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Open Access 01-12-2021 | Knee Osteoarthritis | Research article

A Malaysian Delphi consensus on managing knee osteoarthritis

Authors: Swan Sim Yeap, Syamsul Rizal Abu Amin, Hazlyna Baharuddin, Kar Chai Koh, Joon Kiong Lee, Verna Kar Mun Lee, Nor Hamdan Mohamad Yahaya, Cheh Chin Tai, Maw Pin Tan

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Abstract

Background

The 2013 Malaysian Clinical Practice Guidelines on the Management of Osteoarthritis (OA) recommend a linear step-up approach to manage knee OA. However, patients with knee OA often require a multimodal approach to address OA-related pain symptoms and functional limitations. This consensus aimed to provide doctors with an updated set of evidence-based, clinical experience-guided recommendations to manage knee OA.

Methods

A multi-speciality expert panel consisting of nine Malaysian physicians from different healthcare settings who manage a diverse OA patient population was convened. Using a combination of the ADAPTE process and modified Delphi method, the panel reviewed current evidence on the management of knee OA and synthesised a set of nine recommendations on the management of knee OA, supported by an algorithm that summarises the consensus’ core messages.

Results

A multimodal intervention strategy is the mainstay of OA management and the choice of any single or multimodal intervention may vary over the course of the disease. Overall, a non-pharmacological core treatment set of patient education, weight loss and exercise is recommended for all patients. When pharmacotherapy is indicated, symptomatic slow-acting drugs for osteoarthritis are recommended at the early stage of disease, and they can be paired with physical therapy as background treatment. Concurrent advanced pharmacotherapy that includes non-steroidal anti-inflammatory drugs, intraarticular injections and short-term weak opioids can be considered if patients do not respond sufficiently to background treatment. Patients with severe symptomatic knee OA should be considered for knee replacement surgery. Management should begin with specific treatments with the least systemic exposure or toxicity, and the choice of treatment should be determined as a shared decision between patients and their team of healthcare providers.

Conclusions

This consensus presents nine recommendations that advocate an algorithmic approach in the management of patients living with knee OA. They are applicable to patients receiving treatment from primary to tertiary care providers in Malaysia as well as other countries.

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Title: A Malaysian Delphi consensus on managing knee osteoarthritis
Authors: Swan Sim Yeap
Syamsul Rizal Abu Amin
Hazlyna Baharuddin
Kar Chai Koh
Joon Kiong Lee
Verna Kar Mun Lee
Nor Hamdan Mohamad Yahaya
Cheh Chin Tai
Maw Pin Tan
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Knee Osteoarthritis
Osteoarthrosis
Knee-TEP
Knee-TEP
Osteoarthrosis
Knee Osteoarthritis
Published in: BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-021-04381-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A Malaysian Delphi consensus on managing knee osteoarthritis

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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