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Colegio de Medicina Interna de México.

2011, Número 6

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Med Int Mex 2011; 27 (6)


Guía de práctica clínica basada en la evidencia para el diagnóstico y tratamiento de la osteoartritis

Cajigas MJC, Ariza AR, Espinosa MR, Méndez MC, Mirassou OM, Robles SRM, Santillán BE, Trillo AGI, Ventura RL, Waiss SS, Bello AE, Aldrete VJ, Cantú RAT

Idioma: Español
Referencias bibliográficas: 88
Paginas: 552-572
Archivo PDF: 358.20 Kb.


RESUMEN

Antecedentes: la osteoartritis es la enfermedad reumática más frecuente observada en la práctica clínica. Se caracteriza por un proceso inflamatorio que afecta, principalmente, las articulaciones de: mano, rodilla y cadera. El diagnóstico se realiza mediante criterios clínicos y radiológicos y su tratamiento es farmacológico y de apoyo con rehabilitación, ortesis y cirugía.
Objetivo: ofrecer al médico una herramienta práctica basada en la mayor evidencia actualizada acerca del tratamiento del paciente adulto con osteoartritis.
Método: se invitó a participar en la elaboración de la guía a 10 médicos especialistas y una fisioterapeuta basándose en criterios como su experiencia, conocimiento y juicio clínico en el tema.
Resultados: se realizaron mesas redondas conformadas por los expertos, quienes discutieron los temas a tratar en esta guía con sus respectivos niveles de evidencia y de recomendación.
Conclusiones: la osteoartritis es la enfermedad reumatológica más frecuente en el mundo y uno de los padecimientos más repetidos en la población mexicana. Es una causa importante de discapacidad en los adultos mayores que genera altos costos debido a su un alta repercusión social y económica. Por ello, es de vital importancia la conformación de guías de práctica clínica que ofrezcan una atención integral con el uso óptimo de los recursos que ayuden a mejorar la calidad de vida del paciente.


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