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Clinical algorithms to aid osteoarthritis guideline dissemination

Meneses, S. R F; Goode, A. P.; Nelson, A. E. LU ; Lin, J.; Jordan, J. M.; Allen, K. D.; Bennell, K. L.; Lohmander, L. S. LU ; Fernandes, L. and Hochberg, M. C., et al. (2016) In Osteoarthritis and Cartilage 24(9). p.1487-1499
Abstract

Background: Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendations and develop a user-friendly treatment algorithm to facilitate translation of evidence into practice. Methods: We updated a previous systematic review on clinical practice guidelines (CPGs) for OA management. The guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation for quality and the standards for developing trustworthy CPGs as established by the National Academy of Medicine (NAM). Four case scenarios and algorithms were developed by consensus of... (More)

Background: Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendations and develop a user-friendly treatment algorithm to facilitate translation of evidence into practice. Methods: We updated a previous systematic review on clinical practice guidelines (CPGs) for OA management. The guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation for quality and the standards for developing trustworthy CPGs as established by the National Academy of Medicine (NAM). Four case scenarios and algorithms were developed by consensus of a multidisciplinary panel. Results: Sixteen guidelines were included in the systematic review. Most recommendations were directed toward physicians and allied health professionals, and most had multi-disciplinary input. Analysis for trustworthiness suggests that many guidelines still present a lack of transparency. A treatment algorithm was developed for each case scenario advised by recommendations from guidelines and based on panel consensus. Conclusion: Strategies to facilitate the implementation of guidelines in clinical practice are necessary. The algorithms proposed are examples of how to apply recommendations in the clinical context, helping the clinician to visualise the patient flow and timing of different treatment modalities.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Guidelines, Management, Osteoarthritis
in
Osteoarthritis and Cartilage
volume
24
issue
9
pages
1487 - 1499
publisher
Elsevier
external identifiers
  • Scopus:84965146307
ISSN
1063-4584
DOI
10.1016/j.joca.2016.04.004
language
English
LU publication?
yes
id
ca227a9e-266f-4107-a3eb-3469b9f072d8
date added to LUP
2016-06-01 13:29:07
date last changed
2016-11-25 08:14:16
@misc{ca227a9e-266f-4107-a3eb-3469b9f072d8,
  abstract     = {<p>Background: Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendations and develop a user-friendly treatment algorithm to facilitate translation of evidence into practice. Methods: We updated a previous systematic review on clinical practice guidelines (CPGs) for OA management. The guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation for quality and the standards for developing trustworthy CPGs as established by the National Academy of Medicine (NAM). Four case scenarios and algorithms were developed by consensus of a multidisciplinary panel. Results: Sixteen guidelines were included in the systematic review. Most recommendations were directed toward physicians and allied health professionals, and most had multi-disciplinary input. Analysis for trustworthiness suggests that many guidelines still present a lack of transparency. A treatment algorithm was developed for each case scenario advised by recommendations from guidelines and based on panel consensus. Conclusion: Strategies to facilitate the implementation of guidelines in clinical practice are necessary. The algorithms proposed are examples of how to apply recommendations in the clinical context, helping the clinician to visualise the patient flow and timing of different treatment modalities.</p>},
  author       = {Meneses, S. R F and Goode, A. P. and Nelson, A. E. and Lin, J. and Jordan, J. M. and Allen, K. D. and Bennell, K. L. and Lohmander, L. S. and Fernandes, L. and Hochberg, M. C. and Underwood, M. and Conaghan, P. G. and Liu, S. and McAlindon, T. E. and Golightly, Y. M. and Hunter, D. J.},
  issn         = {1063-4584},
  keyword      = {Guidelines,Management,Osteoarthritis},
  language     = {eng},
  month        = {04},
  number       = {9},
  pages        = {1487--1499},
  publisher    = {ARRAY(0x8cb9558)},
  series       = {Osteoarthritis and Cartilage},
  title        = {Clinical algorithms to aid osteoarthritis guideline dissemination},
  url          = {http://dx.doi.org/10.1016/j.joca.2016.04.004},
  volume       = {24},
  year         = {2016},
}