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2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint
AIM: The European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) algorithm for the management of knee osteoarthritis (OA) is available worldwide from 2014, but in 2019 an update was published. Based on this algorithm, a Working Group (W...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302513/ https://www.ncbi.nlm.nih.gov/pubmed/34189714 http://dx.doi.org/10.1007/s40520-021-01906-y |
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author | Zhang, Zhiyi Huang, Cibo Cao, Yongping Mu, Rong Zhang, Mun Chan Xing, Dan Fan, Dongwei Ding, Yunpong Guo, Junhuan Hou, Yong Jianhao, Lin Veronese, Nicola Reginster, Jean-Yves Bruyere, Olivier Cavalier, Etienne Zhang, Huaihuan |
author_facet | Zhang, Zhiyi Huang, Cibo Cao, Yongping Mu, Rong Zhang, Mun Chan Xing, Dan Fan, Dongwei Ding, Yunpong Guo, Junhuan Hou, Yong Jianhao, Lin Veronese, Nicola Reginster, Jean-Yves Bruyere, Olivier Cavalier, Etienne Zhang, Huaihuan |
author_sort | Zhang, Zhiyi |
collection | PubMed |
description | AIM: The European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) algorithm for the management of knee osteoarthritis (OA) is available worldwide from 2014, but in 2019 an update was published. Based on this algorithm, a Working Group (WG), including ESCEO members and Chinese experts, wished to see how the new ESCEO algorithm was perceived by Chinese experts in knee OA and how it was integrated into their clinical practice. METHODS: A WG was held between members of the international ESCEO task force and a group of Chinese experts. RESULTS: Non-pharmacological approach should be combined with pharmacological interventions. In step 1, symptomatic slow-acting drugs for osteoarthritis (SYSADOA) are the most important background drugs. Evidence, supported by high-quality research, is available only for crystalline glucosamine sulfate (pCGS) and chondroitin sulfate. Topical NSAIDs could be used as an additional option. In step 2, oral NSAIDs could be useful, but cardiovascular/renal/gastrointestinal profiles of the patients should be considered. Intra-articular hyaluronic acid and corticosteroids are alternative to oral NSAIDs, but the evidence is still limited. If steps 1 and 2 are not sufficient, weak opioids could be used. Overall, the conclusions of the ESCEO algorithm are accepted in China for products available in this country. The WG suggests the importance of economic studies, specifically made in China. CONCLUSION: This work provides evidence-based advice to establish a treatment algorithm in knee OA, for practical implementation in clinical practice in China. |
format | Online Article Text |
id | pubmed-8302513 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-83025132021-07-27 2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint Zhang, Zhiyi Huang, Cibo Cao, Yongping Mu, Rong Zhang, Mun Chan Xing, Dan Fan, Dongwei Ding, Yunpong Guo, Junhuan Hou, Yong Jianhao, Lin Veronese, Nicola Reginster, Jean-Yves Bruyere, Olivier Cavalier, Etienne Zhang, Huaihuan Aging Clin Exp Res Consensus Document AIM: The European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) algorithm for the management of knee osteoarthritis (OA) is available worldwide from 2014, but in 2019 an update was published. Based on this algorithm, a Working Group (WG), including ESCEO members and Chinese experts, wished to see how the new ESCEO algorithm was perceived by Chinese experts in knee OA and how it was integrated into their clinical practice. METHODS: A WG was held between members of the international ESCEO task force and a group of Chinese experts. RESULTS: Non-pharmacological approach should be combined with pharmacological interventions. In step 1, symptomatic slow-acting drugs for osteoarthritis (SYSADOA) are the most important background drugs. Evidence, supported by high-quality research, is available only for crystalline glucosamine sulfate (pCGS) and chondroitin sulfate. Topical NSAIDs could be used as an additional option. In step 2, oral NSAIDs could be useful, but cardiovascular/renal/gastrointestinal profiles of the patients should be considered. Intra-articular hyaluronic acid and corticosteroids are alternative to oral NSAIDs, but the evidence is still limited. If steps 1 and 2 are not sufficient, weak opioids could be used. Overall, the conclusions of the ESCEO algorithm are accepted in China for products available in this country. The WG suggests the importance of economic studies, specifically made in China. CONCLUSION: This work provides evidence-based advice to establish a treatment algorithm in knee OA, for practical implementation in clinical practice in China. Springer International Publishing 2021-06-29 2021 /pmc/articles/PMC8302513/ /pubmed/34189714 http://dx.doi.org/10.1007/s40520-021-01906-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Consensus Document Zhang, Zhiyi Huang, Cibo Cao, Yongping Mu, Rong Zhang, Mun Chan Xing, Dan Fan, Dongwei Ding, Yunpong Guo, Junhuan Hou, Yong Jianhao, Lin Veronese, Nicola Reginster, Jean-Yves Bruyere, Olivier Cavalier, Etienne Zhang, Huaihuan 2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint |
title | 2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint |
title_full | 2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint |
title_fullStr | 2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint |
title_full_unstemmed | 2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint |
title_short | 2021 revised algorithm for the management of knee osteoarthritis—the Chinese viewpoint |
title_sort | 2021 revised algorithm for the management of knee osteoarthritis—the chinese viewpoint |
topic | Consensus Document |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302513/ https://www.ncbi.nlm.nih.gov/pubmed/34189714 http://dx.doi.org/10.1007/s40520-021-01906-y |
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