Knee Osteoarthritis Evidence Based Guidelines Management: The Missing | ||||
Alexandria Scientific Nursing Journal | ||||
Volume 21, Issue 2, December 2019, Page 1-10 PDF (444.23 K) | ||||
Document Type: Research articles | ||||
DOI: 10.21608/asalexu.2019.206590 | ||||
View on SCiNiTO | ||||
Authors | ||||
Manhal Abdulwahab Alhamo* 1; Soheir Mohamed Weheida2; Hoda Mohamed Abdel-Naby3 | ||||
1Medical Surgical Nursing, Faculty of Nursing, Tishreen University, Syrian Arab Republic | ||||
2Medical Surgical Nursing, Faculty of Nursing, Alexandria University | ||||
3Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University | ||||
Abstract | ||||
Today, knee osteoarthritis (KOA) is the most prevalent arthropathies, affecting up to 251 million people worldwide. In Egypt, recent epidemiologic studies reported that KOA prevalence was 29.2 per 1000, and embodies an enormous public health burden. To enhance remediation this ubiquitous condition, numerous authoritative evidence based guidelines have been developed, with roughly fifty-one clinical guidelines currently exist representing national, international, and several stakeholder organizations. Surprisingly, a current systemic review that critically appraises these guidelines revealed that there is a relative consensus on a lot of KOA management recommendations. This disagreement may be partially explained by the research evidence examined and population characteristics. Ironically, there is no explicit Egyptian guideline available for managing KOA heretofore. Nevertheless, the paramount commonality among all guidelines was a tenet identified as a core intervention encompassing education and self-management, exercise, and weight control. Additionally, to optimize the treatment a coordinated multidisciplinary team approach was strongly supported. Considering these facts, nurses are in a unique position to inform and support their KOA patient's management. Furthermore, given such core interventions are inherent in nursing science, nursing led modalities are envisioned to have substantial positive health outcomes. Therefore, nurses must be aware about their critical role in handling this disease, and must be encouraged to actively participate in evolving effective strategies targeted these core elements. To sum, the significance of this paper stem from at least three reasons. First, it highlighted the lack of agreement in guideline's recommendations. Second, it acknowledged the imperative need for discrete Egyptian KOA guideline. Third, it emphasized the importance of nursing role in counter this disease. | ||||
Keywords | ||||
Knee Osteoarthritis; Evidence Based Guidelines; Management | ||||
Statistics Article View: 102 PDF Download: 752 |
||||