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.
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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.
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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.
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Henriksen, M. Limitations of the updated EULAR recommendations for osteoarthritis. Nat Rev Rheumatol 20, 321–322 (2024). https://doi.org/10.1038/s41584-024-01103-x
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DOI: https://doi.org/10.1038/s41584-024-01103-x