Clinical algorithms to aid osteoarthritis guideline dissemination

Research output: Contribution to journalReview article

Standard

Clinical algorithms to aid osteoarthritis guideline dissemination. / Meneses, S. R F; Goode, A. P.; Nelson, A. E.; Lin, J.; Jordan, J. M.; Allen, K. D.; Bennell, K. L.; Lohmander, L. S.; Fernandes, L.; Hochberg, M. C.; Underwood, M.; Conaghan, P. G.; Liu, S.; McAlindon, T. E.; Golightly, Y. M.; Hunter, D. J.

In: Osteoarthritis and Cartilage, Vol. 24, No. 9, 09.2016, p. 1487-1499.

Research output: Contribution to journalReview article

Harvard

Meneses, SRF, Goode, AP, Nelson, AE, Lin, J, Jordan, JM, Allen, KD, Bennell, KL, Lohmander, LS, Fernandes, L, Hochberg, MC, Underwood, M, Conaghan, PG, Liu, S, McAlindon, TE, Golightly, YM & Hunter, DJ 2016, 'Clinical algorithms to aid osteoarthritis guideline dissemination', Osteoarthritis and Cartilage, vol. 24, no. 9, pp. 1487-1499. https://doi.org/10.1016/j.joca.2016.04.004

APA

Meneses, S. R. F., Goode, A. P., Nelson, A. E., Lin, J., Jordan, J. M., Allen, K. D., ... Hunter, D. J. (2016). Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis and Cartilage, 24(9), 1487-1499. https://doi.org/10.1016/j.joca.2016.04.004

CBE

Meneses SRF, Goode AP, Nelson AE, Lin J, Jordan JM, Allen KD, Bennell KL, Lohmander LS, Fernandes L, Hochberg MC, Underwood M, Conaghan PG, Liu S, McAlindon TE, Golightly YM, Hunter DJ. 2016. Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis and Cartilage. 24(9):1487-1499. https://doi.org/10.1016/j.joca.2016.04.004

MLA

Vancouver

Author

Meneses, S. R F ; Goode, A. P. ; Nelson, A. E. ; Lin, J. ; Jordan, J. M. ; Allen, K. D. ; Bennell, K. L. ; Lohmander, L. S. ; Fernandes, L. ; Hochberg, M. C. ; Underwood, M. ; Conaghan, P. G. ; Liu, S. ; McAlindon, T. E. ; Golightly, Y. M. ; Hunter, D. J. / Clinical algorithms to aid osteoarthritis guideline dissemination. In: Osteoarthritis and Cartilage. 2016 ; Vol. 24, No. 9. pp. 1487-1499.

RIS

TY - JOUR

T1 - Clinical algorithms to aid osteoarthritis guideline dissemination

AU - Meneses, S. R F

AU - Goode, A. P.

AU - Nelson, A. E.

AU - Lin, J.

AU - Jordan, J. M.

AU - Allen, K. D.

AU - Bennell, K. L.

AU - Lohmander, L. S.

AU - Fernandes, L.

AU - Hochberg, M. C.

AU - Underwood, M.

AU - Conaghan, P. G.

AU - Liu, S.

AU - McAlindon, T. E.

AU - Golightly, Y. M.

AU - Hunter, D. J.

PY - 2016/9

Y1 - 2016/9

N2 - Background: Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendations and develop a user-friendly treatment algorithm to facilitate translation of evidence into practice. Methods: We updated a previous systematic review on clinical practice guidelines (CPGs) for OA management. The guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation for quality and the standards for developing trustworthy CPGs as established by the National Academy of Medicine (NAM). Four case scenarios and algorithms were developed by consensus of a multidisciplinary panel. Results: Sixteen guidelines were included in the systematic review. Most recommendations were directed toward physicians and allied health professionals, and most had multi-disciplinary input. Analysis for trustworthiness suggests that many guidelines still present a lack of transparency. A treatment algorithm was developed for each case scenario advised by recommendations from guidelines and based on panel consensus. Conclusion: Strategies to facilitate the implementation of guidelines in clinical practice are necessary. The algorithms proposed are examples of how to apply recommendations in the clinical context, helping the clinician to visualise the patient flow and timing of different treatment modalities.

AB - Background: Numerous scientific organisations have developed evidence-based recommendations aiming to optimise the management of osteoarthritis (OA). Uptake, however, has been suboptimal. The purpose of this exercise was to harmonize the recent recommendations and develop a user-friendly treatment algorithm to facilitate translation of evidence into practice. Methods: We updated a previous systematic review on clinical practice guidelines (CPGs) for OA management. The guidelines were assessed using the Appraisal of Guidelines for Research and Evaluation for quality and the standards for developing trustworthy CPGs as established by the National Academy of Medicine (NAM). Four case scenarios and algorithms were developed by consensus of a multidisciplinary panel. Results: Sixteen guidelines were included in the systematic review. Most recommendations were directed toward physicians and allied health professionals, and most had multi-disciplinary input. Analysis for trustworthiness suggests that many guidelines still present a lack of transparency. A treatment algorithm was developed for each case scenario advised by recommendations from guidelines and based on panel consensus. Conclusion: Strategies to facilitate the implementation of guidelines in clinical practice are necessary. The algorithms proposed are examples of how to apply recommendations in the clinical context, helping the clinician to visualise the patient flow and timing of different treatment modalities.

KW - Guidelines

KW - Management

KW - Osteoarthritis

UR - http://www.scopus.com/inward/record.url?scp=84965146307&partnerID=8YFLogxK

U2 - 10.1016/j.joca.2016.04.004

DO - 10.1016/j.joca.2016.04.004

M3 - Review article

VL - 24

SP - 1487

EP - 1499

JO - Osteoarthritis and Cartilage

T2 - Osteoarthritis and Cartilage

JF - Osteoarthritis and Cartilage

SN - 1063-4584

IS - 9

ER -