[Incoherence in the therapeutic management of osteoarthritis].
THE PRIMARY MANAGEMENT OF OSTEOARTHRITIS BY GENERAL PRACTITIONERS: The management of osteoarthritis by general practitioners varies from one country to the next. The use of non-steroid anti-inflammatories is widespread, although their gastro-intestinal effects are well known by all. However, the risk factors of these side effects are not clearly identified, but in persons aged over 65. THE INTEREST OF EDUCATIONAL PROGRAMS: Informative and counseling sessions for the practitioners on the treatment of arthritic patients have a fairly positive effect that not only the patients but also the social system could benefit from. BETWEEN EFFICACY AND RISKS: According to study a conducted in the UK, investigating the relative importance that arthritic patients attach to the efficacy of the treatments prescribed compared with the risk of gastrointestinal side effects, the patients preference was to remain mobile, accepting a moderate risk of intestinal disorders, but worried by the more severe side effects. In practice, non-steroid anti-inflammatories should therefore be set-aside for the inflammatory flares.
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects / Q000627:therapeutic use; D002986:Clinical Trials as Topic; D011307:Drug Prescriptions; D005194:Family Practice; D005260:Female; D005767:Gastrointestinal Diseases / Q000139:chemically induced; D005858:Germany; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D010003:Osteoarthritis / Q000188:drug therapy / Q000628:therapy*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities; D011792:Quebec; D012307:Risk Factors; D013030:Spain; D011795:Surveys and Questionnaires; D006113:United Kingdom
D000700:Analgesics; D000894:Anti-Inflammatory Agents, Non-Steroidal