骨关节炎诊治指南的临床转化应用

Strategies of osteoarthritis guidelines in clinical application

近些年,针对骨关节炎(osteoarthritis,OA)的诊断与治疗,出现过多种多样的指南,但是不同的指南由于纳入证据等级的不同,导致其推荐强度不同,而且指南过于文本化,一定程度上限制了其在临床的转化应用。2016年国际骨关节炎会议(OARSI)通过更新现有指南,以求得到OA治疗的临床实践指导方针,并针对手部OA、髋关节OA、膝关节OA提出了4种用户友好型的治疗路径,最终的目的是促进指南的临床转化。

Numerous guidelines have been developed aiming to optimize the diagnosis and treatment of osteoarthritis （OA）. However, different evidences lead to different levels of recotnmendations, and many guidelines still present a lack of transparency which in some way limits its clinical use. In 2016, Osteoarthritis Research Society International （OARSI） updated a previous guideline for OA management, developed a set of user-friendly management algorithms for common case scenarios （hand OA, hip OA, knee OA） , aiming to facilitate the translation of evidence-based recommendations into clinical practice.