Management of Osteoarthritis of the Hip

Management of Osteoarthritis of the Hip
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DOI:
10.5435/jaaos-d-18-00351
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发表时间:
2018-10-15
影响因子:
3.2
通讯作者:
Hall, Quinn
Hall, Quinn
中科院分区:
医学2区
文献类型:
--
作者:
Quinn, Robert H.;Murray, Jayson;Hall, Quinn

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美国骨科医师学会制定了髋关节骨关节炎治疗的适当使用标准(AUC)。基于证据的信息,结合医生的临床专业知识,被用来制定标准,以改善患者的护理和获得最佳的结果,同时考虑在作出临床决策的微妙之处和必要的区别。髋关节骨关节炎的管理AUC临床患者情景源自临床实践中髋关节骨关节炎患者的典型适应症。270例患者场景和9种治疗方法由写作小组开发,写作小组是一组临床医生,他们是该AUC主题的专家。接下来,一个单独的多学科投票小组(由专家和非专家组成)使用9分量表对每种患者情况的治疗适当性进行评级,将治疗指定为适当(中位数评级,7至9),可能适当(中位数评级,4至6)或很少适当(中位数评级,1至3)。
The American Academy of Orthopaedic Surgeons has developed the Appropriate Use Criteria (AUC) for the Management of Osteoarthritis of the Hip. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The Management of Osteoarthritis of the Hip AUC clinical patient scenarios were derived from indications typical of patients presenting with osteoarthritis of the hip in clinical practice. The 270 patient scenarios and 9 treatments were developed by the Writing Panel, a group of clinicians who are specialists in this AUC topic. Next, a separate multidisciplinary, Voting Panel (made up of specialists and nonspecialists) rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).