Knee Osteoarthritis Evidence Based Guidelines Management: The Missing

Document Type : Research articles

Authors

1 Medical Surgical Nursing, Faculty of Nursing, Tishreen University, Syrian Arab Republic

2 Medical Surgical Nursing, Faculty of Nursing, Alexandria University

3 Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University

Abstract

Today, knee osteoarthritis (KOA) is the most prevalent arthropathies, affecting up to 251
million people worldwide. In Egypt, recent epidemiologic studies reported that KOA prevalence was
29.2 per 1000, and embodies an enormous public health burden. To enhance remediation this
ubiquitous condition, numerous authoritative evidence based guidelines have been developed, with
roughly fifty-one clinical guidelines currently exist representing national, international, and several
stakeholder organizations. Surprisingly, a current systemic review that critically appraises these
guidelines revealed that there is a relative consensus on a lot of KOA management recommendations.
This disagreement may be partially explained by the research evidence examined and population
characteristics. Ironically, there is no explicit Egyptian guideline available for managing KOA
heretofore. Nevertheless, the paramount commonality among all guidelines was a tenet identified as a
core intervention encompassing education and self-management, exercise, and weight control.
Additionally, to optimize the treatment a coordinated multidisciplinary team approach was strongly
supported. Considering these facts, nurses are in a unique position to inform and support their KOA
patient's management. Furthermore, given such core interventions are inherent in nursing science,
nursing led modalities are envisioned to have substantial positive health outcomes. Therefore, nurses
must be aware about their critical role in handling this disease, and must be encouraged to actively
participate in evolving effective strategies targeted these core elements. To sum, the significance of
this paper stem from at least three reasons. First, it highlighted the lack of agreement in guideline's
recommendations. Second, it acknowledged the imperative need for discrete Egyptian KOA guideline.
Third, it emphasized the importance of nursing role in counter this disease.

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