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Management of hand osteoarthritis: from an US evidence-based medicine guideline to a European patient-centric approach.

Management of hand osteoarthritis: from an US evidence-based medicine guideline to a European patient-centric approach.
Management of hand osteoarthritis: from an US evidence-based medicine guideline to a European patient-centric approach.

Hand osteoarthritis is the most common joint condition and is associated with significant morbidity. It is of paramount importance that patients are thoroughly assessed and examined when complaining of hand stiffness, pain, deformity or disability and that the patient’s concerns and expectations are addressed by the healthcare professional. In 2019 the American College of Rheumatology and Arthritis Foundation (ACR/AF) produced guidelines which included recommendations for the treatment of hand osteoarthritis. An ESCEO expert working group (including patients) was convened and composed this paper with the aim to assess whether these guidelines were appropriate for the treatment of hand osteoarthritis therapy in Europe and whether they met with the ESCEO patient-centered approach. Indeed, patients are the key stakeholders in healthcare and eliciting the patient’s preference is vital in the context of an individual consultation but also for informing research and policy-making. The patients involved in this working group emphasised the often-neglected area of aesthetic changes in hand osteoarthritis, importance of developing pharmacological therapies which can alleviate pain and disability and the need of the freedom to choose which approach (out of pharmacological, surgical or non-pharmacological) they wished to pursue. Following robust appraisal, it was recommended that the ACR/AF guidelines were suitable for a European context (as described within the body of the manuscript) and it was emphasised that patient preferences are key to the success of individual consultations, future research and future policy-making.

Hand, Management, Osteoarthritis, Patient-centered, Treatment guideline
1594-0667
1985-1995
Fuggle, Nicholas
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Bere, Nathalie
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Bruyere, Olivier
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Rosa, Mario M
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Prieto Yerro, María Concepción
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Dennison, Elaine
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Dincer, Fitnat
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Gabay, Cem
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Haugen, Ida K.
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Herrero-Beaumont, Gabriel
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Hiligsmann, Mickaël
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Hochberg, Marc C.
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Laslop, Andrea
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Maheu, Emmanuel
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Migliore, Alberto
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Pelletier, Jean-Pierre
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Radermecker, Regis Pierre
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Rannou, Francois
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Uebelhart, Brigitte
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Uebelhart, Daniel
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Veronese, Nicola
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Vlaskovska, Mila
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Rizzoli, René
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Mobasheri, Ali
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Cooper, Cyrus
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Reginster, Jean-Yves
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Fuggle, Nicholas
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Bere, Nathalie
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Bruyere, Olivier
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Rosa, Mario M
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Prieto Yerro, María Concepción
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Dennison, Elaine
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Dincer, Fitnat
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Gabay, Cem
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Haugen, Ida K.
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Herrero-Beaumont, Gabriel
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Hiligsmann, Mickaël
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Hochberg, Marc C.
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Laslop, Andrea
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Matijevic, Radmila
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Maheu, Emmanuel
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Migliore, Alberto
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Pelletier, Jean-Pierre
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Radermecker, Regis Pierre
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Uebelhart, Brigitte
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Uebelhart, Daniel
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Veronese, Nicola
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Vlaskovska, Mila
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Rizzoli, René
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Mobasheri, Ali
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Cooper, Cyrus
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Reginster, Jean-Yves
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Fuggle, Nicholas, Bere, Nathalie, Bruyere, Olivier, Rosa, Mario M, Prieto Yerro, María Concepción, Dennison, Elaine, Dincer, Fitnat, Gabay, Cem, Haugen, Ida K., Herrero-Beaumont, Gabriel, Hiligsmann, Mickaël, Hochberg, Marc C., Laslop, Andrea, Matijevic, Radmila, Maheu, Emmanuel, Migliore, Alberto, Pelletier, Jean-Pierre, Radermecker, Regis Pierre, Rannou, Francois, Uebelhart, Brigitte, Uebelhart, Daniel, Veronese, Nicola, Vlaskovska, Mila, Rizzoli, René, Mobasheri, Ali, Cooper, Cyrus and Reginster, Jean-Yves (2022) Management of hand osteoarthritis: from an US evidence-based medicine guideline to a European patient-centric approach. Aging Clinical and Experimental Research, 34 (9), 1985-1995. (doi:10.1007/s40520-022-02176-y).

Record type: Review

Abstract

Hand osteoarthritis is the most common joint condition and is associated with significant morbidity. It is of paramount importance that patients are thoroughly assessed and examined when complaining of hand stiffness, pain, deformity or disability and that the patient’s concerns and expectations are addressed by the healthcare professional. In 2019 the American College of Rheumatology and Arthritis Foundation (ACR/AF) produced guidelines which included recommendations for the treatment of hand osteoarthritis. An ESCEO expert working group (including patients) was convened and composed this paper with the aim to assess whether these guidelines were appropriate for the treatment of hand osteoarthritis therapy in Europe and whether they met with the ESCEO patient-centered approach. Indeed, patients are the key stakeholders in healthcare and eliciting the patient’s preference is vital in the context of an individual consultation but also for informing research and policy-making. The patients involved in this working group emphasised the often-neglected area of aesthetic changes in hand osteoarthritis, importance of developing pharmacological therapies which can alleviate pain and disability and the need of the freedom to choose which approach (out of pharmacological, surgical or non-pharmacological) they wished to pursue. Following robust appraisal, it was recommended that the ACR/AF guidelines were suitable for a European context (as described within the body of the manuscript) and it was emphasised that patient preferences are key to the success of individual consultations, future research and future policy-making.

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More information

Accepted/In Press date: 8 June 2022
e-pub ahead of print date: 21 July 2022
Published date: September 2022
Additional Information: Funding Information: The ESCEO Working Group was funded by the ESCEO. The ESCEO receives unrestricted educational grants to support its educational and scientific activities from non-governmental organizations, not-for-profit organizations, non-commercial or corporate partners. The choice of topics, participants, content and agenda of the Working Groups as well as the writing, editing, submission and reviewing of the manuscript are the sole responsibility of the ESCEO, without any influence from third parties. Funding Information: NB, MCSR, MCPY, FD, CG, GHB, MCH, AL, RM, AM, JPP, RPR, FR, BU, DU, MV, RR, AM and CC report no conflict of interest. OB reports consulting or lecture fees for Amgen, Aptissen, Biophytis, IBSA, MEDA, Mylan, Novartis, Sanofi, Servier, SMB, TRB Chemedica, UCB, Viatris. EMD reports support from Pfizer, UCB, Lilly and Viatris. NF reports educational grants from Pfizer and Eli Lilly. IKH reports consultancies for Novartis and Abbvie, research grant from Pfizer (paid to institution), all outside of the submitted work. MH reports research grant through institution from Amgen, Radius Health, ViiV Healthcare, BD; lecture fees from Teva and Mylan Pharmaceuticals and consulting fees from UCB. EM reports consultancy or speaking fees for Abiogen, Expanscience, Fidia, Meda-Mylan, Pierre Fabre Labs, Sublimed, TRB Chemedica. JYR reports consulting fees or advisory board participation for IBSA-Genevrier, Mylan, Radius Health and Pierre Fabre, lecturing fees for IBSA-Genevrier, Mylan, Cniel and Dairy Research Council (DRC) and grant support from IBSA-Genevrier, Mylan, Cniel and Radius Health. NV reports participation in advisory boards for Mylan, Fidia, Sanofi-Aventis, Viatris, IBSA. Publisher Copyright: © 2022, Crown.
Keywords: Hand, Management, Osteoarthritis, Patient-centered, Treatment guideline

Identifiers

Local EPrints ID: 468729
URI: http://eprints.soton.ac.uk/id/eprint/468729
ISSN: 1594-0667
PURE UUID: 631af749-f118-4100-b358-dbc4d5a4d6e7
ORCID for Nicholas Fuggle: ORCID iD orcid.org/0000-0001-5463-2255
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 24 Aug 2022 16:31
Last modified: 18 Mar 2024 03:49

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Contributors

Author: Nicholas Fuggle ORCID iD
Author: Nathalie Bere
Author: Olivier Bruyere
Author: Mario M Rosa
Author: María Concepción Prieto Yerro
Author: Elaine Dennison ORCID iD
Author: Fitnat Dincer
Author: Cem Gabay
Author: Ida K. Haugen
Author: Gabriel Herrero-Beaumont
Author: Mickaël Hiligsmann
Author: Marc C. Hochberg
Author: Andrea Laslop
Author: Radmila Matijevic
Author: Emmanuel Maheu
Author: Alberto Migliore
Author: Jean-Pierre Pelletier
Author: Regis Pierre Radermecker
Author: Francois Rannou
Author: Brigitte Uebelhart
Author: Daniel Uebelhart
Author: Nicola Veronese
Author: Mila Vlaskovska
Author: René Rizzoli
Author: Ali Mobasheri
Author: Cyrus Cooper ORCID iD
Author: Jean-Yves Reginster

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