Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis, Nottingham, UK.
Academic Orthopaedics, Trauma and Sports Medicine, School of Medicine, University of Nottingham, Nottingham, UK.
Br J Sports Med. 2019 Jul;53(13):806-811. doi: 10.1136/bjsports-2017-098051. Epub 2018 Jul 20.
The burden of non-communicable diseases, such as osteoarthritis (OA), continues to increase for individuals and society. Regrettably, in many instances, healthcare professionals fail to manage OA optimally. There is growing disparity between the strength of evidence supporting interventions for OA and the frequency of their use in practice. Physical activity and exercise, weight management and education are key management components supported by evidence yet lack appropriate implementation. Furthermore, a recognition that treatment earlier in the disease process may halt progression or reverse structural changes has not been translated into clinical practice. We have largely failed to put pathways and procedures in place that promote a proactive approach to facilitate better outcomes in OA. This paper aims to highlight areas of evidence-based practical management that could improve patient outcomes if used more effectively.
非传染性疾病（如骨关节炎（OA））的负担不断增加，给个人和社会带来了沉重负担。遗憾的是，在许多情况下，医疗保健专业人员未能对 OA 进行最佳管理。支持 OA 干预措施的证据强度与这些干预措施在实践中的使用频率之间存在越来越大的差距。体力活动和锻炼、体重管理和教育是有证据支持的关键管理组成部分，但实施情况并不理想。此外，人们认识到在疾病早期进行治疗可能会阻止病情进展或逆转结构变化，但这一认识尚未转化为临床实践。我们在制定促进积极主动的方法以改善 OA 患者结局的途径和程序方面基本上没有取得成功。本文旨在强调在更有效地使用时可以改善患者结局的循证实用管理领域。
