Osteoarthritis guidelines: Barriers to implementation and solutions / Sarah Ferreira de Meneses in Annals of physical and rehabilitation medicine, Vol. 59, n° 3 (June 2016)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 170-173 Titre : Osteoarthritis guidelines: Barriers to implementation and solutions Type de document : texte imprimé Auteurs : Sarah Ferreira de Meneses, Auteur ; François Rannou, Auteur ; David J. Hunter, Auteur Année de publication : 2016 Article en page(s) : p. 170-173 Langues : Anglais (eng) Français (fre) Mots-clés : Arthrose  Norme soins  Osteoarthritis,Clinical practice guidelines,Implementation Résumé : Osteoarthritis (OA) is a leading cause of disability worldwide. Clinical practice guidelines (CPGs) have been developed to facilitate improved OA management. Scientific communities worldwide have proposed CPGs for OA treatment. Despite the number of highly prominent guidelines available and their remarkable consistency, their uptake has been suboptimal. Possibly because of the multitude of barriers related to the implementation of CPGs. For example, different guidelines show contradictions, some lack evidence, and they lack a hierarchy or tools to facilitate their translation and application. Also, the guidelines do not acknowledge the effect of comorbidities on choosing the treatments. Finally, poor integration of multidisciplinary services within and across healthcare settings is a major barrier to the effective implementation of management guidelines. Here we describe the main problems related to the OA guidelines and some solutions so as to offer some guidance on the elaboration of future CPGs and their implementation in primary care. Permalink : ./index.php?lvl=notice_display&id=45215 [article] Osteoarthritis guidelines: Barriers to implementation and solutions [texte imprimé] / Sarah Ferreira de Meneses, Auteur ; François Rannou, Auteur ; David J. Hunter, Auteur . - 2016 . - p. 170-173. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 59, n° 3 (June 2016) . - p. 170-173 Mots-clés : Arthrose  Norme soins  Osteoarthritis,Clinical practice guidelines,Implementation Résumé : Osteoarthritis (OA) is a leading cause of disability worldwide. Clinical practice guidelines (CPGs) have been developed to facilitate improved OA management. Scientific communities worldwide have proposed CPGs for OA treatment. Despite the number of highly prominent guidelines available and their remarkable consistency, their uptake has been suboptimal. Possibly because of the multitude of barriers related to the implementation of CPGs. For example, different guidelines show contradictions, some lack evidence, and they lack a hierarchy or tools to facilitate their translation and application. Also, the guidelines do not acknowledge the effect of comorbidities on choosing the treatments. Finally, poor integration of multidisciplinary services within and across healthcare settings is a major barrier to the effective implementation of management guidelines. Here we describe the main problems related to the OA guidelines and some solutions so as to offer some guidance on the elaboration of future CPGs and their implementation in primary care. Permalink : ./index.php?lvl=notice_display&id=45215

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