Knee osteoarthritis (KOA) is the most common degenerative joint disease and one of the most disabling diseases in China, causing a huge economic burden to patients, families and society. Standardized KOA rehabilitation treatment is an important means to prevent and treat the disease and promote the development of high-quality medical services. This guideline was updated based on the 2016 and 2019 editions, and was initiated by the Chinese Medical Association Physical Medicine and Rehabilitation Branch and West China Hospital of Sichuan University. The guideline development was guided by domestic and international guideline development methods and principles, and 11 core clinical issues in two categories (rehabilitation assessment and treatment) were selected through clinical issue screening and deconstruction, and multiple rounds of Delphi questionnaire consultation. The International Classification of Functioning, Disability and Health (ICF) was used as the theoretical framework, and the Grading of Recommendations Assessment, Development and Evaluation (GR) was used based on the best available evidence. The International Classification of Functioning, Disability and Health (ICF) is a theoretical framework based on the best available evidence, and uses the Grading of Recommendations Assessment, Development and Evaluation (GRADE) method to grade the quality of evidence and recommendations, and reports them according to the Reporting Items for Practice Guidelines in Healthcare (RIGHT), taking into account patients' preferences and values and the needs of Chinese clinical practice, resulting in 11 key points and 28 recommendations to systematically standardize the rehabilitation of knee osteoarthritis.
Citation: Chinese Society of Physical Medicine and Rehabilitation, West China Hospital of Sichuan University. Chinese guideline for the rehabilitation treatment of knee osteoarthritis (2023 edition). Chinese Journal of Evidence-Based Medicine, 2024, 24(1): 1-14. doi: 10.7507/1672-2531.202306145 Copy
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- 1. 中华医学会骨科学分会关节外科学组, 中国医师协会骨科医师分会骨关节炎学组, 国家老年疾病临床医学研究中心(湘雅医院), 等. 中国骨关节炎诊疗指南(2021年版). 中华骨科杂志, 2021, 41(18): 1291-1314.
- 2. Bannuru RR, Osani MC, Vaysbrot EE, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage, 2019, 27(11): 1578-1589.
- 3. Long H, Liu Q, Yin H, et al. Prevalence trends of site-specific osteoarthritis from 1990 to 2019: findings from the global burden of disease study 2019. Arthritis Rheumatol, 2022, 74(7): 1172-1183.
- 4. Safiri S, Kolahi AA, Smith E, et al. Global, regional and national burden of osteoarthritis 1990-2017: a systematic analysis of the global burden of disease study 2017. Ann Rheum Dis, 2020, 79(6): 819-828.
- 5. Long H, Zeng X, Liu Q, et al. Burden of osteoarthritis in China, 1990-2017: findings from the global burden of disease study 2017. Lancet Rheumatol, 2020, 2(3): e164-e172.
- 6. Wei J. High prevalence and burden of osteoarthritis in China. Lancet Rheumatol, 2020, 2(3): e127-e128.
- 7. Brophy RH, Fillingham YA. AAOS clinical practice guideline summary: management of osteoarthritis of the knee (nonarthroplasty), third edition. J Am Acad Orthop Surg, 2022, 30(9): e721-e729.
- 8. Katz JN, Brophy RH, Chaisson CE, et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med, 2013, 368(18): 1675-1684.
- 9. Ackerman IN, Zomer E, Gilmartin-Thomas JF, et al. Forecasting the future burden of opioids for osteoarthritis. Osteoarthritis Cartilage, 2018, 26(3): 350-355.
- 10. Misra D, Lu N, Felson D, et al. Does knee replacement surgery for osteoarthritis improve survival. The jury is still out. Ann Rheum Dis, 2017, 76(1): 140-146.
- 11. Peter W, Jansen M, Bloo H, et al. KNGF guideline for physical therapy in patients with osteoarthritis of the hip and knee. Dutch J Phys Ther, 2010, 120(1): S1-S24.
- 12. van Doormaal MCM, Meerhoff GA, Vliet Vlieland TPM, et al. A clinical practice guideline for physical therapy in patients with hip or knee osteoarthritis. Musculoskeletal Care, 2020, 18(4): 575-595.
- 13. 何成奇, 李箭, 周宗科, 等. 骨关节炎康复指南. 北京: 人民卫生出版社, 2016.
- 14. 中华医学会物理医学与康复学分会, 岳寿伟, 何成奇. 物理医学与康复学指南与共识. 北京: 人民卫生出版社, 2019.
- 15. Ackah M, Boakye H, Yeboah CO, et al. Physiotherapy practice patterns in the management of patients with knee osteoarthritis: a national survey on the use of clinical practice guidelines. Physiother Res Int, 2022, 27(4): e1964.
- 16. Gagliardi AR, Brouwers MC. Do guidelines offer implementation advice to target users. A systematic review of guideline applicability. BMJ Open, 2015, 5(2): e007047.
- 17. WHO. WHO handbook for guideline development. Geneva: World Health Organization, 2014.
- 18. 蒋朱明, 詹思延, 贾晓巍, 等. 制订/修订《临床诊疗指南》的基本方法及程序. 中华医学杂志, 2016, 96(4): 250-253.
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