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Abstract：
To evaluate the quality of clinical practice guidelines (CPGs) for interventions in management of osteoarthritis (OA) and to provide a synthesis of high-quality CPG recommendations.
Five databases (OvidSP Medline, Cochrane, Cumulative Index to Nursing and Allied Health Literature [CINAHL], Embase, and the Physiotherapy Evidence Database [PEDro]) and 4 online guideline repositories were searched. CPGs for the management of OA were included if they were 1) written in English and published from January 2015 to February 2022, focused on adults age ≥18 years, and met the criteria of a CPG as defined by the Institute of Medicine; and 2) were rated as high quality on the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. CPGs for OA were excluded if they were available via institutional access only, only addressed recommendations for the system/organization of care and did not include interventional management recommendations, and/or included other arthritic conditions.
Of 20 eligible CPGs, 11 were appraised as high quality and included in the synthesis. Of interest were the hip, knee, hand, and glenohumeral joints and/or polyarticular OA. Consistent recommendations were that care should be patient centered and include exercise, education, and weight loss (where appropriate). Nonsteroidal antiinflammatory drugs and surgical interventions were recommended for disabling OA that had not improved with nonsurgical care. Hand orthoses should be recommended for patients with hand OA.
This synthesis of high-quality CPGs for OA management offers health care providers with clear, simple guidance of recommended OA care to improve patient outcomes.
Five databases (OvidSP Medline, Cochrane, Cumulative Index to Nursing and Allied Health Literature [CINAHL], Embase, and the Physiotherapy Evidence Database [PEDro]) and 4 online guideline repositories were searched. CPGs for the management of OA were included if they were 1) written in English and published from January 2015 to February 2022, focused on adults age ≥18 years, and met the criteria of a CPG as defined by the Institute of Medicine; and 2) were rated as high quality on the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. CPGs for OA were excluded if they were available via institutional access only, only addressed recommendations for the system/organization of care and did not include interventional management recommendations, and/or included other arthritic conditions.
Of 20 eligible CPGs, 11 were appraised as high quality and included in the synthesis. Of interest were the hip, knee, hand, and glenohumeral joints and/or polyarticular OA. Consistent recommendations were that care should be patient centered and include exercise, education, and weight loss (where appropriate). Nonsteroidal antiinflammatory drugs and surgical interventions were recommended for disabling OA that had not improved with nonsurgical care. Hand orthoses should be recommended for patients with hand OA.
This synthesis of high-quality CPGs for OA management offers health care providers with clear, simple guidance of recommended OA care to improve patient outcomes.
摘要：
目的：评估骨关节炎干预措施的临床实践指南（CPG）的质量，并提供高质量的CPG建议。
方法：四个数据库(OvidSPMEDLINE，科克伦,CINAHL,搜索了Embase和物理治疗证据数据库）和四个在线指南存储库。骨关节炎管理CPGs包括，如果他们是1。用英文撰写，于2015年1月至2022年2月出版；专注于成年人，年龄≥18岁;符合医学研究所定义的CPG标准;和2.在《研究和评估指南》(AGREE)II仪器评估中被评为高质量。如果OACPG仅可通过机构访问获得，则将其排除；仅针对护理系统/组织的建议，不包括介入管理建议；和/或包括其他关节炎状况。
结果：在20个合格的CPG中，11被评价为高质量，并包括在合成中。感兴趣的关节是臀部，膝盖,手,肱骨和/或多关节骨关节炎。一致的建议是，护理应该以患者为中心，包括锻炼，教育和减肥（在适当的情况下）。非甾体抗炎药和手术干预被推荐用于非手术治疗未改善的致残性OA。手部骨性关节炎患者应推荐使用手部矫形器。
结论：这种用于OA管理的高质量CPG的合成为医疗保健提供者提供了明确的，简单指导推荐OA护理,改善患者预后。
方法：四个数据库(OvidSPMEDLINE，科克伦,CINAHL,搜索了Embase和物理治疗证据数据库）和四个在线指南存储库。骨关节炎管理CPGs包括，如果他们是1。用英文撰写，于2015年1月至2022年2月出版；专注于成年人，年龄≥18岁;符合医学研究所定义的CPG标准;和2.在《研究和评估指南》(AGREE)II仪器评估中被评为高质量。如果OACPG仅可通过机构访问获得，则将其排除；仅针对护理系统/组织的建议，不包括介入管理建议；和/或包括其他关节炎状况。
结果：在20个合格的CPG中，11被评价为高质量，并包括在合成中。感兴趣的关节是臀部，膝盖,手,肱骨和/或多关节骨关节炎。一致的建议是，护理应该以患者为中心，包括锻炼，教育和减肥（在适当的情况下）。非甾体抗炎药和手术干预被推荐用于非手术治疗未改善的致残性OA。手部骨性关节炎患者应推荐使用手部矫形器。
结论：这种用于OA管理的高质量CPG的合成为医疗保健提供者提供了明确的，简单指导推荐OA护理,改善患者预后。
