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Clinical algorithms to aid osteoarthritis guideline dissemination
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Meneses, S. R. F., Goode, A. P., Nelson, A. E., Lin, J., Jordan, J. M., Allen, K. D., Bennell, K. L., Lohmander, L. S., Fernandes, L., Hochberg, M. C., Underwood, Martin, Conaghan, P. G., Liu, S., McAlindon, T. E., Golightly, Y. M. and Hunter, D. J. (2016) Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis and Cartilage, 24 (9). pp. 1487-1499. doi:10.1016/j.joca.2016.04.004 ISSN 1063-4584.
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Official URL: http://dx.doi.org/10.1016/j.joca.2016.04.004
Abstract
Background:
Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendations and develop a user-friendly treatment algorithm to facilitate translation of evidence into practice.
Methods:
We updated a previous systematic review on clinical practice guidelines (CPGs) for OA management. The guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation for quality and the standards for developing trustworthy CPGs as established by the National Academy of Medicine (NAM). Four case scenarios and algorithms were developed by consensus of a multidisciplinary panel.
Results:
Sixteen guidelines were included in the systematic review. Most recommendations were directed toward physicians and allied health professionals, and most had multi-disciplinary input. Analysis for trustworthiness suggests that many guidelines still present a lack of transparency. A treatment algorithm was developed for each case scenario advised by recommendations from guidelines and based on panel consensus.
Conclusion:
Strategies to facilitate the implementation of guidelines in clinical practice are necessary. The algorithms proposed are examples of how to apply recommendations in the clinical context, helping the clinician to visualise the patient flow and timing of different treatment modalities.
| Item Type: | Journal Article | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Osteoarthritis and Cartilage | ||||||||||
| Publisher: | Elsevier Science BV | ||||||||||
| ISSN: | 1063-4584 | ||||||||||
| Official Date: | September 2016 | ||||||||||
| Dates: |
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| Volume: | 24 | ||||||||||
| Number: | 9 | ||||||||||
| Page Range: | pp. 1487-1499 | ||||||||||
| DOI: | 10.1016/j.joca.2016.04.004 | ||||||||||
| Status: | Peer Reviewed | ||||||||||
| Publication Status: | Published | ||||||||||
| Access rights to Published version: | Open Access (Creative Commons) |
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