Recommandations sur la prise en charge de l’arthrose de la hanche et du genou. Pour qui ? Pourquoi ? Pour quoi faire ?

Henrotin, Yves; Chevalier, Xavier

doi:10.1016/j.lpm.2010.03.029

Cited by 6 publications

(2 citation statements)

References 15 publications

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“… 14 15 However, at the time there was also an ongoing debate on possible treatment options in daily practice. 16 17 Glucosamine and viscosupplementation, for instance, had inconclusive evidence due to the lack of sufficient studies using placebos as comparators, lack of evaluation of the worst outcome, and lack of long-term pharmaceutical and safety evaluations. 18 19 In contrast, non-pharmacological treatments such as exercise, self-management education and reducing stress provided symptom relief with very few side effects.…”

Section: Introductionmentioning

confidence: 99%

Evidence of Chinese herbal medicine Duhuo Jisheng decoction for knee osteoarthritis: a systematic review of randomised clinical trials

et al. 2016

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ObjectivesDuhuo Jisheng decoction (DJD) is considered beneficial for controlling knee osteoarthritis (KOA)-related symptoms in some Asian countries. This review compiles the evidence from randomised clinical trials and quantifies the effects of DJD on KOA.Designs7 online databases were investigated up to 12 October 2015. Randomised clinical trials investigating treatment of KOA for which DJD was used either as a monotherapy or in combination with conventional therapy compared to no intervention, placebo or conventional therapy, were included. The outcomes included the evaluation of functional activities, pain and adverse effect. The risk of bias was evaluated using the Cochrane Collaboration tool. The estimated mean difference (MD) and SMD was within a 95% CI with respect to interstudy heterogeneity.Results12 studies with 982 participants were identified. The quality presented a high risk of bias. Meta-analysis found that DJD combined with glucosamine (MD 4.20 (1.72 to 6.69); p<0.001) or DJD plus meloxicam and glucosamine (MD 3.48 (1.59 to 5.37); p<0.001) had a more significant effect in improving Western Ontario and McMaster Universities Arthritis Index (total WOMAC scores). Also, meta-analysis presented more remarkable pain improvement when DJD plus sodium hyaluronate injection (MD 0.89 (0.26 to 1.53); p=0.006) was used. These studies demonstrated that active treatment of DJD in combination should be practiced for at least 4 weeks. Information on the safety of DJD or comprehensive therapies was insufficient in few studies.ConclusionsDJD combined with Western medicine or sodium hyaluronate injection appears to have benefits for KOA. However, the effectiveness and safety of DJD is uncertain because of the limited number of trials and low methodological quality. Therefore, practitioners should be cautious when applying DJD in daily practice. Future clinical trials should be well designed; more research is needed.

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Section: Introductionmentioning

confidence: 99%

Evidence of Chinese herbal medicine Duhuo Jisheng decoction for knee osteoarthritis: a systematic review of randomised clinical trials

et al. 2016

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“…Le bilan préopératoire avant prothèse du genou (PTG) est actuellement très (trop) segmenté entre les différents professionnels de santé, qu'il s'agisse du médecin généraliste [3], du rhumatologue [4], du chirurgien orthopédiste [5][6], de l'anesthésiste [7][8], et du médecin de médecine physique [9][10], face aux préférences individuelles et aux besoins des patients [11].…”

Section: Introductionunclassified

Quel bilan pour une gonarthrose avant prothèse

Chalès

2016

Revue du Rhumatisme Monographies

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National audienceWork up before a total knee arthroplasty for knee osteoarthritis is part of a clinical care pathway which should be patient-centered, needing a best interdisciplinary communication and collaboration to inform patients about the balance benefits/risk linked to the knee arthroplasty and to obtain an agreement between patient and health's professionals, essential feature of the shared decision-making process or patient’ preferences sensitive. This decision-making is based on the patient's history, search of general risk factors, comorbidities, physical examination, measure of knee function, radiographs, work up for infection sources, assessment of risk linked to anesthesia and orthopedic surgery, and delivering information to patients.Le bilan avant prothèse de genou pour une gonarthrose fait partie d’un parcours de soins qui devrait être centré sur le patient, nécessitant une meilleure concertation interdisciplinaire pour informer le patient de la balance bénéfices/risques liés à la pose d’une prothèse de genou et obtenir un accord mutuel entre le patient et les professionnels de santé, caractéristique essentielle du processus de « décision partagée » ou de « révélation des préférences des patients ». Cette décision repose sur les données de l’interrogatoire, la recherche des facteurs de risques généraux et des comorbidités, l’examen physique, l’évaluation de la gêne fonctionnelle, le bilan radiologique, la recherche de foyers infectieux, l’évaluation des risques liés à l’anesthésie et à la chirurgie orthopédique, et l’information au patient

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Why don’t patients take their analgesics? A meta-ethnography assessing the perceptions of medication adherence in patients with osteoarthritis

2016

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Whilst analgesics and medications have demonstrated efficacy for people with osteoarthritis, their effectiveness is dependent on adherence. This has previously been reported as particularly low in this population. The purpose of this meta-ethnography was to explore possible perceptions for this. A systematic review of published and unpublished literature was undertaken. All qualitative studies assessing the attitudes or perceptions of people with osteoarthritis towards medication adherence were eligible. Study quality was assessed using the Critical Appraisal Skills Programme qualitative tool. Analysis was undertaken using a meta-ethnography approach, distilling to a third-order construct and developing a line of argument. From 881 citations, five studies met the eligibility criteria. The meta-ethnography generated a model where medication adherence for people with osteoarthritis is perceived as a balance between the willingness and preference to take medications with the alterative being toleration of symptoms. Motivators to influence this 'balance' may fluctuate and change over time but include: severity of symptoms, education and understanding of osteoarthritis and current medications, or general health which may raise issues for poly-pharmacy as other medications are added or substituted into the patient's formulary. Medicine adherence in people with osteoarthritis is complex, involving motivators which will fluctuate in impact on individuals at different points along the disease progression. Awareness of each motivator may better inform clinicians as to what education, support or change in prescription practice should be adopted to ensure that medicine adherence is individualised to better promote long-term behaviour change.

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Recommandations sur la prise en charge de l’arthrose de la hanche et du genou. Pour qui ? Pourquoi ? Pour quoi faire ?

Cited by 6 publications

References 15 publications

Evidence of Chinese herbal medicine Duhuo Jisheng decoction for knee osteoarthritis: a systematic review of randomised clinical trials

Evidence of Chinese herbal medicine Duhuo Jisheng decoction for knee osteoarthritis: a systematic review of randomised clinical trials

Quel bilan pour une gonarthrose avant prothèse

Why don’t patients take their analgesics? A meta-ethnography assessing the perceptions of medication adherence in patients with osteoarthritis

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