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Clinical algorithms to aid osteoarthritis guideline dissemination.

Publication ,  Journal Article
Meneses, SRF; Goode, AP; Nelson, AE; Lin, J; Jordan, JM; Allen, KD; Bennell, KL; Lohmander, LS; Fernandes, L; Hochberg, MC; Underwood, M ...
Published in: Osteoarthritis Cartilage
September 2016

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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Published In

Osteoarthritis Cartilage

DOI

EISSN

1522-9653

Publication Date

September 2016

Volume

24

Issue

9

Start / End Page

1487 / 1499

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Osteoarthritis
  • Humans
  • Consensus
  • Arthritis & Rheumatology
  • Algorithms
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

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Meneses, S. R. F., Goode, A. P., Nelson, A. E., Lin, J., Jordan, J. M., Allen, K. D., … Hunter, D. J. (2016). Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis Cartilage, 24(9), 1487–1499. https://doi.org/10.1016/j.joca.2016.04.004
Meneses, S. R. F., A. P. Goode, A. E. Nelson, J. Lin, J. M. Jordan, K. D. Allen, K. L. Bennell, et al. “Clinical algorithms to aid osteoarthritis guideline dissemination.Osteoarthritis Cartilage 24, no. 9 (September 2016): 1487–99. https://doi.org/10.1016/j.joca.2016.04.004.
Meneses SRF, Goode AP, Nelson AE, Lin J, Jordan JM, Allen KD, et al. Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis Cartilage. 2016 Sep;24(9):1487–99.
Meneses, S. R. F., et al. “Clinical algorithms to aid osteoarthritis guideline dissemination.Osteoarthritis Cartilage, vol. 24, no. 9, Sept. 2016, pp. 1487–99. Pubmed, doi:10.1016/j.joca.2016.04.004.
Meneses SRF, Goode AP, Nelson AE, Lin J, Jordan JM, Allen KD, Bennell KL, Lohmander LS, Fernandes L, Hochberg MC, Underwood M, Conaghan PG, Liu S, McAlindon TE, Golightly YM, Hunter DJ. Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis Cartilage. 2016 Sep;24(9):1487–1499.
Journal cover image

Published In

Osteoarthritis Cartilage

DOI

EISSN

1522-9653

Publication Date

September 2016

Volume

24

Issue

9

Start / End Page

1487 / 1499

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Osteoarthritis
  • Humans
  • Consensus
  • Arthritis & Rheumatology
  • Algorithms
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences