Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Section of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Int J Rheum Dis. 2022 Apr;25(4):383-393. doi: 10.1111/1756-185X.14292. Epub 2022 Feb 15.
Identifying existing interventions for rehabilitation and related evidence presents a crucial step in developing the World Health Organization's (WHO) Package of Interventions for Rehabilitation. This paper reports the results of a systematic search that aimed to identify clinical practice guidelines (CPGs) relevant to the rehabilitation of people with osteoarthritis and presents the CPG recommendations and the current state of evidence available for the interventions in the CPGs.
This paper is part of the "Best Evidence for Rehabilitation" (be4rehab) series, developed according to the methodology presented in the WHO's Package of Interventions for Rehabilitation introductory paper by Rauch et al, published in 2019. It is a systematic review of the existing CPGs on osteoarthritis published between 2009 and 2019. Identified CPGs were screened taking into consideration conflict of interest, the provision of information regarding the strength of recommendation(s), and quality to be selected. Quality of CPGs was assessed using the AGREE II tool.
After title and abstract screening, 51 CPGs were identified. Considering the inclusion/exclusion criteria, 26 CPGs were selected. After checking for quality, comprehensiveness, multi-professionality, and publication date, five CPGs were finally included in the review. The strong recommendations for people with knee and hip osteoarthritis consistently included in all the selected CPGs, sometimes called "core treatments", were patient education, exercise training, and weight reduction if overweight or obese. Generally, recommendations overlap in the CPGs.
The systematic search revealed high-quality CPGs on osteoarthritis for the identification of "Best Evidence for Rehabilitation (be4rehab)" regarding interventions for rehabilitation of people with osteoarthritis.
确定现有的康复干预措施及其相关证据，是制定世界卫生组织（WHO）康复干预措施包的关键步骤。本文报告了一项系统检索的结果，旨在确定与骨关节炎患者康复相关的临床实践指南（CPG），并介绍了 CPG 建议以及 CPG 中干预措施的现有证据状况。
本文是“康复最佳证据（be4rehab）”系列的一部分，该系列是根据 Rauch 等人 2019 年发表的 WHO 康复干预措施包介绍性论文中提出的方法开发的。这是对 2009 年至 2019 年期间发表的骨关节炎现有 CPG 的系统评价。在考虑利益冲突、提供推荐强度信息以及质量的情况下，对确定的 CPG 进行筛选，以确定其是否被纳入。使用 AGREE II 工具评估 CPG 的质量。
在标题和摘要筛选后，确定了 51 项 CPG。考虑到纳入/排除标准，选择了 26 项 CPG。在检查质量、全面性、多专业性和出版日期后，最终有 5 项 CPG 被纳入审查。所有选定的 CPG 都一致推荐对膝关节炎和髋关节炎患者进行“核心治疗”，包括患者教育、运动训练和超重或肥胖患者的体重减轻。一般来说，CPG 中的建议存在重叠。
系统检索揭示了高质量的骨关节炎 CPG，可用于确定骨关节炎康复干预措施的“康复最佳证据（be4rehab）”。
