Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022
Osteoarthritis (OA) is the most common joint disease due to the increasing life expectancy of the world's population. Every 2nd patient over the age of 50 suffers from knee or hip OA, and this is directly related to the increased burden on healthcare. Accumulated data on the comorbid profile of...
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| Format: | Article |
| Language: | Russian |
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IMA-PRESS LLC
2022-12-01
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| Series: | Современная ревматология |
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| Online Access: | https://mrj.ima-press.net/mrj/article/view/1365 |
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| author | A. M. Lila V. I. Mazurov A. I. Martynov N. V. Zagorodny L. I. Alekseeva N. V. Chichasova A. E. Karateev A. V. Naumov E. V. Zonova A. P. Rachin E. A. Taskina |
| author_facet | A. M. Lila V. I. Mazurov A. I. Martynov N. V. Zagorodny L. I. Alekseeva N. V. Chichasova A. E. Karateev A. V. Naumov E. V. Zonova A. P. Rachin E. A. Taskina |
| author_sort | A. M. Lila |
| collection | DOAJ |
| description | Osteoarthritis (OA) is the most common joint disease due to the increasing life expectancy of the world's population. Every 2nd patient over the age of 50 suffers from knee or hip OA, and this is directly related to the increased burden on healthcare. Accumulated data on the comorbid profile of patients with OA dictate the need to identify disease phenotypes in order to provide personalized care. Individual clinical manifestations of OA also require a differential approach: the pain treatment requires consideration of the patient's psycho-emotional profile and the possibility of involving nociceptive pathways in the process. However, due to the ambiguity of existing clinical guidelines, most experts note a number of difficulties in prescribing treatment for patients with OA.The resolution presents an agreed opinion of experts on the algorithms for managing patients with OA, starting from the primary level, with the gradual involvement of related specialists. Some issues of a personalized approach are considered depending on the presence of comorbid pathology and the severity of individual symptoms of the disease. The prospects of the combined use of pharmacological and non-drug methods of treatment are noted; emphasis was placed on the importance of rehabilitation measures at the first level of medical care, provided to patients with OA, long before the development of structural changes.The proposed algorithms for managing patients can be considered as the basis for future recommendations for managing patients with this pathology. |
| format | Article |
| id | doaj-art-3cb640e15d6d40099d34b7ac382269bb |
| institution | Kabale University |
| issn | 1996-7012 2310-158X |
| language | Russian |
| publishDate | 2022-12-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Современная ревматология |
| spelling | doaj-art-3cb640e15d6d40099d34b7ac382269bb2025-08-20T03:59:54ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2022-12-0116610611610.14412/1996-7012-2022-6-106-1162530Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022A. M. Lila0V. I. Mazurov1A. I. Martynov2N. V. Zagorodny3L. I. Alekseeva4N. V. Chichasova5A. E. Karateev6A. V. Naumov7E. V. Zonova8A. P. Rachin9E. A. Taskina10V.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaNorth-Western State Medical University named after I.I. Mechnikov, Ministry of Health of RussiaA.I. Yevdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaN.N. Priorov National Research Medical Center for Traumatology and Orthopedics, Ministry of Health of RussiaV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaV.A. Nasonova Research Institute of Rheumatology; Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaV.A. Nasonova Research Institute of RheumatologyPirogov Russian National Research Medical University, Ministry of Health of RussiaNovosibirsk State Medical University, Ministry of Health of RussiaNational Medical Research Center for Rehabilitation and Balneology, Ministry of Health of RussiaV.A. Nasonova Research Institute of RheumatologyOsteoarthritis (OA) is the most common joint disease due to the increasing life expectancy of the world's population. Every 2nd patient over the age of 50 suffers from knee or hip OA, and this is directly related to the increased burden on healthcare. Accumulated data on the comorbid profile of patients with OA dictate the need to identify disease phenotypes in order to provide personalized care. Individual clinical manifestations of OA also require a differential approach: the pain treatment requires consideration of the patient's psycho-emotional profile and the possibility of involving nociceptive pathways in the process. However, due to the ambiguity of existing clinical guidelines, most experts note a number of difficulties in prescribing treatment for patients with OA.The resolution presents an agreed opinion of experts on the algorithms for managing patients with OA, starting from the primary level, with the gradual involvement of related specialists. Some issues of a personalized approach are considered depending on the presence of comorbid pathology and the severity of individual symptoms of the disease. The prospects of the combined use of pharmacological and non-drug methods of treatment are noted; emphasis was placed on the importance of rehabilitation measures at the first level of medical care, provided to patients with OA, long before the development of structural changes.The proposed algorithms for managing patients can be considered as the basis for future recommendations for managing patients with this pathology.https://mrj.ima-press.net/mrj/article/view/1365osteoarthritistreatment algorithmspaincomplex approachexpert recommendations |
| spellingShingle | A. M. Lila V. I. Mazurov A. I. Martynov N. V. Zagorodny L. I. Alekseeva N. V. Chichasova A. E. Karateev A. V. Naumov E. V. Zonova A. P. Rachin E. A. Taskina Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022 Современная ревматология osteoarthritis treatment algorithms pain complex approach expert recommendations |
| title | Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022 |
| title_full | Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022 |
| title_fullStr | Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022 |
| title_full_unstemmed | Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022 |
| title_short | Resolution of the consensus of the Russian Federation experts on the diagnosis and treatment of osteoarthritis, 2022 |
| title_sort | resolution of the consensus of the russian federation experts on the diagnosis and treatment of osteoarthritis 2022 |
| topic | osteoarthritis treatment algorithms pain complex approach expert recommendations |
| url | https://mrj.ima-press.net/mrj/article/view/1365 |
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