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    Management of hand osteoarthritis: from an US evidence-based medicine guideline to a European patient-centric approach

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    Author
    Fuggle, Nicholas
    Bere, Nathalie
    Bruyère, Olivier
    Rosa, Mario Manuel
    Prieto Yerro, María Concepción
    Dennison, Elaine
    Dincer, Fitnat
    Gabay, Cem
    Haugen, Ida K.
    Herrero-Beaumont, Gabriel
    Hiligsmann, Mickaël
    Hochberg, Marc C.
    Laslop, Andrea
    Matijevic, Radmila
    Maheu, Emmanuel
    Migliore, Alberto
    Pelletier, Jean Pierre
    Radermecker, Régis Pierre
    Rannou, François
    Uebelhart, Brigitte
    Uebelhart, Daniel
    Veronese, Nicola
    Vlaskovska, Mila
    Rizzoli, René
    Mobasheri, Ali
    Cooper, Cyrus
    Reginster, Jean Yves
    Show allShow less

    Date
    2022-01-01
    Journal
    Aging Clinical and Experimental Research
    Publisher
    Springer Nature
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1007/s40520-022-02176-y
    Abstract
    Hand osteoarthritis is the most common joint condition and is associated with significant morbidity. It is of paramount importance that patients are thoroughly assessed and examined when complaining of hand stiffness, pain, deformity or disability and that the patient’s concerns and expectations are addressed by the healthcare professional. In 2019 the American College of Rheumatology and Arthritis Foundation (ACR/AF) produced guidelines which included recommendations for the treatment of hand osteoarthritis. An ESCEO expert working group (including patients) was convened and composed this paper with the aim to assess whether these guidelines were appropriate for the treatment of hand osteoarthritis therapy in Europe and whether they met with the ESCEO patient-centered approach. Indeed, patients are the key stakeholders in healthcare and eliciting the patient’s preference is vital in the context of an individual consultation but also for informing research and policy-making. The patients involved in this working group emphasised the often-neglected area of aesthetic changes in hand osteoarthritis, importance of developing pharmacological therapies which can alleviate pain and disability and the need of the freedom to choose which approach (out of pharmacological, surgical or non-pharmacological) they wished to pursue. Following robust appraisal, it was recommended that the ACR/AF guidelines were suitable for a European context (as described within the body of the manuscript) and it was emphasised that patient preferences are key to the success of individual consultations, future research and future policy-making.
    Sponsors
    Amgen
    Keyword
    Hand
    Management
    Osteoarthritis
    Patient-centered
    Treatment guideline
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/19463
    ae974a485f413a2113503eed53cd6c53
    10.1007/s40520-022-02176-y
    Scopus Count
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