《AAOS手术治疗膝骨关节炎临床实践指南》方法学解读和推荐建议阐释  

Surgical management of osteoarthritis of the knee: evidence-based clinical practice guideline methodological interpretation and recommendations explanation

作　　者：邢丹[1,2] 陈耀龙 王琪[3,4,5] 王小琴 杜亮[6] 林剑浩 XING Dan;CHEN Yaolong;WANG Qi;WANG Xiaoqin;DU Liang;LIN Jianhao(Arthritis Clinic ＆ Research Center,Peking University People＇s Hospital,Peking University,Beijing,100044,P.R.China;Arthritis Institute,Peking University,Beijing,100044,P.R.China;Evidence-Based Medicine Center,School of Basic Medical Sciences,Lanzhou University,Lanzhou,730000,P.R.China;WHO Collaborating Centre for Guideline Implementation and Knowledge Translation,Lanzhou,73000,P.R.China;Chinese GRADE Center,Lanzhou,73000,P.R.China;Chinese Evidence-based Medicine Centre,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]北京大学人民医院骨关节科,北京100044 [2]北京大学关节病研究所,北京100044 [3]兰州大学基础医学院循证医学中心,兰州730000 [4]世界卫生组织指南实施与知识转化合作中心,兰州730000 [5]GRADE中国中心,兰州730000 [6]四川大学华西医院中国循证医学中心,成都610041

出　　处：《中国循证医学杂志》2018年第8期793-801,共9页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金(编号：81501919,81672183)

摘　　要：《AAOS手术治疗膝骨关节炎临床实践指南》涉及与膝骨关节炎(knee osteoarthritis,KOA)手术治疗相关的围手术期、术中及术后因素等领域,共38条推荐意见,涵盖KOA手术治疗危险因素的鉴定,术前、术中、术后康复锻炼策略的效果,置换假体型号的选择,关节置换方案的制订及如何减少围手术期相关并发症的措施等。与国内的关节炎诊疗共识相比,美国骨科学会(American Academy of Orthopaedic Surgeons,AAOS)制订的这部指南在方法学的选择和推荐意见的提出方面存在一定的优势。因此,我们对该指南进行了解读,以期:(1)加强对KOA手术治疗的规范和理解;(2)加强临床工作者对本指南制订方法学的理解,从而更好地结合推荐意见和证据指导临床实践;(3)加快指南制订方法学在我国的传播;(4)为制订基于我国现状的临床实践指南提供方法学指导。Surgical management of osteoarthritis of the knee： evidence based guideline contains 38 recommendations pertaining to the preoperative, perioperative, and postoperative care of patients with knee osteoarthritis （KOA） who are considering surgical treatment. Compared with the domestic consensus on diagnosis and treatment for KOA, this clinical practice guideline （CPG） prepared by the American Academy of Orthopedic Surgeons （AAOS） has some advantages in terms of methodology selection and recommendation. Therefore, it is necessary for us to interpret this CPG to speed up the understanding and dissemination of the CPG. The ultimate aims are to： ①strengthen the standardization and understanding of surgical treatment of KOA② enhance the understanding of clinicians for this CPG in treating KOA;③speed up the development of guideline development methodologies in China; ④ provide methodological guidance for the development of CPG based on the current situation in China.

关 键 词：临床实践指南 指南解读 骨性关节炎 美国骨科学会 方法学 

分 类 号：R687.4[医药卫生—骨科学]