EUROVISCO good practice recommendations for a first viscosupplementation in patients with knee osteoarthritis

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• dc.contributor.author Conrozier, Thierry
• dc.contributor.author Diraçoglù, Demirhan
• dc.contributor.author Monfort Faure, Jorge
• dc.contributor.author Chevalier, Xavier
• dc.contributor.author Bard, Hervé
• dc.contributor.author Baron, Dominique
• dc.contributor.author Jerosch, Jörg
• dc.contributor.author Migliore, Alberto
• dc.contributor.author Richette, Pascal
• dc.contributor.author Henrotin, Yves
• dc.date.accessioned 2023-03-02T07:37:38Z
• dc.date.available 2023-03-02T07:37:38Z
• dc.date.issued 2022
• dc.description [AHEAD] Data de publicació electrónica: 28-11-2022
• dc.description.abstract Rationale: viscosupplementation (VS) with hyaluronic acid is widely used in the management of knee osteoarthritis. There is no clear recommendation on the decision-making to achieve VS. Design: based on extensive research of the literature and expert opinion, the members of the EUROVISCO (European Viscosupplementation Consensus Group) task force were asked to give their degree of agreement with 60 issues, using a Delphi method. Results: the expert panel achieved unanimous agreement in favor of the following statements: It is recommended to assess pain on a visual or 10-point numeric scale before considering VS. VS can be considered for patients with pain scores between 3 and 8. A standard x-ray must be obtained before the decision of VS. If the x-ray is normal, osteoarthritis must be confirmed by MRI or computed tomography (CT) arthrogram before considering VS. The aims of VS are relieving pain, improving function, and reducing non-steroidal anti-inflammatory drug (NSAID) consumption. The use of VS must not be considered for treating an osteoarthritis flare. VS can be envisaged as a first-line pharmacological treatment in patients having a contra-indication to NSAIDs or analgesics. VS can be considered in patients with contra-indications to arthroplasty. In the case of severe comorbidities (diabetes, hypertension, gastrointestinal disorders, renal failure), VS can avoid the use of potentially dangerous treatments. VS can be considered in patients receiving antiplatelet agents, vitamin K antagonists, and direct factor Xa or thrombin inhibitors. Five other statements obtained a high level of consensus. Conclusion: these recommendations, illustrated in a decision algorithm, have been established to help practitioners in the decision-making of knee VS.
• dc.format.mimetype application/pdf
• dc.identifier.citation Conrozier T, Diraçoglù D, Monfort J, Chevalier X, Bard H, Baron D, et al. EUROVISCO good practice recommendations for a first viscosupplementation in patients with knee osteoarthritis. Cartilage. 2022 Nov 28: 19476035221138958. DOI: 10.1177/19476035221138958
• dc.identifier.doi http://dx.doi.org/10.1177/19476035221138958
• dc.identifier.issn 1947-6035
• dc.identifier.uri http://hdl.handle.net/10230/56010
• dc.language.iso eng
• dc.publisher SAGE Publications
• dc.rights Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons AttributionNonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
• dc.subject.keyword EUROVISCO
• dc.subject.keyword Hyaluronic acid
• dc.subject.keyword Knee osteoarthritis
• dc.subject.keyword Recommendations
• dc.subject.keyword Viscosupplementation
• dc.title EUROVISCO good practice recommendations for a first viscosupplementation in patients with knee osteoarthritis
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion