Italian Society for Rheumatology recommendations for the management of hand osteoarthritis.

摘要: Hand osteoarthritis (OA) is a common and potentially disabling disease, with different features from hip knee OA so that specific therapeutic approach required. Evidence based recommendations for the management of hand were developed by European League Against Rheumatism (EULAR) in 2006. The Italian Society Rheumatology (SIR) aimed to update, adapt national contest disseminate EULAR OA. multidisciplinary group experts included specialists involved patients In order maintain consistency recommendations, similar methodology was utilized group. original propositions reformulated terms search query every recommendation systematic conducted updating recommendations' review. translated basing on collected evidences expert opinion. strength measured each proposition ordinal visual analogue scales. 11 adapted context. Further about non-pharmacological therapies, local treatments, intra-articular injection SYSADOA corticosteroids, surgery. SIR has updated healthcare system. Their implementation clinical practice expected improve