PDF(Pubmed)
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.
摘要：
手骨关节炎是最常见的关节疾病，并与显着的发病率相关。最重要的是，当患者抱怨手僵硬时，要进行彻底的评估和检查。疼痛,畸形或残疾，以及患者的担忧和期望由医疗保健专业人员解决。2019年，美国风湿病与关节炎基金会（ACR/AF）制定了指南，其中包括治疗手部骨关节炎的建议。ESCEO专家工作组（包括患者）召集并撰写了本文，旨在评估这些指南是否适合欧洲的手部骨关节炎治疗，以及它们是否符合ESCEO以患者为中心的方法。的确,患者是医疗保健的主要利益相关者，在个人咨询的背景下，激发患者的偏好至关重要，而且对于告知研究和政策制定也至关重要。参与该工作组的患者强调了手部骨关节炎的美学变化经常被忽视的领域，开发可以减轻疼痛和残疾的药理学疗法的重要性，以及自由选择哪种方法的需要(在药理学之外，外科或非药理）他们希望追求。经过稳健的评估，建议ACR/AF指南适合欧洲背景（如手稿正文中所述），并强调患者偏好是个人咨询成功的关键。未来的研究和未来的政策制定。
