Artikel
Updating a knee osteoarthritis clinical practice guideline for primary care
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Veröffentlicht: | 10. Juli 2012 |
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Gliederung
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Background: After five years (2006) since the publication of a Clinical Practice Guideline (CPG) for Knee Osteoarthritis in Primary Care (PC), the Spanish NHS CPG development Programme (GuíaSalud) decided to update this CPG.
Objectives: To update a CPG for Knee Osteoarthritis in PC for the Spanish NHS CPG development Programme (GuíaSalud).
Methods: Method was based on Spanish Updating CPGs methodological Handbook. Most of members being part of the previous GDG including patients collaborated again in the Guideline Development Group. New evidence for the interventions included was considered; we also reviewed new therapeutic strategies that have been incorporated in primary care. Also new data bases were added to the search strategy (PEDRO and OT SEEKER).
Results: The Updated CPG agreed to incorporate in the search strategy the following items, not listed in the previous one: alternative medicine (homeopathy, herbal products), shortwave, massages, Pilates and topical lidocaine. The updated CPG also highlight the importance of patient education as the most important treatment in PC. It also includes particularities of joint protection, physical measures (kinesiotape) and exercises.
Discussion: To update a CPG is an opportunity to improve areas that were not considered in their previous development including patients’ views. However, it should be consider either the time and resources before performing the update, being precise about the scope.
Implications for guideline developers/users: When updating a CPG a greater involvement of patients should be tried and the possibility of developing new clinical questions should be considered with caution.