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Non-surgical management of knee osteoarthritis: comparison of ESCEO and OARSI 2019 guidelines

Non-surgical management of knee osteoarthritis: comparison of ESCEO and OARSI 2019 guidelines
Non-surgical management of knee osteoarthritis: comparison of ESCEO and OARSI 2019 guidelines
Knee osteoarthritis (OA) is a heterogeneous disease associated with substantial effects on quality of life, and its clinical management is difficult. Among the several available guidelines for the management of knee OA, those from OARSI and ESCEO were updated in 2019. Here, we examine the similarities and differences between these two guidelines and provide a narrative to help guide health-care providers through the complexities of non-surgical management of knee OA. OARSI and ESCEO both recommend education, structured exercise and weight loss as core treatments, topical NSAIDs as first-line treatments and oral NSAIDs and intra-articular injections for persistent pain. Low-dose, short-term acetaminophen, pharmaceutical grade glucosamine and chondroitin sulfate are recommended by ESCEO whereas OARSI strongly recommends against their use (including all glucosamine and chondroitin formulations). Despite this difference, the two guidelines are consistent in the majority of their recommendations and provide useful treatment recommendations for individuals with OA and health-care providers.
1759-4790
59-66
Arden, Nigel
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Perry, Thomas A.
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Bannuru, Raveendhara R.
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Bruyere, Olivier
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Cooper, Cyrus
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Haugen, Ida K.
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Hochberg, Marc C.
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McAlindon, Timothy E.
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Mobasheri, Ali
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Reginster, Jean-Yves
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Arden, Nigel
23af958d-835c-4d79-be54-4bbe4c68077f
Perry, Thomas A.
c8585ab1-e82b-47b3-8961-ab98cbf8e952
Bannuru, Raveendhara R.
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Bruyere, Olivier
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Cooper, Cyrus
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Haugen, Ida K.
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Hochberg, Marc C.
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McAlindon, Timothy E.
30ec7017-634f-4a9f-9c6d-db2f37444c16
Mobasheri, Ali
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Reginster, Jean-Yves
db56b103-184d-46e1-9600-f47f7a09a492

Arden, Nigel, Perry, Thomas A., Bannuru, Raveendhara R., Bruyere, Olivier, Cooper, Cyrus, Haugen, Ida K., Hochberg, Marc C., McAlindon, Timothy E., Mobasheri, Ali and Reginster, Jean-Yves (2020) Non-surgical management of knee osteoarthritis: comparison of ESCEO and OARSI 2019 guidelines. Nature Rheumatology Reviews, 17 (1), 59-66. (doi:10.1038/s41584-020-00523-9).

Record type: Article

Abstract

Knee osteoarthritis (OA) is a heterogeneous disease associated with substantial effects on quality of life, and its clinical management is difficult. Among the several available guidelines for the management of knee OA, those from OARSI and ESCEO were updated in 2019. Here, we examine the similarities and differences between these two guidelines and provide a narrative to help guide health-care providers through the complexities of non-surgical management of knee OA. OARSI and ESCEO both recommend education, structured exercise and weight loss as core treatments, topical NSAIDs as first-line treatments and oral NSAIDs and intra-articular injections for persistent pain. Low-dose, short-term acetaminophen, pharmaceutical grade glucosamine and chondroitin sulfate are recommended by ESCEO whereas OARSI strongly recommends against their use (including all glucosamine and chondroitin formulations). Despite this difference, the two guidelines are consistent in the majority of their recommendations and provide useful treatment recommendations for individuals with OA and health-care providers.

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NRR-20-056 Perry V3_final queries_TP (_final_)_clean - Accepted Manuscript
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More information

Accepted/In Press date: 30 September 2020
e-pub ahead of print date: 28 October 2020

Identifiers

Local EPrints ID: 445043
URI: http://eprints.soton.ac.uk/id/eprint/445043
ISSN: 1759-4790
PURE UUID: 3e8d4e2e-eed5-41f4-a482-9d3da5cad5ec
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 18 Nov 2020 17:31
Last modified: 26 Nov 2021 05:39

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Contributors

Author: Nigel Arden
Author: Thomas A. Perry
Author: Raveendhara R. Bannuru
Author: Olivier Bruyere
Author: Cyrus Cooper ORCID iD
Author: Ida K. Haugen
Author: Marc C. Hochberg
Author: Timothy E. McAlindon
Author: Ali Mobasheri
Author: Jean-Yves Reginster

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