ArticleAging clinical and experimental research2019
A new decision tree for diagnosis of osteoarthritis in primary care: international consensus of experts.
Article in Aging clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Efficacy and safety of single versus repeated injections of mesenchymal stem cells for the treatment of knee osteoarthritis: a systematic review and network meta-analysis of randomized controlled trials.Stem cell research & therapy · 2025Pooled it
- A systematic review and meta-analysis of the effect of phonophoresis on patients with knee osteoarthritis.Scientific reports · 2022Pooled it
- Medical overuse of therapies and diagnostics in rheumatology.Clinical rheumatology · 2021Pooled it
- More cost-effective management of patients with musculoskeletal disorders in primary care after direct triaging to physiotherapists for initial assessment compared to initial general practitioner assessment.BMC musculoskeletal disorders · 2019Trial
- Isoquercitrin ameliorates chondrocyte dysfunction in osteoarthritis by targeting AKT1-mediated mitochondrial dynamics regulation.PloS one · 2026Article
- Comparative outcome analyses of stromal vascular fractionWorld journal of experimental medicine · 2025Article
- Impact of single-leg versus double-leg weight-bearing radiographs on surgical decision-making in knee osteoarthritis.Acta orthopaedica et traumatologica turcica · 2025Article
- Effectiveness of Combination of Thunder Fire Moxibustion with Other Forms of Traditional Chinese Medicine for Osteoarthritis Knee: A Meta-Analysis.Journal of pain research · 2025Review
- Assessing the association of IL-17A and IL-17F polymorphisms with osteoarthritis risk: a systematic review and meta-analysis.American journal of translational research · 2025Article
- Article
- Does commonly used femoral components of total knee arthroplasty fit well in the Indian population?Journal of clinical orthopaedics and trauma · 2024Article
- Arthritis is associated with high nutritional risk among older Canadian adults from the Canadian Longitudinal Study on Aging.Scientific reports · 2024Article
- Data-driven identification of predictive risk biomarkers for subgroups of osteoarthritis using interpretable machine learning.Nature communications · 2024Article
- What is the optimal dose of adipose-derived mesenchymal stem cells treatment for knee osteoarthritis? A conventional and network meta-analysis of randomized controlled trials.Stem cell research & therapy · 2023Review
- Bone Remodeling in Osteoarthritis-Biological and Radiological Aspects.Medicina (Kaunas, Lithuania) · 2023Review
- Early Osteoarthritis Questionnaire (EOAQ): a tool to assess knee osteoarthritis at initial stage.Therapeutic advances in musculoskeletal disease · 2023Article
- Progress in Composite Hydrogels and Scaffolds Enriched with Icariin for Osteochondral Defect Healing.Gels (Basel, Switzerland) · 2022Review
- Bone marrow aspirate concentrate versus platelet-rich plasma for treating knee osteoarthritis: a one-year non-randomized retrospective comparative study.BMC musculoskeletal disorders · 2022Article
- Models of care for patients with knee osteoarthritis in primary healthcare: a scoping review protocol.BMJ open · 2021Article
- Disease Burden and Costs in Moderate-to-Severe Chronic Osteoarthritis Pain Refractory to Standard of Care: Ancillary Analysis of the OPIOIDS Real-World Study.Rheumatology and therapy · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsAlthough osteoarthritis (OA) is managed mainly in primary care, general practitioners (GPs) are not always trained in its diagnosis, which leads to diagnostic delays, unnecessary resource utilization, and suboptimal patient outcomes.
methodsTo address this situation, an International Rheumatologic Board (IRB) of 8 experts from 3 continents developed guidelines for the diagnosis of OA in primary care. The focus was three major topologies: hip, knee, and hand/finger OA. The IRB used American College of Rheumatology diagnostic criteria.
resultsCare pathways based on clinical and radiological findings were developed to identify intervention thresholds for GPs/specialists. To optimize usefulness in the primary care setting, the guidelines were formatted as an uncomplicated, but comprehensive one-page decision tree for each topology, highlighting key aspects of the evaluation process and incorporating red flags. In a two-phase validation stage, the draft guidelines were evaluated by rheumatologists and GPs for project execution, content and perceived benefit. The strength of the guidelines lies in their user-friendly diagram and potential for broad application. Such guidelines will allow GPs to make an easy but definite diagnosis of OA and offer clear guidance about situations requiring an expert opinion. The guidelines have potential to improve patient outcomes and reduce the number of unnecessary procedures. DISCUSSION AND
conclusionsThis project demonstrated the feasibility of developing easy-to-use and effective visual decision trees to facilitate the diagnosis and management of OA of the hip, knee and hand/finger in primary care. The next step should be to conduct a large impact study of implementation of these recommendations in the diagnostic management of OA in general practice in different areas.
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