Year 2021 / Volume 28 / Supplement 1

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Article Osteoarthritis Monographic

News in the clinical practice guidelines regarding the treatment of the hip, knee and hands osteoarthritis

Rev. Soc. Esp. Dolor. 2021; 28(13): 38-42 / DOI: 10.20986/resed.2021.3870/2020

Xoán Miguéns


ABSTRACT

Information included in the clinical practice guidelines (CPG) represents a source of important content that clinician can transfer to their clinical practice. Combination of the scientific evidence available with the criteria of the expert´s committee who participate in development and preparation offers a document with the best recommendations and reflecting those interventions to get out from our usual procedure. This article reflects the novelties related to the treatment of osteoarthritis that have been included in the main CPGs published in the last three years (2018-2020). Paradoxically, emphasis is placed on the individualization of the approach whose cornerstone continues to be therapeutic exercise (aerobic and potentiation) as well as self-care training. Likewise, numerous topics related to the non-surgical approach are presented.



RESUMEN

La información contenida en las guías de práctica clínica (GPC) representa una fuente de importantes contenidos que el clínico puede trasladar a su práctica cotidiana. La combinación de la evidencia científica disponible con el criterio del comité de expertos que participan en su desarrollo y elaboración ofrecen un documento consistente en sus recomendaciones, a la vez que reflejan aquellas intervenciones a desterrar de nuestro proceder habitual. En este artículo se reflejan las novedades relacionadas con el tratamiento de la artrosis que han sido incluidas en las principales GPC publicadas en los tres últimos años (2018-2020). Paradójicamente se hace énfasis en la individualización del abordaje, cuya piedra angular continúa siendo el ejercicio terapéutico (aeróbico y de potenciación), así como en el adiestramiento en autocuidado. Asimismo, se presentan numerosas puntualizaciones relacionadas con el abordaje no quirúrgico.





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Bibliografía

1. Hunter D, Bennel K, Austin M, Abriggs A, Buchbiner R, Bunker S, et al; The Royal Australian College of General Practitioners. Guideline for the management of knee and hip osteoarthritis. 2nd ed. East Melbourne, Vic: RACGP; 2018.
2. Lozada CJ. Osteoarthritis [Internet]. Medscape. University of Miami. Última actualización 12 de octubre de 2020. Disponible en: https://emedicine.medscape.com/article/330487-overview.
3. Osteoarthritis overview [Internet]. NICE, National Institute for Health and Care Excellence. United Kingdom. Última actualización 4 de noviembre de 2020. Disponible en: https://pathways.nice.org.uk/pathways/osteoarthritis
4. Kolasinski S, Neogi T, Hochberg MC, Oatis C, Guyatt G, Block J, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken). 2020;72(2):149-62. DOI 10.1002/acr.24131.
5. Lin I, Wiles L, Waller R, Goucke R, Nagree Y, Gibberd M, et al. What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med. 2020;54(2):79-86. DOI: 10.1136/bjsports-2018-099878.
DOI: 10.1136/bjsports-2018-099878
6. Leopoldino AO, Machado GC, Ferreira PH, Pinheiro MB, Day R, McLachlan AJ, et al. Paracetamol versus placebo for knee and hip osteoarthritis. Cochrane Database Syst Rev. 2019;2(2):CD013273. DOI: 10.1002/14651858.CD013273.
DOI: 10.1002/14651858.CD013273

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Instrucciones para citar

Miguéns X. News in the clinical practice guidelines regarding the treatment of the hip, knee and hands osteoarthritis. Rev Soc Esp Dolor 2021; 28(13): 38-42 / DOI: 1020986/resed20213870/2020


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Recibido: 28/11/2020

Aceptado: 18/01/2021

Publicado: 03/02/2021

Tiempo de edición del artículo: 67 días


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