Efficacy of treatments and pain management for trapeziometacarpal (thumb base) osteoarthritis: protocol for a systematic review

摘要: Introduction The thumb is essential for daily activities. Unfortunately, this digit commonly affected by trapeziometacarpal osteoarthritis (TMO), handicapping a large number of individuals. TMO constitutes an increasing human and economic burden our society whose population ageing. Limited access to adequate treatment among the most important obstacles optimal management. Poor understanding characteristics, lack knowledge about evidence-based treatments, simplistic pain management plans based solely on patient9s physical condition, absence interprofessional communication multidisciplinary guidelines contribute inadequate On long term, research project aims at improving quality care services offered patients with developing patient-centred, clinical pathway coordinated across healthcare system. This proposed systematic review prerequisite ensuring practices document efficacy all existing modalities Methods analysis protocol registered PROSPERO will be conducted using Cochrane Handbook Systematic Reviews Interventions. We identify studies in English French concerning treatments through searches Central, EMBASE, MEDLINE, PsychINFO, CINHAL, PubMed, OT Seekers, PEDRO grey literature. 2 reviewers independently screen study eligibility, extract data appraise published assessment tools. Meta-analyses undertaken where feasible; otherwise, narrative syntheses carried out. robustness evidence assessed GRADE Ethics dissemination approval not required study. A comprehensive exchange transfer plan incorporating effective strategies used disseminate findings utilise them optimise Trial registration CRD42015015623.