EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis

@article{Zhang2010EULARER,
  title={EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis},
  author={W. Zhang and M. Doherty and G. Peat and M. A. Bierma-Zeinstra and N. Arden and B. Bresnihan and G. Herrero-Beaumont and S. Kirschner and B. Leeb and L. Lohmander and B. Mazi{\`e}res and K. Pavelka and L. Punzi and A. So and T. Tuncer and I. Watt and J. Bijlsma},
  journal={Annals of the Rheumatic Diseases},
  year={2010},
  volume={69},
  pages={483 - 489}
}
Objective To develop evidence-based recommendations for the diagnosis of knee osteoarthritis (OA). Methods The multidisciplinary guideline development group, representing 12 European countries, generated 10 key propositions regarding diagnosis using a Delphi consensus approach. For each recommendation, research evidence was searched systematically. Whenever possible, the sensitivity, specificity and likelihood ratio were calculated for individual diagnostic indicators and a diagnostic ladder… Expand

Paper Mentions

Interventional Clinical Trial
Prospective, multicenter study, unmasked, single-arm, to study the safety and efficacy of a new hydroxyethyl cellulose hydrogel for the treatment of the knee pain caused by… Expand
ConditionsOsteoarthritis, Knee, Pain
InterventionDevice
Interventional Clinical Trial
The purpose of this study is to investigate the efficacy and safety of pulsed radiofrequency of the saphenous nerve in the treatment of pain due to knee osteoarthritis (OA). The… Expand
ConditionsKnee Arthritis, Knee Pain Chronic, Osteoarthritis, Knee, (+1 more)
InterventionDevice
Towards developing diagnostic criteria for early knee osteoarthritis: data from the CHECK study
TLDR
The obtained diagnostic models for early knee OA had ‘fair’ predictive ability in individuals presenting with knee pain in primary care, and further modelling and validation of the identified predictive factors is required to obtain clinically feasible and relevant diagnostic criteria for early knees OA. Expand
Toward classification criteria for early osteoarthritis of the knee.
TLDR
Based on the consensus proposal, draft classification criteria for early OA of the knee for use in clinical studies should include patient reported outcomes such as pain and function, together with clinical signs and KL grade 0-1 on radiographs. Expand
CURRENT APPROACH TO THE GUIDELINES FOR THE DIAGNOSIS AND TREATMENT OF OSTEOARTHRITIS
TLDR
Opioid analgesics, with or without paracetamol, are useful alternatives in patients in whom NSAIDs, including COX 2 selective inhibitors, are contraindicated, ineffective, and/or poorly tolerated. Expand
Development of Quality Indicators for an Integrated Approach of Knee Osteoarthritis
TLDR
This study provides a robust set of 21 quality indicators for high-quality knee OA care, measurable in clinical practice, that may be used to measure usual care and evaluate quality improvement interventions across the entire spectrum of disciplines involved in knee Oa care. Expand
Knee osteoarthritis related pain: a narrative review of diagnosis and treatment.
TLDR
It is likely that a combination of pharmacological and non-pharmacological treatments is most effective in treating patients with knee osteoarthritis. Expand
Commentary on recent therapeutic guidelines for osteoarthritis.
TLDR
Harmonization of the recommendations for knee OA treatment is challenging but feasible, as shown by the step-by-step therapeutic algorithm developed by the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO). Expand
Definition of osteoarthritis on MRI: results of a Delphi exercise.
TLDR
An MRI definition of knee OA is developed that requires further formal testing with regards to their diagnostic performance (especially in datasets of persons with early disease), before they are more widely used. Expand
The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review.
TLDR
Radiographic case definition of OA presented the highest prevalences and within each joint site, self-reported and symptomatic OA definitions appear to present similar estimates, but the high heterogeneity found in the studies limited further conclusions. Expand
Reliability of physical examination tests for the diagnosis of knee disorders: Evidence from a systematic review.
TLDR
High-quality research is required to evaluate the reliability of knee physical examination tests, as many physical tests appear to reach good inter-rater reliability, but this is based on low-quality and conflicting evidence. Expand
Initial derivation of diagnostic clusters combining history elements and physical examination tests for symptomatic knee osteoarthritis
TLDR
D diagnostic clusters combining history elements and physical examination tests were able to support the differential diagnosis of SOA compared with various knee disorders without relying systematically on imaging, which could support primary care clinicians' role in the efficient management of these patients. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 108 REFERENCES
EULAR evidence-based recommendations for the diagnosis of hand osteoarthritis: report of a task force of ESCISIT
TLDR
Ten key recommendations for diagnosis of hand OA were developed using research evidence and expert consensus based on assessment of a composite of features, finding that no single test could be used to define hand Oa on its own but a Composite of tests greatly increased the chance of the diagnosis. Expand
EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT).
TLDR
Ten key recommendations for the treatment of hip OA were developed based on research evidence and expert consensus based on a Delphi consensus approach. Expand
EULAR evidence based recommendations for gout. Part I: Diagnosis. Report of a task force of the standing committee for international clinical studies including therapeutics (ESCISIT)
TLDR
10 key recommendations for diagnosis of gout were developed using a combination of research based evidence and expert consensus using a Delphi consensus approach. Expand
EULAR evidence based recommendations for the management of hand osteoarthritis: Report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)
TLDR
Eleven key recommendations for treatment of hand OA were developed using a combination of research based evidence and expert consensus based on evidence extrapolated from studies of OA affecting other joint sites or by expert opinion. Expand
EULAR evidence based recommendations for gout. Part II: Management. Report of a task force of the EULAR Standing Committee For International Clinical Studies Including Therapeutics (ESCISIT)
TLDR
12 key recommendations for management of gout were developed, using a combination of research based evidence and expert consensus, based on a Delphi consensus approach. Expand
Definition of osteoarthritis of the knee for epidemiological studies.
TLDR
The data suggest that the presence or absence of a definite osteophyte read by a single observer with an atlas is the best method of defining OA of the knee for epidemiological studies in women. Expand
EULAR/EFORT recommendations for the diagnosis and initial management of patients with acute or recent onset swelling of the knee
TLDR
This is the first combined interdisciplinary project of rheumatologists and orthopaedic surgeons, successfully aiming at achieving consensus in the diagnosis and initial management of patients presenting with acute or recent onset swelling of the knee. Expand
Estimating the probability of radiographic osteoarthritis in the older patient with knee pain.
TLDR
Simple clinical information can be used to estimate the probability of radiographic osteoarthritis in individual patients, but for the majority of community-dwelling older adults with knee pain this method enables the presence of radiographs to be neither confidently ruled in nor ruled out. Expand
Defining radiographic osteoarthritis for the whole knee.
TLDR
It is suggested that a knee should be characterized as having radiographic OA if there is either an osteophyte of grade 2 or greater severity present or the presence of moderate to severe joint space narrowing with co-occurrence of a bony feature in the compartment affected. Expand
Reliability of the knee examination in osteoarthritis: effect of standardization.
TLDR
With the exception of physical examinations for instability, a comprehensive knee examination can be performed with adequate reliability, and standardization further improves the reliability for some physical signs and techniques. Expand
...
1
2
3
4
5
...