Article

Osteoarthritis (OA) is a leading cause of disability worldwide. Clinical practice
guidelines (CPGs) have been developed to facilitate improved OA management.
Scientific communities worldwide have proposed CPGs for OA treatment. Despite the
number of highly prominent guidelines available and their remarkable consistency,
their uptake has been suboptimal. Possibly because of the multitude of barriers
related to the implementation of CPGs. For example, different guidelines show
contradictions, some lack evidence, and they lack a hierarchy or tools to
facilitate their translation and application. Also, the guidelines do not
acknowledge the effect of comorbidities on choosing the treatments. Finally, poor
integration of multidisciplinary services within and across healthcare settings
is a major barrier to the effective implementation of management guidelines. Here
we describe the main problems related to the OA guidelines and some solutions so
as to offer some guidance on the elaboration of future CPGs and their
implementation in primary care.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS