2007 OARSI recommendations for the management of hip and knee osteoarthritis: towards consensus?

摘要

There are few therapeutic fields in which the need for an impartial, balanced, synthesis of the evidence is as great as for osteoarthritis (OA). The disorder is one of the most frequent and costly causes of physical disablement in the population1, yet no especially effective intervention or therapy has emerged. As a result, there is as astonishing range of promulgated therapies, many of which are marketed directly to consumers-often, apparently, in the face of compelling scientific evidence of their inefficacy2. Even among experts, there are examples of a striking propensity for differing interpretations of available data. A robust and respected evidence synthesis would clearly be of value to assist health professionals and individuals with OA in making wise treatment choices and optimizing resource allocation.