title: Italian Society for Rheumatology recommendations for the management of hand osteoarthritis.
abstract: Hand osteoarthritis (OA) is a common and potentially disabling disease, with different features from hip and knee OA so that a specific therapeutic approach is required. Evidence based recommendations for the management of hand OA were developed by the European League Against Rheumatism (EULAR) in 2006. The Italian Society for Rheumatology (SIR) aimed to update, adapt to national contest and disseminate the EULAR recommendations for the management of hand OA. The multidisciplinary group of experts included specialists involved in the management of patients with hand OA. In order to maintain consistency with EULAR recommendations, a similar methodology was utilized by the Italian group. The original propositions were reformulated in terms of a search query and for every recommendation a systematic search was conducted updating EULAR recommendations' review. The propositions were translated in Italian and reformulated basing on collected evidences and expert opinion. The strength of recommendation was measured for each proposition with the EULAR ordinal and visual analogue scales. The original 11 propositions of EULAR recommendations were translated and adapted to Italian context. Further evidences were collected about non-pharmacological therapies, local treatments, intra-articular injection with SYSADOA and corticosteroids, and surgery. The SIR has developed updated recommendations for the management of hand OA adapted to the Italian healthcare system. Their implementation in clinical practice is expected to improve the management of patients with hand OA.
authors.affiliation: Epidemiology Unit, Italian Society for Rheumatology (SIR), Milano. maria.manara@gmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Manara
authors.forename: A
authors.initials: A
authors.lastname: Bortoluzzi
authors.forename: M
authors.initials: M
authors.lastname: Favero
authors.forename: I
authors.initials: I
authors.lastname: Prevete
authors.forename: C A
authors.initials: CA
authors.lastname: Sciré
authors.forename: G
authors.initials: G
authors.lastname: Bagnato
authors.forename: G
authors.initials: G
authors.lastname: Bianchi
authors.forename: M
authors.initials: M
authors.lastname: Ceruso
authors.forename: G A
authors.initials: GA
authors.lastname: Checchia
authors.forename: G M
authors.initials: GM
authors.lastname: D'Avola
authors.forename: G
authors.initials: G
authors.lastname: Di Giacinto
authors.forename: B
authors.initials: B
authors.lastname: Frediani
authors.forename: A
authors.initials: A
authors.lastname: Lombardi
authors.forename: A
authors.initials: A
authors.lastname: Mannoni
authors.forename: G
authors.initials: G
authors.lastname: Mascheroni
authors.forename: M
authors.initials: M
authors.lastname: Matucci Cerinic
authors.forename: L
authors.initials: L
authors.lastname: Punzi
authors.forename: P
authors.initials: P
authors.lastname: Richelmi
authors.forename: M
authors.initials: M
authors.lastname: Scarpellini
authors.forename: F
authors.initials: F
authors.lastname: Torretta
authors.forename: A
authors.initials: A
authors.lastname: Migliore
authors.forename: R
authors.initials: R
authors.lastname: Ramonda
authors.forename: G
authors.initials: G
authors.lastname: Minisola
mesh_terms: D050823:Hand Joints; D006801:Humans; D010003:Osteoarthritis / Q000628:therapy*