2019年《OARSI非手术治疗膝、髋及多关节骨关节炎临床实践指南》方法学解读和推荐意见阐释  

OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis: a methodological interpretation and recommendations explanation

作　　者：邢丹[1,2] 陈耀龙 曾宪涛[6] 周奇 李志昌[1,2] 靳英辉[6] 杨楠 赵嘉国[7] 王斌[8] 付维力 杜亮 林剑浩[1,2] XING Dan;CHEN Yaolong;ZENG Xiantao;ZHOU Qi;LI Zhichang;JIN Yinghui;YANG Nan;ZHAO Jiaguo;WANG Bin;FU Weili;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,730000,P.R.China;Chinese GRADE Center,Lanzhou,730000,P.R.China;Center for Evidence-Based and Translational Medicine,Zhongnan Hospital of Wuhan University,Wuhan,430071,P.R.China;Department of Orthopedics,Tianjin Hospital,Tianjin,300211,P.R.China;Department of Orthopaedics,The Second Hospital of Shanxi Medical University,Taiyuan,030002,P.R.China;Department of Orthopedics,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Chinese Evidence-Based Medicine Center,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]武汉大学循证与转化医学中心,武汉430071 [7]天津市天津医院,天津300211 [8]山西医科大学第二医院骨科,太原030002 [9]四川大学华西医院骨科,成都610041 [10]四川大学华西医院循证医学中心,成都610041

出　　处：《中国循证医学杂志》2020年第3期258-266,共9页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金项目(编号:81973606、81802204、81501919);北京大学人民医院研究与发展基金项目(编号:RDY2019-11、RS2019-03);北京市科技计划重大专项(编号:Z181100001818008)。

摘　　要：2019年国际骨关节炎学会(osteoarthritis research society international,OARSI)发布的《非手术治疗膝、髋及多关节骨关节炎临床实践指南》涉及膝关节、髋关节及多关节骨关节炎(osteoarthritis,OA)非手术治疗相关的多项干预措施。与国内的关节炎诊疗共识相比,OARSI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且具有很好的代表性。因此,我们对该指南进行解读,以期达到最终目的:加强国内医师对OA非手术治疗的规范和理解;加强OA临床实践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开展临床实践和加快指南的实施;加快指南制订方法学在我国的传播,帮助临床工作者理解指南的内涵和价值;为制订基于我国现状的、涉及其他临床学科的临床实践指南提供方法学指引和参考。Osteoarthritis research society international(OARSI) guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis in 2019 contained some recommendations in treating patients with osteoarthritis(OA) who are considering non-surgical treatment. Compared with domestic consensus on diagnosis and treatment for OA, this clinical practice guideline(CPG) prepared by OARSI had some advantages in terms of methodology selection and recommendation. Therefore, it is necessary to interpret this CPG to accelerate the understanding and dissemination of the CPG. The ultimate aims were: to strengthen the normative and understanding of non-surgical treatment of OA;to enhance the understanding of clinicians for this CPG in treating OA;to accelerate the development of guideline development methodologies in China;to 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 方法学 

分 类 号：R684.3[医药卫生—骨科学]