Dieppe P
Scand J Rheumatol. 2000;29(5):279-81. doi: 10.1080/030097400447642.
Osteoarthritis (OA) is already the most common disorder of joints, and is likely to go on increasing in prevalence. Primary prevention, although theoretically possible, is unlikely to occur because it would need major behavioural changes within society as a whole. Similarly, disease control through drugs seems unlikely to be achieved for a disorder that is an age-associated, mechanically driven "disorder of evolution". Current treatment is not very effective (with the exception of joint replacement), is dominated by drug therapy, and by the interests of those in the secondary care sector. The information revolution, combined with increasing understanding of the nature of OA, is likely to lead to major changes in management strategies in the future. There may be little of no place for the rheumatologist within future management of OA.
骨关节炎（OA）已是最常见的关节疾病，其患病率可能还会持续上升。一级预防虽然理论上可行，但不太可能实现，因为这需要整个社会的重大行为改变。同样，对于这种与年龄相关、由机械驱动的“进化性疾病”，通过药物控制疾病似乎也不太可能实现。目前的治疗效果不太理想（关节置换除外），主要以药物治疗为主，且受二级医疗部门相关人员利益的影响。信息革命，再加上对骨关节炎本质的认识不断加深，未来可能会导致管理策略发生重大变化。在未来骨关节炎的管理中，风湿病学家可能几乎没有立足之地。
