[article] 
inAnnals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98

Titre :	A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis
Type de document :	texte imprimé
Auteurs :	Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou
Année de publication :	2018
Article en page(s) :	p. 92-98
Note générale :	Doi : 10.1016/j.rehab.2018.01.001
Langues :	Anglais (eng)
Mots-clés :	Knee osteoarthritis  Orthosis  Braces  Decision-making tool  Guidelines
Résumé :	Objective To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. Methods A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee. Results The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed. Discussion/conclusion Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed.
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[article] A decision-making tool to prescribe knee orthoses in daily practice for patients with osteoarthritis [texte imprimé] / Emmanuel Coudeyre ; Christelle Nguyen ; Aurore Chabaud ; Bruno Pereira ; Johann Beaudreuil ; Jean-Marie Coudreuse ; Philippe Déat ; Frédéric Sailhan ; Alain Lorenzo ; François Rannou . - 2018 . - p. 92-98.
Doi : 10.1016/j.rehab.2018.01.001
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°2 (Mars 2018) . - p. 92-98

Mots-clés :	Knee osteoarthritis  Orthosis  Braces  Decision-making tool  Guidelines
Résumé :	Objective To develop a decision-making tool (DMT) to facilitate the prescription of knee orthoses for patients with osteoarthritis (OA) in daily practice. Methods A steering committee gathered a multidisciplinary task force experienced in OA management/clinical research. Two members performed a literature review with qualitative analysis of the highest-quality randomized controlled trials and practice guidelines to confirm evidence concerning knee orthosis for OA. A first DMT draft was presented to the task force in a 1-day meeting in January 2016. The first version of the DMT was criticized and discussed regarding everyday practice issues. Every step was discussed and amended until consensus agreement was achieved within the task force. Then 4 successive consultation rounds occurred by electronic communication, first with primary- and secondary-care physicians, then with international experts. All corrections and suggestions by each member were shared with the rest of the task force and included to reach final consensus. The final version was validated by the steering committee. Results The definition and indication of several types of knee orthoses (sleeve, patello-femoral, hinged or unicompartmental offloading braces) were detailed. Orthoses may be proposed in addition to first-line non-pharmacological treatment if patient acceptance is considered good. At every step, a specific clinical assessment is needed. Discussion/conclusion Based on the latest high-level evidence, practice guidelines, and an expert panel, a DMT to facilitate daily practice prescription of knee orthoses for OA patients was designed. An evaluation of DMT implementation in a wide range of health professionals is still needed.
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