中国膝骨关节炎基层诊疗与康复指南(2022版)

Chinese guideline for diagnosis, treatment and rehabilitation of knee osteoarthritis in primary clinics (2022 edition)

骨关节炎(OA)是常见的一种退行性关节疾病,表现为疼痛、畸形、关节活动障碍,给患者、家庭和社会造成了沉重的负担。其中,以膝OA的占比最高。基层医疗机构以社区为服务对象,与大型医院相比,其更加重视疾病相关的核心、有效、实用的防治措施,从而发挥其预防、保健、康复等综合服务作用。该指南由中华医学会骨科学分会关节外科学组、北京大学关节病研究所发起制订,采用证据推荐意见评价体系(GRADE)、开发指南研究和评估工具(AGREEⅡ)及指南科学性、透明性以及实用性评级系统(STAR,Scientificity,Transparency,and Applicability Rankings)指南评价工具和指南报告规范(RIGHT)等方法。先后遴选出基层医师最为关注的11个临床问题,并最终形成11条推荐意见,旨在提高基础医疗机构中膝OA诊疗的科学性并最终提升以患者为中心的医疗服务质量。

Osteoarthritis(OA)is a highly prevalent degenerative joint disease,characterized by pain,deformity and limited function,which represents a substantial burden for affected individuals,families,and the society.Knee OA accounts for the highest proportion.Primary clinics take the community as the service object.Compared with large-scale hospitals,primary clinics pay more attention to the universal,efficient and practical preventions and interventions related to diseases,aiming to achieve following comprehensive role,including prevention,health care and rehabilitation.The present guideline was initiated by the Joint Surgery Branch of the Chinese Orthopaedic Association and Peking University Arthritis Institute.The Grading of Recommendations Assessment,Development and Evaluation(GRADE)approach,the Reporting Items for Practice Guidelines in Healthcare(RIGHT)checklist,and Scientificity,Transparency,and Applicability Rankings(STAR)Guideline Quality Evaluation Checklist were utilized.Finally,a total of 11 evidence-based recommendations were formulated based on 11 most concerned clinical questions in practitioners in primary clinics in China.This guideline intended to improve the scientificity of knee OA diagnosis and treatment medical services in primary clinics.