2017 update of the Turkish League Against Rheumatism (TLAR) evidence-based recommendations for the management of knee osteoarthritis

被引：29

作者：

Tuncer, Tiraje ^{[1
]}

Cay, Fatih Hasan ^{[2
]}

Altan, Lale ^{[3
]}

Gurer, Gulcan ^{[4
]}

Kacar, Cahit ^{[5
]}

Ozcakir, Suheda ^{[3
]}

Atik, Sahap ^{[6
]}

Ayhan, Figen ^{[7
]}

Durmaz, Berrin ^{[8
]}

Eskiyurt, Nurten ^{[9
]}

Genc, Hakan ^{[7
]}

GokceKutsal, Yesim ^{[10
]}

Gunaydin, Rezzan ^{[11
]}

Hepguler, Simin ^{[8
]}

Hizmetli, Sami ^{[12
]}

Kaya, Taciser ^{[13
]}

Kurtais, Yesim ^{[14
]}

Saridogan, Merih ^{[15
]}

Sindel, Dilsad ^{[16
]}

Sutbeyaz, Serap ^{[17
]}

Sendur, Omer Faruk ^{[18
]}

Ugurlu, Hatice ^{[19
]}

Unlu, Zeliha ^{[20
]}

机构：

[1] Akdeniz Univ, Sch Med Phys Med Rehabil, Antalya, Turkey

[2] Univ Hlth Sci, Antalya Training & Res Hosp, Phys Med Rehabil & Rheumatol, Antalya, Turkey

[3] Uludag Univ, Sch Med, Phys Med Rehabil, Bursa, Turkey

[4] Adnan Menderes Univ, Sch Med, Phys Med Rehabil & Rheumatol, Aydin, Turkey

[5] Akdeniz Univ, Phys Med Rehabil & Rheumatol, Sch Med, Antalya, Turkey

[6] Gazi Univ, Sch Med Orthopaed & Traumatol, Ankara, Turkey

[7] Univ Hlth Sci, Phys Med Rehabil, Ankara Training & Res Hosp, Ankara, Turkey

[8] Ege Univ, Phys Med Rehabil, Sch Med, Izmir, Turkey

[9] Istanbul Univ, Istanbul Sch Med, Phys Med Rehabil, Istanbul, Turkey

[10] Hacettepe Univ, Sch Med, Phys Med Rehabil, Ankara, Turkey

[11] Med Pk Izmir Hosp, Phys Med Rehabil, Izmir, Turkey

[12] Cumhuriyet Univ, Phys Med Rehabil & Rheumatol Phys Med Rehabil, Sch Med, Sivas, Turkey

[13] Univ Hlth Sci, Bozyaka Training & Res Hosp, Phys Med Rehabil, Izmir, Turkey

[14] Ankara Univ, Phys Med Rehabil, Sch Med, Ankara, Turkey

[15] Istanbul Univ, Phys Med Rehabil, Cerrahpasa Med Sch, Istanbul, Turkey

[16] Istanbul Univ, Istanbul Sch Med, Phys Med Rehabil, Istanbul, Turkey

[17] Univ Hlth Sci, Phys Med Rehabil, Kayseri Training & Res Hosp, Kayseri, Turkey

[18] Adnan Menderes Univ, Phys Med Rehabil, Sch Med, Aydin, Turkey

[19] Necmettin Erbakan Univ, Phys Med Rehabil, Sch Med, Konya, Turkey

[20] Celal Bayar Univ, Phys Med Rehabil, Sch Med, Manisa, Turkey

来源：

RHEUMATOLOGY INTERNATIONAL | 2018年 / 38卷 / 08期

关键词：

Knee osteoarthritis; Treatment; Evidence-based recommendations; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; DOUBLE-BLIND; TASK-FORCE; THERAPEUTIC ULTRASOUND; CLINICAL EFFECTIVENESS; EULAR RECOMMENDATIONS; CHONDROITIN SULFATE; STANDING-COMMITTEE; NEUROPATHIC PAIN; EFFICACY;

D O I：

10.1007/s00296-018-4044-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In a Turkish League Against Rheumatism (TLAR) project, evidence-based recommendations for the management of knee osteoarthritis (OA) was developed for the first time in our country in 2012 (TLAR-2012). In accordance with developing medical knowledge and scientific evidence, recommendations were updated. The committee was composed of 22 physical medicine and rehabilitation specialists (4 have rheumatology subspeciality also) and an orthopaedic surgeon. Systematic literature search were applied on Pubmed, Embase, Cochrane and Turkish Medical Index for the dates between January the 1st 2012 and January the 29th of 2015. The articles were assessed for quality and classified according to hierarchy for the level of evidence, and the selected ones sent to committee members electronically. They were asked to develop new recommendations. In the meeting in 2015, the format of the recommendations was decided to be patient-based and considering the grade and the severity of the disease. By the discussion of the each item under the light of new evidences, the final recommendations were developed. Each item was voted electronically on a 10-cm visual analogue scale (VAS) and the strength of recommendation (SoR) was calculated. In the light of evidences, totally 11 titles of recommendations were developed; the first 7 were applicable to each patient in every stages of the disease, remaining were for defined specific clinical situations. The mean SoR value of the recommendations was between 7.44 and 9.93. TLAR-2012 recommendations were updated in a new format. We think that, present recommendations will be beneficial for the physicians who manage, as well as the patients who suffer from the disease.

引用

页码：1315 / 1331

页数：17

共 78 条

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