Department of Rheumatology, University of Sydney, Australia.
Clin Geriatr Med. 2010 Aug;26(3):401-17. doi: 10.1016/j.cger.2010.03.003.
Evidence-based guidelines have the potential to improve the quality of health care by promoting interventions of proven benefit and discouraging unnecessary, ineffective, or harmful interventions. Recent years have seen the development of several evidence-based guidelines developed for osteoarthritis (OA) management. There is some consistency in the numerous guidelines that are available for OA management, yet despite some dissemination attempts, clinical practice does not reflect these recommendations. Current clinical practice reflects a multitude of factors, including clinician and patient preference and health care system support. Similarly, guidelines are frequently prescribed independent of context and thus implementation can be challenging. Future efforts to guide management of OA of the hip or knee are better directed towards implementing practices known to be effective in a context-dependent manner to optimize health care quality.
循证指南有可能通过推广已证实有效的干预措施和避免不必要、无效或有害的干预措施来提高医疗质量。近年来，已经制定了一些针对骨关节炎 (OA) 管理的循证指南。有许多 OA 管理的指南是一致的，但尽管进行了一些传播尝试，临床实践并没有反映出这些建议。当前的临床实践反映了多种因素，包括临床医生和患者的偏好以及医疗保健系统的支持。同样，指南通常是独立于背景规定的，因此实施可能具有挑战性。未来指导髋或膝关节 OA 管理的努力最好是针对以依赖于背景的方式实施已知有效的实践，以优化医疗保健质量。
