Melbourne EpiCentre, Royal Melbourne Hospital, Melbourne Health, University of Melbourne, Parkville, Victoria 3052, Australia.
Rheum Dis Clin North Am. 2013 Feb;39(1):123-43. doi: 10.1016/j.rdc.2012.10.005. Epub 2012 Nov 17.
Osteoarthritis is the most prevalent chronic joint disease worldwide. The incidence and prevalence are increasing as the population ages and lifestyle risk factors such as obesity increase. There are several evidence-based clinical practice guidelines available to guide clinician decision making, but there is evidence that care provided is suboptimal across all domains of quality: effectiveness, safety, timeliness and appropriateness, patient-centered care, and efficiency. System, clinician, and patient barriers to optimizing care need to be addressed. Innovative models designed to meet patient needs and those that harness social networks must be developed, especially to support those with mild to moderate disease.
骨关节炎是全球最常见的慢性关节疾病。随着人口老龄化以及肥胖等生活方式危险因素的增加，其发病率和患病率呈上升趋势。有几个循证临床实践指南可用于指导临床医生的决策，但有证据表明，在所有质量领域（有效性、安全性、及时性和适宜性、以患者为中心的护理和效率）的护理都不尽如人意。需要解决系统、临床医生和患者在优化护理方面的障碍。必须开发旨在满足患者需求的创新模式，以及利用社交网络的模式，尤其是为了支持那些患有轻度至中度疾病的患者。
