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Colegio de Medicina Interna de México.

2018, Number 3

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Med Int Mex 2018; 34 (3)

Multidisciplinary meeting of experts for diagnosis and treatment of osteoarthritis. Up-to-date based on evidence

Espinosa-Morales R, Alcántar-Ramírez J, Arce-Salinas CA, Chávez-Espina LM, Esquivel-Valerio JA, Gutiérrez-Gómez JJ, De la Lanza L, Martínez-Hernández JL, Méndez-Medina C, Robles-San Román M, Santillán-Barrera E, Torres-Roldán F, Sosa-García JO, Aldrete-Velasco J, Romero-González A

Language: Spanish
References: 101
Page: 443-476
PDF size: 1060.21 Kb.


ABSTRACT

Osteoarthritis, a chronic degenerative joint disease, is the joint condition most frequently observed in the adult population; is one of the leading causes of disability worldwide. Therefore, it is important the diagnosis and treatment in the early stages of the disease. Currently new therapies, in addition to relieving pain, can reduce functional limitation and modify the course of the disease. The objective of this article is to update the evidence on diagnosis and new forms of osteoarthritis treatment, as well as to evaluate the changes in the evidence that has been in relation to the previous guide. For the elaboration of the guide, there was participation of specialists (Internal Medicine, Rheumatology, Orthopedics and Physical Rehabilitation), a librarian and an expert in methodology; an extensive search was carried out in PubMed and other specialized websites. A series of recommendations and levels of evidence were established based on the bibliography consulted. Concluding that osteoarthritis is a complex pathology involving multiple risk factors, it is important to consider that the treatment is multidisciplinary and consists of a non-pharmacological approach and a pharmacological treatment; however, it is necessary to create a preventive culture on osteoarthritis in treating doctors, in which the patient is educated and given information to prevent the disease from progressing.


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