EULAR’s 2023 updated recommendations for the non-pharmacological treatment of hip and knee osteoarthritis reiterates and confirms, in an abbreviated form, what we have known for more than a decade. Unfortunately, the abbreviated format of the updated recommendations lacks specificity and clinical usefulness. More detailed guidance could have facilitated wider uptake and improved care.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Steinmetz, J. D. et al. Global, regional, and national burden of osteoarthritis, 1990-2020 and projections to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Rheumatol. 5, e508–e522 (2023).
Fernandes, L. et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann. Rheum. Dis. 72, 1125–1135 (2013).
Moseng, T. et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis: 2023 update. Ann. Rheum. Dis. https://doi.org/10.1136/ard-2023-225041 (2024).
Bruhn, S. M. et al. Usage of guideline-adherent core treatments for knee osteoarthritis before and after consulting an orthopaedic surgeon: A prospective cohort study. Osteoarthr. Cartil. Open 5, 100411 (2023).
Correa, V. C. et al. Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health Res. Policy Syst. 18, 74 (2020).
Bannuru, R. R. et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage 27, 1578–1589 (2019).
Kolasinski, S. L. et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis Rheumatol. 72, 220–233 (2020).
Acknowledgements
M.H. would like to thank A.S. Grønbech from The Parker Institute, Bispebjerg Frederiksberg Hospital, Copenhagen, Denmark, for valuable contributions to the creation of Fig. 1. The work of M.H. is supported by a core grant from The Oak Foundation given to The Parker Institute (OCAY-18-774-OFIL), which had no role in the preparation, review or approval of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
M.H. is an associate editor of Osteoarthritis and Cartilage, provides consultation on scientific advisory board for Thuasne, and has received travel grants from Contura International.
Rights and permissions
About this article
Cite this article
Henriksen, M. Limitations of the updated EULAR recommendations for osteoarthritis. Nat Rev Rheumatol (2024). https://doi.org/10.1038/s41584-024-01103-x
Published:
DOI: https://doi.org/10.1038/s41584-024-01103-x
