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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)

Record type: Article

Objectives: To update the EULAR recommendations for management of knee osteoarthritis (OA) by an evidence based medicine and expert opinion approach.
Methods: The literature search and guidelines were restricted to treatments for knee OA pertaining to clinical and/or radiological OA of any compartment of the knee. Papers for combined treatment of knee and other types of OA were excluded. Medline and Embase were searched using a combination of subject headings and key words. Searches for those treatments previously investigated were conducted for January 1999 to February 2002 and for those treatments not previously investigated for 1966 to February 2002. The level of evidence found for each treatment was documented. Quality scores were determined for each paper, an effect size comparing the treatment with placebo was calculated, where possible, and a toxicity profile was determined for each treatment modality.
Results: 497 new publications were identified by the search. Of these, 103 were intervention trials and included in the overall analysis, and 33 treatment modalities were identified. Previously identified publications which were not exclusively knee OA in the initial analysis were rejected. In total, 545 publications were included. Based on the results of the literature search and expert opinion, 10 recommendations for the treatment of knee OA were devised using a five stage Delphi technique. Based on expert opinion, a further set of 10 items was identified by a five stage Delphi technique as important for future research.
Conclusion: The updated recommendations support some of the previous propositions published in 2000 but also include modified statements and new propositions. Although a large number of treatment options for knee OA exist, the evidence based format of the EULAR Recommendations continues to identify key clinical questions that currently are unanswered.

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Citation

Jordan, K.M., Arden, N.K., Doherty, M., Bannwarth, B., Bijlsma, J.W., Dieppe, P., Gunther, K., Hauselmann, H., Herrero-Beaumont, G., Kaklamanis, P.S., Leeb, B., Lequesne, M., Mazieres, B., Martin-Mola, E., Pavelka, K., Pendleton, A., Punzi, L., Serni, U., Swoboda, B., Verbruggen, G., Zimmerman-Gorska, I. and Dougados, M. (2003) 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) Annals of the Rheumatic Diseases, 62, (12), pp. 1145-1155. (doi:10.1136/ard.2003.011742).

More information

Published date: 2003
Additional Information: Extended Report
Keywords: knee, osteoarthritis, recommendations, treatment, evidence based medicine, guidelines

Identifiers

Local EPrints ID: 25679
URI: http://eprints.soton.ac.uk/id/eprint/25679
ISSN: 0003-4967
PURE UUID: eae6abd6-59b5-4878-a714-73c0500208fd

Catalogue record

Date deposited: 21 Apr 2006
Last modified: 17 Jul 2017 16:09

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Contributors

Author: K.M. Jordan
Author: N.K. Arden
Author: M. Doherty
Author: B. Bannwarth
Author: J.W. Bijlsma
Author: P. Dieppe
Author: K. Gunther
Author: H. Hauselmann
Author: G. Herrero-Beaumont
Author: P.S. Kaklamanis
Author: B. Leeb
Author: M. Lequesne
Author: B. Mazieres
Author: E. Martin-Mola
Author: K. Pavelka
Author: A. Pendleton
Author: L. Punzi
Author: U. Serni
Author: B. Swoboda
Author: G. Verbruggen
Author: I. Zimmerman-Gorska
Author: M. Dougados

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