EUROVISCO Recommendations for Optimizing the Clinical Results of Viscosupplementation in Osteoarthritis

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• dc.contributor.author Conrozier, Thierry
• dc.contributor.author Monfort Faure, Jorge
• dc.contributor.author Chevalier, Xavier
• dc.contributor.author Raman, Raghu
• dc.contributor.author Richette, Pascal
• dc.contributor.author Diraçoglù, Demirhan
• dc.contributor.author Bard, Hervé
• dc.contributor.author Baron, Dominique
• dc.contributor.author Jerosch, Jörg
• dc.contributor.author Migliore, Alberto
• dc.contributor.author Henrotin, Yves
• dc.date.accessioned 2019-07-24T07:37:43Z
• dc.date.available 2019-07-24T07:37:43Z
• dc.date.issued 2018
• dc.description.abstract Objectives The 3 aims of the work were to identify population subgroups that can benefit the most from viscosupplementation (VS), to provide recommendations on injection techniques, and to discuss VS appropriateness in clinical situations that are commonplace in daily practice. Methods The task force members voted on their degree of agreement on 27 statements, 36 recommendations, and 22 clinical scenarios using a 9-point scale. The strength of agreement/appropriateness/recommendation (SOA/SOR) was classified as strong if the median agreement score was ≥8. The level of consensus (LOC) was also obtained. Results Among the assumed predictors for VS failure, obesity, radiographic severity, large synovial fluid effusion, severe patellofemoral involvement, major malalignment, and gross joint instability received a large majority of agreements. The lateral mid-patellar approach was recommended for knee injection. Imaging guidance was unanimously recommended for hip and ankle. Agreement was achieved to strictly respect the dosing regimen proven by controlled trials. There was agreement for treating with VS patients with mild to moderate knee and hip OA, with normal weight or moderate overweight, insufficiently improved by first-line therapies, or who do not wish get oral treatment or who have contraindications to pain killers. The group considered the patient's wishes as a key element in therapeutic decision making. Conclusion Based on literature data and clinical experience, the EUROVISCO group proposed a set of recommendations for optimizing the results of VS, aimed to help practitioners, especially in some cases in which the patients' specificities make the therapeutic decision difficult.
• dc.format.mimetype application/pdf
• dc.identifier.citation Conrozier T, Monfort J, Chevalier X, Raman R, Richette P, Diraçoglù D. et al. EUROVISCO Recommendations for Optimizing the Clinical Results of Viscosupplementation in Osteoarthritis. Cartilage. 2020; 11(1): 47-59. DOI: 10.1177/1947603518783455
• dc.identifier.doi http://dx.doi.org/10.1177/1947603518783455
• dc.identifier.issn 1947-6035
• dc.identifier.uri http://hdl.handle.net/10230/42153
• dc.language.iso eng
• dc.publisher SAGE Publications
• dc.rights Conrozier T, Monfort J, Chevalier X, Raman R, Richette P, Diraçoglù D. et al. EUROVISCO Recommendations for Optimizing the Clinical Results of Viscosupplementation in Osteoarthritis. Cartilage. 2018 Jun 1:1947603518783455.© Conrozier T, Monfort J, Chevalier X, Raman R, Richette P, Diraçoglù D. et al. 2018. DOI: 10.1177/1947603518783455
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Ankle
• dc.subject.keyword Appropriateness
• dc.subject.keyword Hip
• dc.subject.keyword Hyaluronic acid
• dc.subject.keyword Intraarticular injection
• dc.subject.keyword Knee
• dc.subject.keyword Osteoarthritis
• dc.subject.keyword Recommendations
• dc.subject.keyword Trapeziometacarpal
• dc.subject.keyword Viscosupplementation
• dc.title EUROVISCO Recommendations for Optimizing the Clinical Results of Viscosupplementation in Osteoarthritis
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion