Clinical algorithms to aid osteoarthritis guideline dissemination

S. R.F. Meneses, A. P. Goode, A. E. Nelson, J. Lin, J. M. Jordan, K. D. Allen, K. L. Bennell, L. S. Lohmander, L. Fernandes, M. C. Hochberg, M. Underwood, P. G. Conaghan, S. Liu, T. E. McAlindon, Y. M. Golightly, D. J. Hunter

Research output: Research - peer-reviewReview article

  • 6 Citations

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.

LanguageEnglish (US)
Pages1487-1499
Number of pages13
JournalOsteoarthritis and Cartilage
Volume24
Issue number9
DOIs
StatePublished - Sep 1 2016

Fingerprint

Osteoarthritis
Guidelines
Therapeutics
Practice Guidelines
Transparency
Medicine
Health
Allied Health Personnel
Organizations
Exercise
Physicians

Keywords

  • Guidelines
  • Management
  • Osteoarthritis

ASJC Scopus subject areas

  • Rheumatology
  • Biomedical Engineering
  • Orthopedics and Sports Medicine

Cite this

Meneses, S. R. F., Goode, A. P., Nelson, A. E., Lin, J., Jordan, J. M., Allen, K. D., ... Hunter, D. J. (2016). Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis and Cartilage, 24(9), 1487-1499. DOI: 10.1016/j.joca.2016.04.004

Clinical algorithms to aid osteoarthritis guideline dissemination. / 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, M.; Conaghan, P. G.; Liu, S.; McAlindon, T. E.; Golightly, Y. M.; Hunter, D. J.

In: Osteoarthritis and Cartilage, Vol. 24, No. 9, 01.09.2016, p. 1487-1499.

Research output: Research - peer-reviewReview article

Meneses, SRF, Goode, AP, Nelson, AE, Lin, J, Jordan, JM, Allen, KD, Bennell, KL, Lohmander, LS, Fernandes, L, Hochberg, MC, Underwood, M, Conaghan, PG, Liu, S, McAlindon, TE, Golightly, YM & Hunter, DJ 2016, 'Clinical algorithms to aid osteoarthritis guideline dissemination' Osteoarthritis and Cartilage, vol 24, no. 9, pp. 1487-1499. DOI: 10.1016/j.joca.2016.04.004
Meneses SRF, Goode AP, Nelson AE, Lin J, Jordan JM, Allen KD et al. Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis and Cartilage. 2016 Sep 1;24(9):1487-1499. Available from, DOI: 10.1016/j.joca.2016.04.004
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, M. ; Conaghan, P. G. ; Liu, S. ; McAlindon, T. E. ; Golightly, Y. M. ; Hunter, D. J./ Clinical algorithms to aid osteoarthritis guideline dissemination. In: Osteoarthritis and Cartilage. 2016 ; Vol. 24, No. 9. pp. 1487-1499
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