Program

CO11-004

Oral Communication

Evidence based medicine in the diagnosis and management of hand osteoarthritis

Prof Finat DINCERa

a Dept of Physical & Rehabilitation Medicine

Objective: to outline the Diagnosis and Management of HOA depending essentially on the recent EVIDENCE BASED RECOMMENDATIONS (EBR) and literature.

Method: EBR for the Diagnosis of HOA, according to ; risk factors, clinical, subsets, differential diagnosis, images and laboratory tests is mentioned in details with Levels of Evidence.Also EBR for the Management of HOA developed through three Delphi rounds ,according to ; general, non-pharmacological, pharmacological, invasive , surgical, with Levels of evidence is given through the lecture.

Results: The results of 3 Delphi rounds ,for Diagnosis 108 , for Management of HOA 309 literature depending on Evidence Based Medicine and Hierarchy with Levels of Evidence is presented.

Conclusion: Pain relief , restoration of function remain the primary treatment objectives. These are best achieved by a combination of pharmacological & nonpharmacological treatment especially by application of PRM procedures. Surgery remains the last resort for restoration of function if all else fails.

References

1. W Zhang,M Doherty,B F Leeb,L Alekseeva,N K Arden,J W Bijlsma, F Dincer etal. EBR For DiagnosisOf HOA.AnnRheumDis 2009;68:8-17

2. W Zhang, M Doherty, B F Leeb, L Alekseeva, N K Arden, J W Bijlsma,

F Dinçer, etal. EBR For The Management of HOA . AnnRheumDis 2007;66:377-388

3. W. Zhang , R. W. Moskowitz , et al. OARSI recommendations for the management of hip & knee OA, OARSI evidence-based, expert consensus Guidelines. Osteoarthritis and Cartilage 2008;16:137-62.

4.Hochberg M,Altman R.et al.ACR 2012 Recommendations for Non and Pharmacologic Therapies in Hand,Hip,Knee OA. Arthritis Care & Research.2012; 64:465-474

Keywords : evidence based, hand osteoarthritis