gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Updating a knee osteoarthritis clinical practice guideline for primary care

Meeting Abstract

  • J. Gracia - Health Technology Assessment Unit (UETS), Lain Entralgo Agency, Madrid, Spain
  • N. Calcerrada - Health Technology Assessment Unit (UETS), Lain Entralgo Agency, Madrid, Spain
  • M. Guerra - Health Technology Assessment Unit (UETS), Lain Entralgo Agency, Madrid, Spain
  • P. Díaz del Campo - Health Technology Assessment Unit (UETS), Lain Entralgo Agency, Madrid, Spain
  • J.A. Blasco - Health Technology Assessment Unit (UETS), Lain Entralgo Agency, Madrid, Spain

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP045

DOI: 10.3205/12gin157, URN: urn:nbn:de:0183-12gin1575

Veröffentlicht: 10. Juli 2012

© 2012 Gracia et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: After five years (2006) since the publication of a Clinical Practice Guideline (CPG) for Knee Osteoarthritis in Primary Care (PC), the Spanish NHS CPG development Programme (GuíaSalud) decided to update this CPG.

Objectives: To update a CPG for Knee Osteoarthritis in PC for the Spanish NHS CPG development Programme (GuíaSalud).

Methods: Method was based on Spanish Updating CPGs methodological Handbook. Most of members being part of the previous GDG including patients collaborated again in the Guideline Development Group. New evidence for the interventions included was considered; we also reviewed new therapeutic strategies that have been incorporated in primary care. Also new data bases were added to the search strategy (PEDRO and OT SEEKER).

Results: The Updated CPG agreed to incorporate in the search strategy the following items, not listed in the previous one: alternative medicine (homeopathy, herbal products), shortwave, massages, Pilates and topical lidocaine. The updated CPG also highlight the importance of patient education as the most important treatment in PC. It also includes particularities of joint protection, physical measures (kinesiotape) and exercises.

Discussion: To update a CPG is an opportunity to improve areas that were not considered in their previous development including patients’ views. However, it should be consider either the time and resources before performing the update, being precise about the scope.

Implications for guideline developers/users: When updating a CPG a greater involvement of patients should be tried and the possibility of developing new clinical questions should be considered with caution.