2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee

  title={2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee},
  author={Sharon L. Kolasinski and Tuhina Neogi and Marc C. Hochberg and Carol A Oatis and Gordon H. Guyatt and Joel A. Block and Leigh F. Callahan and Cindy Copenhaver and Carole Dodge and David T. Felson and Kathleen Gellar and William F. Harvey and Gillian A. Hawker and Edward Herzig and C. Kent Kwoh and Amanda E. Nelson and Jonathan Samuels and Carla R. Scanzello and Daniel Kenta White and Barton L. Wise and Roy D Altman and Dana D. DiRenzo and Joann Fontanarosa and Gina Giradi and Mariko L. Ishimori and Devyani Misra and Amit Aakash Shah and Anna K Shmagel and Louise M. Thoma and Marat Turgunbaev and Amy S Turner and James Reston},
  journal={Arthritis Care \& Research},
To develop an evidence‐based guideline for the comprehensive management of osteoarthritis (OA) as a collaboration between the American College of Rheumatology (ACR) and the Arthritis Foundation, updating the 2012 ACR recommendations for the management of hand, hip, and knee OA. 

New OA management guidelines

  • J. McHugh
  • Medicine, Psychology
    Nature Reviews Rheumatology
  • 2020
New evidence­ based guidelines for the management of osteoarthritis of the hands, hip and knees have been provided by the American College of Rheumato­ logy and the Arthritis Foundation, updating previous ACR recommendations from 2012.

Physical Therapy Is Better than Glucocorticoid Injections for Osteoarthritis of the Knee

The results of a recent randomized clinical trial comparing the efficacy of physical therapy with glucocorticoid injections for treatment of knee osteoarthritis are reported.

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

It was recommended that the ACR/AF guidelines were suitable for a European context and it was emphasised that patient preferences are key to the success of individual consultations, future research and future policy-making.

Patient and physician perceptions of knee and hip osteoarthritis care: A qualitative study

Patient and physician perspectives on barriers and facilitators to KHOA guideline‐based treatment and patient experiences in living with KHOA and navigating care are investigated.

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

A working group including authors of the latest OARSI and ESCEO recommendations for the management of knee osteoarthritis and independent experts compare and contrast these guidelines, and provide insights into their differences that could help inform application of the recommendations.

What is the selection process for osteoarthritis pharmacotherapy?

This editorial provides a guide to the selection process of presently available pharmacotherapy in osteoarthritis.

Injection-Based Management of Osteoarthritis of the Knee: A Systematic Review of Guidelines

It is affirm that there is some evidence that intra-articular steroids are efficacious, but their benefit may be relatively short lived (<4 weeks), and care should be taken with repeated injections because of potential harm.

Use of Complementary and Alternative Therapy for Knee Osteoarthritis: Race and Gender Variations

To evaluate race and gender variations in complementary and alternative medicine (CAM) use for knee osteoarthritis (OA) (unadjusted and adjusted for demographic and clinical factors).

The non-operative management of primary osteoarthritis.

The current management strategies, as outlined by the National Institute for Health and Care Excellence guidelines for osteoarthritis, are examined, focusing on the non-operative strategies currently used.



American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee

To update the American College of Rheumatology (ACR) 2000 recommendations for hip and knee osteoarthritis (OA) and develop new recommendations for hand OA.

Lifetime Risk of Symptomatic Hand Osteoarthritis: The Johnston County Osteoarthritis Project

The objective of the present study was to estimate the overall lifetime risk of symptomatic hand OA, and the stratified lifetime risk according to potential risk factors.

Alternative Methods for Defining Osteoarthritis and the Impact on Estimating Prevalence in a US Population‐Based Survey

A contemporary estimate of osteoarthritis (OA) is provided by comparing the accuracy and prevalence of alternative definitions of OA by comparison with current estimates.

Association of Tramadol With All-Cause Mortality Among Patients With Osteoarthritis

Among patients aged 50 years and older with osteoarthritis, initial prescription of tramadol was associated with a significantly higher rate of mortality over 1 year of follow-up compared with commonly prescribed nonsteroidal anti-inflammatory drugs, but not compared with codeine.

Subgroup analyses of the effectiveness of oral glucosamine for knee and hip osteoarthritis: a systematic review and individual patient data meta-analysis from the OA trial bank

There is no goodEvidence to support the use of glucosamine for hip or knee OA and an absence of evidence to support specific consideration of glucOSamine for any clinically relevant OA subgroup according to baseline pain severity, BMI, sex, structural abnormalities or presence of inflammation.

Intentional Weight Loss in Overweight and Obese Patients With Knee Osteoarthritis: Is More Better?

To determine the dose response effect of weight loss on clinical and mechanistic outcomes in overweight and obese adults with knee osteoarthritis, a large number of subjects were obese or severely overweight.

A Hierarchy of Patient-Reported Outcomes for Meta-Analysis of Knee Osteoarthritis Trials: Empirical Evidence from a Survey of High Impact Journals

Using a prioritised list based on responsiveness for extracting patient-reported outcomes (PROs) measuring pain and disability for performing meta-analyses in knee osteoarthritis is recommended to reduce risk of biased selection of PROs in meta-Analyses.

Massage Therapy for Osteoarthritis of the Knee: A Randomized Dose-Finding Trial

Given the superior convenience of a once-weekly protocol, cost savings, and consistency with a typical real-world massage protocol, the 60-minute once weekly dose was determined to be optimal, establishing a standard for future trials.