Clinical guidelines (project) for the diagnostics and treatment of primary osteoarthritis for primary care specialists (general practitioners, therapists)

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Article contains a project of clinical guidelines for the management of patients with osteoarthritis, intended for primary health care professionals – general practitioners, common practice doctors, as well as senior medical students. The project includes the main aspects concerning diagnosis and treatment of this common disease of the musculoskeletal system. The main material of the manual is presented by adapted sections from modern clinical guidelines of specialized medical societies, as well as current regulatory federal documents.

Full Text

Restricted Access

About the authors

A. M. Lila

V.A. Nasonova Scientific Research Institute of Rheumatology; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia

Author for correspondence.
Email: abramova@bionika-media.ru

MD, professor, corresponding member of RAS, director, head of the Department of rheumatology, chief external expert-rheumatologist of the Ministry of Healthcare of Russia, Honored Doctor of the Russian Federation

Russian Federation, Moscow; Moscow

L. I. Alekseeva

V.A. Nasonova Scientific Research Institute of Rheumatology; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, head of the Department of metabolic diseases of bones and joints, professor of the Department of rheumatology

Russian Federation, Moscow; Moscow

E. A. Taskina

V.A. Nasonova Scientific Research Institute of Rheumatology

Email: abramova@bionika-media.ru

PhD in Medical Sciences, senior researcher at the Department of metabolic diseases of bones and joints

Russian Federation, Moscow

V. I. Mazurov

Scientific research institute of rheumatology; I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, professor, academician of RAS, chief scientific consultant, director, head of the Department of therapy, rheumatology, examination of disability and quality of medical care named after E.E. Eichwald, chief external expert-rheumatologist of the Committee on Healthcare of the Government of Saint Petersburg, Honored Scientist of the Russian Federation

Russian Federation, Saint Petersburg; Saint Petersburg

A. I. Martynov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, professor, academician of RAS, head of the Department of internal diseases No. 1 of the Faculty of general medicine with a course of echocardiography, president of the Russian Scientific Medical Society of Internal Medicine

Russian Federation, Moscow

E. R. Barantsevich

I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, professor, head of the Department of neurology and manual medicine, chief neurologist of the Northwestern Federal District of the Russian Federation

Russian Federation, Saint Petersburg

A. K. Vasylkin

R.R. Vreden National Medical Research Center for Traumatology and Orthopedics of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

PhD in Medical Sciences, deputy chief physician for medical rehabilitation

Russian Federation, Saint Petersburg

I. Z. Gaydukova

Scientific research institute of rheumatology; I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, professor, deputy director, professor of the Department of therapy, rheumatology, examination of disability and quality of medical care named after E.E. Eichwald

Russian Federation, Saint Petersburg; Saint Petersburg

A. E. Karateev

V.A. Nasonova Scientific Research Institute of Rheumatology

Email: abramova@bionika-media.ru

MD, head of the Department of inflammatory diseases of the joints

Russian Federation, Moscow

N. G. Kashevarova

V.A. Nasonova Scientific Research Institute of Rheumatology

Email: abramova@bionika-media.ru

PhD in Medical Sciences, researcher at the Department of metabolic diseases of bones and joints

Russian Federation, Moscow

A. Yu. Kochish

R.R. Vreden National Medical Research Center for Traumatology and Orthopedics of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, professor, deputy director for scientific and educational work

Russian Federation, Saint Petersburg

E. A. Strebkova

V.A. Nasonova Scientific Research Institute of Rheumatology

Email: abramova@bionika-media.ru

PhD in Medical Sciences, researcher of the Department of metabolic diseases of bones and joints

Russian Federation, Moscow

E. A. Trofimov

Scientific research institute of rheumatology; I.I. Mechnikov North-Western State Medical University of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, deputy director, professor of the Department of therapy, rheumatology, examination of disability and quality of medical care named after E.E. Eichwald

Russian Federation, Saint Petersburg; Saint Petersburg

N. V. Chichasova

V.A. Nasonova Scientific Research Institute of Rheumatology; Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, professor, leading researcher, professor of the Department of rheumatology

Russian Federation, Moscow; Moscow

N. A. Shostak

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia

Email: abramova@bionika-media.ru

MD, professor, head of the Department of faculty therapy named after A.I. Nesterov, Honored Doctor of the Russian Federation

Russian Federation, Moscow

References

  1. Балабанова Р.М., Дубинина Т.В. Динамика пятилетней заболеваемости болезнями костно-мышечной системы и их распространенности среди взрослого населения России за 2013–2017 гг. Современная ревматология. 2019; 13(4): 11–17. [Balabanova R.M., Dubinina T.V. Five-year (2013–2017) trends in the incidence and prevalence of musculoskeletal system diseases among the adult population of Russia. Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2019; 13(4): 11–17 (In Russ.)]. https://dx.doi.org/10.14412/1996-7012-2019-4-11-17. EDN: VFVQEE.
  2. Галушко Е.А., Большакова Т.В., Виноградова И.Б. с соавт. Структура ревматических заболеваний среди взрослого населения России по данным эпидемиологического исследования (предварительные результаты). Научно-практическая ревматология. 2009; 47(1): 11–17. [Galushko E.A., Bolshakova T.V., Vinogradova I.B. et al. Structure of rheumatic diseases among adult population of Russia according to data of an epidemiological study (preliminary results). Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2009; 47(1): 11–17 (In Russ.)]. EDN: RCOHYF.
  3. Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2019 (GBD 2019) results. 2020. URL: http://ghdx.healthdata.org/gbdresults-tool (date of access – 02.11.2020).
  4. Kellgren J.H., Lawrence J.S. Radiological assessment of osteoarthrosis. Ann Rheum Dis. 1957; 16(4): 494–502. http://dx.doi.org/10.1136/ard.16.4.494.
  5. Altman R., Asch E., Bloch D. et al. Development of criteria for the classification and reporting of osteoarthritis. Classification of osteoarthritis of the knee. Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association. Arthritis Rheum. 1986; 29(8): 1039–49. http://dx.doi.org/10.1002/art.1780290816.
  6. Martel-Pelletier J., Maheu E., Pelletier J.P. et al. A new decision tree for diagnosis of osteoarthritis in primary care: International consensus of experts. Aging Clin Exp Res. 2019; 31(1): 19–30. http://dx.doi.org/10.1007/s40520-018-1077-8.
  7. Резолюция консенсуса экспертов Российской Федерации по диагностике и лечению остеоартрита для врачей первичного звена. Терапия. 2022; 8(5): 119–128. [Resolution of the consensus of Russian Federation experts on the diagnosis and treatment of osteoarthritis for primary care physicians. Terapiya = Therapy. 2022; 8(5): 119–128 (In Russ.)]. https://dx.doi.org/10.18565/therapy.2022.5.119-128. EDN: ZMKXAD.
  8. Altman R., Alarcon G., Appelrouth D. et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip. Arthritis Rheum. 1991; 34(5): 505–14. https://dx.doi.org/10.1002/art.1780340502.
  9. Altman R., Alarcon G., Appelrouth D. et al. The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hand. Arthritis Rheum. 1990; 33(11): 1601–10. https://dx.doi.org/10.1002/art.1780331101.
  10. Salis Z., Sainsbury A., I. Keen H. et al. Weight loss is associated with reduced risk of knee and hip replacement: A survival analysis using Osteoarthritis Initiative data. Int J Obes (Lond). 2022; 46(4): 874–84. https://dx.doi.org/10.1038/s41366-021-01046-3.
  11. Wolff D.G., Christophersen C., Brown S.M., Mulcahey M.K. Topical nonsteroidal anti-inflammatory drugs in the treatment of knee osteoarthritis: A systematic review and meta-analysis. Phys Sportsmed. 2021; 49(4): 381–91. https://dx.doi.org/10.1080/00913847.2021.1886573.
  12. Da Costa B.R., Reichenbach S., Keller N. et al. Effectiveness of non-steroidal anti-inflammatory drugs for the treatment of pain in knee and hip osteoarthritis: A network meta-analysis. Lancet. 2017; 390(10090): e21–e33. https://dx.doi.org/10.1016/S0140-6736(17)31744-0.
  13. Conaghan P.G., Arden N., Avouac B. et al. Safety of paracetamol in osteoarthritis: What does the literature say? Drugs Aging. 2019; 36(Suppl 1): 7–14. https://dx.doi.org/10.1007/s40266-019-00658-9.
  14. Leopoldino A.O., Machado G.C., Ferreira P.H. et al. Paracetamol versus placebo for knee and hip osteoarthritis. Cochrane Database Syst Rev. 2019; 2(2): CD013273. https://dx.doi.org/10.1002/14651858.CD013273.
  15. Таскина Е.А., Кашеварова Н.Г., Алексеева Л.И. Место нестероидных противовоспалительных препаратов в современных рекомендациях по остеоартриту. Современная ревматология. 2020; 14(2): 123–130. [Taskina E.A., Kashevarova N.G., Alekseeva L.I. The place of nonsteroidal anti-inflammatory drugs in the current osteoarthritis guidelines. Sovremennaya revmatologiya = Modern Rheumatology Journal. 2020; 14(2): 123–130 (In Russ.)]. https://dx.doi.org/10.14412/1996-7012-2020-2-123-130. EDN: FFBBYO.
  16. Osani M.C., Vaysbrot E.E., Zhou M. et al. Duration of symptom relief and early trajectory of adverse events for oral nonsteroidal antiinflammatory drugs in knee osteoarthritis: A systematic review and meta-analysis. Arthritis Care Res (Hoboken). 2020; 72(5): 641–51. https://dx.doi.org/10.1002/acr.23884.
  17. Каратеев А.Е., Насонов Е.Л., Ивашкин В.Т. с соавт. Рациональное использование нестероидных противовоспалительных препаратов. Клинические рекомендации. Научно-практическая ревматология. 2018; 56(S1): 1–29. [Karateev A.E., Nasonov E.L., Ivashkin V.T. et al. Rational use of nonsteroidal anti-inflammatory drugs. Clinical guidelines. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2018; 56(S1): 1–29 (In Russ.)]. https://dx.doi.org/10.14412/1995-4484-2018-1-29. EDN: PCPKRP.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1

Download (131KB)
Indexing metadata
3. Fig. 2

Download (57KB)
Indexing metadata
4. Fig. 3

Download (818KB)
Indexing metadata
5. Fig. 4

Download (225KB)
Indexing metadata
6. Fig. 5

Download (474KB)
Indexing metadata
7. Fig. 6

Download (206KB)
Indexing metadata
8. Fig. 7

Download (93KB)
Indexing metadata
9. Fig. 8

Download (270KB)
Indexing metadata
10. Fig. 9

Download (654KB)
Indexing metadata
11. Fig. 10

Download (227KB)
Indexing metadata
12. Fig. 11

Download (620KB)
Indexing metadata

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies