The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations

Öz:

Objectives: This study aims to explore the accordance to the 2018 European League Against Rheumatism (EULAR) recommendations forthe management of hand osteoarthritis (OA) among the Turkish League Against Rheumatism (TLAR) expert panel and composition of TLARrecommendations for the management of hand OA under guidance of the current literature.Materials and methods: The TLAR convener designated an expert panel of 10 physicians experienced in hand OA for this process. The 2018 EULARrecommendations for the management of hand OA and the systematic review of the literature were sent to the expert panel via e-mails. The e-mailprocess which included Delphi round surveys was completed. The EULAR standard operational procedure Appraisal of Guidelines for Researchand Evaluation II was followed. The level of agreement was calculated for each item and presented as mean, standard deviations, minimum andmaximum and comparisons of 2018 EULAR recommendations were performed.Results: Five overarching principles and 10 recommendations were discussed. Revisions were held for the sixth, seventh, and ninth recommendationswith lowest level of agreements. These recommendations were revised in accordance with suggestions from the experts and re-voted. The revisedforms were approved despite the lack of statistically significant difference between these forms (p=0.400, p=0.451, p=0.496, respectively). Exceptfor the ninth recommendation about surgery (p=0.008), no significant difference in level of agreements was observed between the EULAR and TLARhand OA recommendations. The 11th recommendation about paraffin bath was added.Conclusion: The optimal treatment of hand OA consists of personalized non-pharmacological (self-management, exercise, splint), pharmacological(topical non-steroidal anti-inflammatory drugs as the first choice), and interventional procedures (only for refractory cases) based on shared decisionbetween the patient and physician. TLAR hand OA recommendations were created mainly based on the most recent literature and the last EULARhand OA management recommendations, which are widely approved among the TLAR experts.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Ayhan F, Sunar İ, UMAY E, Keskin D, Altan L, DINÇER F, Duruöz M, karalezli n, tuncer t, KURAN K (2020). The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. , 309 - 320. 10.46497/ArchRheumatol.2020.7693
Chicago	Ayhan Fikriye Figen,Sunar İsmihan,UMAY Ebru,Keskin Dilek,Altan Lale,DINÇER FITNAT,Duruöz Mehmet Tuncay,karalezli nazim,tuncer tiraje,KURAN KADRİYE BANU The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. (2020): 309 - 320. 10.46497/ArchRheumatol.2020.7693
MLA	Ayhan Fikriye Figen,Sunar İsmihan,UMAY Ebru,Keskin Dilek,Altan Lale,DINÇER FITNAT,Duruöz Mehmet Tuncay,karalezli nazim,tuncer tiraje,KURAN KADRİYE BANU The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. , 2020, ss.309 - 320. 10.46497/ArchRheumatol.2020.7693
AMA	Ayhan F,Sunar İ,UMAY E,Keskin D,Altan L,DINÇER F,Duruöz M,karalezli n,tuncer t,KURAN K The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. . 2020; 309 - 320. 10.46497/ArchRheumatol.2020.7693
Vancouver	Ayhan F,Sunar İ,UMAY E,Keskin D,Altan L,DINÇER F,Duruöz M,karalezli n,tuncer t,KURAN K The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. . 2020; 309 - 320. 10.46497/ArchRheumatol.2020.7693
IEEE	Ayhan F,Sunar İ,UMAY E,Keskin D,Altan L,DINÇER F,Duruöz M,karalezli n,tuncer t,KURAN K "The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations." , ss.309 - 320, 2020. 10.46497/ArchRheumatol.2020.7693
ISNAD	Ayhan, Fikriye Figen vd. "The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations". (2020), 309-320. https://doi.org/10.46497/ArchRheumatol.2020.7693

APA	Ayhan F, Sunar İ, UMAY E, Keskin D, Altan L, DINÇER F, Duruöz M, karalezli n, tuncer t, KURAN K (2020). The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. Archives of Rheumatology, 35(3), 309 - 320. 10.46497/ArchRheumatol.2020.7693
Chicago	Ayhan Fikriye Figen,Sunar İsmihan,UMAY Ebru,Keskin Dilek,Altan Lale,DINÇER FITNAT,Duruöz Mehmet Tuncay,karalezli nazim,tuncer tiraje,KURAN KADRİYE BANU The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. Archives of Rheumatology 35, no.3 (2020): 309 - 320. 10.46497/ArchRheumatol.2020.7693
MLA	Ayhan Fikriye Figen,Sunar İsmihan,UMAY Ebru,Keskin Dilek,Altan Lale,DINÇER FITNAT,Duruöz Mehmet Tuncay,karalezli nazim,tuncer tiraje,KURAN KADRİYE BANU The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. Archives of Rheumatology, vol.35, no.3, 2020, ss.309 - 320. 10.46497/ArchRheumatol.2020.7693
AMA	Ayhan F,Sunar İ,UMAY E,Keskin D,Altan L,DINÇER F,Duruöz M,karalezli n,tuncer t,KURAN K The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. Archives of Rheumatology. 2020; 35(3): 309 - 320. 10.46497/ArchRheumatol.2020.7693
Vancouver	Ayhan F,Sunar İ,UMAY E,Keskin D,Altan L,DINÇER F,Duruöz M,karalezli n,tuncer t,KURAN K The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations. Archives of Rheumatology. 2020; 35(3): 309 - 320. 10.46497/ArchRheumatol.2020.7693
IEEE	Ayhan F,Sunar İ,UMAY E,Keskin D,Altan L,DINÇER F,Duruöz M,karalezli n,tuncer t,KURAN K "The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations." Archives of Rheumatology, 35, ss.309 - 320, 2020. 10.46497/ArchRheumatol.2020.7693
ISNAD	Ayhan, Fikriye Figen vd. "The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations". Archives of Rheumatology 35/3 (2020), 309-320. https://doi.org/10.46497/ArchRheumatol.2020.7693