ann. Rheum. Dis. 68 (Suppl. 3), 793 (2009).
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Hagen, K., Smedslund, G., Moe, R. et al. The evidence for non-pharmacological therapy of hand and hip OA. Nat Rev Rheumatol 5, 517–519 (2009). https://doi.org/10.1038/nrrheum.2009.158
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DOI: https://doi.org/10.1038/nrrheum.2009.158