The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations

Objectives: This study aims to explore the accordance to the 2018 European League Against Rheumatism (EULAR) recommendations for the management of hand osteoarthritis (OA) among the Turkish League Against Rheumatism (TLAR) expert panel and composition of TLAR recommendations for the management of hand OA under guidance of the current literature. Materials and methods: The TLAR convener designated an expert panel of 10 physicians experienced in hand OA for this process. The 2018 EULAR recommendations for the management of hand OA and the systematic review of the literature were sent to the expert panel via e-mails. The e-mail process which included Delphi round surveys was completed. The EULAR standard operational procedure Appraisal of Guidelines for Research and Evaluation II was followed. The level of agreement was calculated for each item and presented as mean, standard deviations, minimum and maximum and comparisons of 2018 EULAR recommendations were performed. Results: Five overarching principles and 10 recommendations were discussed. Revisions were held for the sixth, seventh, and ninth recommendations with lowest level of agreements. These recommendations were revised in accordance with suggestions from the experts and re-voted. The revised forms were approved despite the lack of statistically significant difference between these forms (p=0.400, p=0.451, p=0.496, respectively). Except for the ninth recommendation about surgery (p=0.008), no significant difference in level of agreements was observed between the EULAR and TLAR hand OA recommendations. The 11th recommendation about paraffin bath was added. Conclusion: The optimal treatment of hand OA consists of personalized non-pharmacological (self-management, exercise, splint), pharmacological (topical non-steroidal anti-inflammatory drugs as the first choice), and interventional procedures (only for refractory cases) based on shared decision between the patient and physician. TLAR hand OA recommendations were created mainly based on the most recent literature and the last EULAR hand OA management recommendations, which are widely approved among the TLAR experts.

Kaynakça

Haugen IK, Englund M, Aliabadi P, Niu J, Clancy M, Kvien TK, et al. Prevalence, incidence and progression of hand osteoarthritis in the general population: the Framingham Osteoarthritis Study. Ann Rheum Dis 2011;70:1581-6.

Pereira D, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E. The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthritis Cartilage 2011;19:1270-85.

Yeil H, Hepgüler S, Öztürk C, Çapacı K, Yeil M. Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in ‹zmir city. Acta Orthop Traumatol Turc 2013;47:231-5.

Oppong R, Jowett S, Nicholls E, Whitehurst DG, Hill S, Hammond A, et al. Joint protection and hand exercises for hand osteoarthritis: an economic evaluation comparing methods for the analysis of factorial trials. Rheumatology (Oxford) 2015;54:876-83.

Becker SJ, Teunis T, Blauth J, Kortlever JT, Dyer GS, Ring D. Medical services and associated costs vary widely among surgeons treating patients with hand osteoarthritis. Clin Orthop Relat Res 2015;473:1111-7.

Damman W, Liu R, Kroon FPB, Reijnierse M, Huizinga TWJ, Rosendaal FR, et al. Do Comorbidities Play a Role in Hand Osteoarthritis Disease Burden? Data from the Hand Osteoarthritis in Secondary Care Cohort. J Rheumatol 2017;44:1659-66.

Zhang W, Doherty M, Leeb BF, Alekseeva L, Arden NK, Bijlsma JW, et al. EULAR evidence based recommendations for the management of hand osteoarthritis: report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis 2007;66:377-88.

Kjeken I. Occupational therapy-based and evidencesupported recommendations for assessment and exercises in hand osteoarthritis. Scand J Occup Ther 2011;18:265-81.

Hochberg MC, Altman RD, April KT, Benkhalti M, Guyatt G, McGowan J, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res 2012;64:465-74.

Manara M, Bortoluzzi A, Favero M, Prevete I, Sciré CA, Bagnato G, et al. Italian Society for Rheumatology recommendations for the management of hand osteoarthritis. Reumatismo 2013;65:167-85.

National Institute for Health and Clinical Excellence. Osteoarthritis: National Clinical Guideline for Care and Management in Adults. London, England: NICE; 2014. Available from: https://www.nice.org.uk/ guidance/cg177

Kloppenburg M, Kroon FP, Blanco FJ, Doherty M, Dziedzic KS, Greibrokk E, et al. 2018 update of the EULAR recommendations for the management of hand osteoarthritis. Ann Rheum Dis 2019;78:16-24.

Stoffer-Marx MA, Klinger M, Luschin S, Meriaux- Kratochvila S, Zettel-Tomenendal M, Nell-Duxneuner V, et al. Functional consultation and exercises improve grip strength in osteoarthritis of the hand - a randomised controlled trial. Arthritis Res Ther 2018;20:253.

Kang TW, Lee JH, Park DH, Cynn HS. Effects of a finger exercise program on hand function in automobile workers with hand osteoarthritis: A randomized controlled trial. Hand Surg Rehabil 2019;38:59-66.

Wouters RM, Tsehaie J, Slijper HP, Hovius SER, Feitz R; Hand-Wrist Study Group, Selles RW. Exercise Therapy in Addition to an Orthosis Reduces Pain More Than an Orthosis Alone in Patients With Thumb Base Osteoarthritis: A Propensity Score Matching Study. Arch Phys Med Rehabil 2019;100:1050-60.

Malahias MA, Roumeliotis L, Nikolaou VS, Chronopoulos E, Sourlas I, Babis GC. Platelet-Rich Plasma versus Corticosteroid Intra-Articular Injections for the Treatment of Trapeziometacarpal Arthritis: A Prospective Randomized Controlled Clinical Trial. Cartilage 2018:1947603518805230.

Kloppenburg M, Ramonda R, Bobacz K, Kwok WY, Elewaut D, Huizinga TWJ, et al. Etanercept in patients with inflammatory hand osteoarthritis (EHOA): a multicentre, randomised, double-blind, placebocontrolled trial. Ann Rheum Dis 2018;77:1757-64.

Kloppenburg M, Peterfy C, Haugen IK, Kroon F, Chen S, Wang L, et al. Phase IIa, placebocontrolled, randomised study of lutikizumab, an antiinterleukin- 1a and anti-interleukin-1b dual variable domain immunoglobulin, in patients with erosive hand osteoarthritis. Ann Rheum Dis 2019;78:413-20.

Aitken D, Laslett LL, Pan F, Haugen IK, Otahal P, Bellamy N, et al. A randomised double-blind placebocontrolled crossover trial of HUMira (adalimumab) for erosive hand OsteoaRthritis - the HUMOR trial. Osteoarthritis Cartilage 2018;26:880-7.

Cebrian-Gomez R, Lizaur-Utrilla A, Sebastia- Forcada E, Lopez-Prats FA. Outcomes of cementless joint prosthesis versus tendon interposition for trapeziometacarpal osteoarthritis: a prospective study. J Hand Surg Eur Vol 2019;44:151-8.

Buhler M, Chapple CM, Stebbings S, Sangelaji B, Baxter GD. Effectiveness of splinting for pain and function in people with thumb carpometacarpal osteoarthritis: a systematic review with meta-analysis. Osteoarthritis Cartilage 2019;27:547-59.

Smeraglia F, Mariconda M, Balato G, Di Donato SL, Criscuolo G, Maffulli N. Dubious space for Artelon joint resurfacing for basal thumb (trapeziometacarpal joint) osteoarthritis. A systematic review. Br Med Bull 2018;126:79-84.

Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ 1999;318:527-30.

Kroon FPB, Carmona L, Schoones JW, Kloppenburg M. Efficacy and safety of non-pharmacological, pharmacological and surgical treatment for hand osteoarthritis: a systematic literature review informing the 2018 update of the EULAR recommendations for the management of hand osteoarthritis. RMD Open 2018;4:e000734.

AGREE II. Available from: http://www.agreetrust. org/wp-content/uploads/2013/10/AGREE-I IUsers- Manual-and-23-item-Instrument_2009_ UPDATE_2013.pdf

Zhang Y, Niu J, Kelly-Hayes M, Chaisson CE, Aliabadi P, Felson DT. Prevalence of symptomatic hand osteoarthritis and its impact on functional status among the elderly: The Framingham Study. Am J Epidemiol 2002;156:1021-7.

Qin J, Barbour KE, Murphy LB, Nelson AE, Schwartz TA, Helmick CG, et al. Lifetime Risk of Symptomatic Hand Osteoarthritis: The Johnston County Osteoarthritis Project. Arthritis Rheumatol 2017;69:1204-12.

Michon M, Maheu E, Berenbaum F. Assessing healthrelated quality of life in hand osteoarthritis: a literature review. Ann Rheum Dis 2011;70:921-8.

Kwok WY, Vliet Vlieland TP, Rosendaal FR, Huizinga TW, Kloppenburg M. Limitations in daily activities are the major determinant of reduced health-related quality of life in patients with hand osteoarthritis. Ann Rheum Dis 2011;70:334-6.

Kroon FP, van der Burg LR, Buchbinder R, Osborne RH, Johnston RV, Pitt V. Self-management education programmes for osteoarthritis. Cochrane Database Syst Rev 2014;(1):CD008963.

Dziedzic K, Nicholls E, Hill S, Hammond A, Handy J, Thomas E, et al. Self-management approaches for osteoarthritis in the hand: a 2¥2 factorial randomised trial. Ann Rheum Dis 2015;74:108-18.

Wilder FV, Barrett JP, Farina EJ. Joint-specific prevalence of osteoarthritis of the hand. Osteoarthritis Cartilage 2006;14:953-7.

Marshall M, van der Windt D, Nicholls E, Myers H, Dziedzic K. Radiographic thumb osteoarthritis: frequency, patterns and associations with pain and clinical assessment findings in a community-dwelling population. Rheumatology (Oxford) 2011;50:735-9.

Shay LA, Lafata JE. Where is the evidence? A systematic review of shared decision making and patient outcomes. Med Decis Making 2015;35:114-31.

Légaré F, Witteman HO. Shared decision making: examining key elements and barriers to adoption into routine clinical practice. Health Aff (Millwood) 2013;32:276-84.

Brosseau L, Thevenot O, MacKiddie O, Taki J, Wells GA, Guitard P, et al. The Ottawa Panel guidelines on programmes involving therapeutic exercise for the management of hand osteoarthritis. Clin Rehabil 2018;32:1449-71.

Dilek B, Gözüm M, ahin E, Baydar M, Ergör G, El O, et al. Efficacy of paraffin bath therapy in hand osteoarthritis: a single-blinded randomized controlled trial. Arch Phys Med Rehabil 2013;94:642-9.

Østerås N, Kjeken I, Smedslund G, Moe RH, Slatkowsky-Christensen B, Uhlig T, et al. Exercise for Hand Osteoarthritis: A Cochrane Systematic Review. J Rheumatol 2017;44:1850-8.

Zeng C, Wei J, Persson MSM, Sarmanova A, Doherty M, Xie D, et al. Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis: a systematic review and network meta-analysis of randomised controlled trials and observational studies. Br J Sports Med 2018;52:642-50.

Verbruggen G, Goemaere S, Veys EM. Systems to assess the progression of finger joint osteoarthritis and the effects of disease modifying osteoarthritis drugs. Clin Rheumatol 2002;21:231-43.

Gabay C, Medinger-Sadowski C, Gascon D, Kolo F, Finckh A. Symptomatic effects of chondroitin 4 and chondroitin 6 sulfate on hand osteoarthritis: a randomized, double-blind, placebo-controlled clinical trial at a single center. Arthritis Rheum 2011;63:3383-91.

Bahadir C, Onal B, Dayan VY, Gürer N. Comparison of therapeutic effects of sodium hyaluronate and corticosteroid injections on trapeziometacarpal joint osteoarthritis. Clin Rheumatol 2009;28:529-33.

Figen Ayhan F, Ustün N. The evaluation of efficacy and tolerability of Hylan G-F 20 in bilateral thumb base osteoarthritis: 6 months follow-up. Clin Rheumatol 2009;28:535-41.

Kingsbury SR, Tharmanathan P, Keding A, Ronaldson SJ, Grainger A, Wakefield RJ, et al. Hydroxychloroquine Effectiveness in Reducing Symptoms of Hand Osteoarthritis: A Randomized Trial. Ann Intern Med 2018;168:385-95.

Kingsbury SR, Tharmanathan P, Arden NK, Batley M, Birrell F, Cocks K, et al. Pain reduction with oral methotrexate in knee osteoarthritis, a pragmatic phase iii trial of treatment effectiveness (PROMOTE): study protocol for a randomized controlled trial. Trials 2015;16:77.

Rech J, Faustini F, Hueber AJ, Ochs W, Spieler W, Kellner H, et al. A PHASE 2, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Efficacy Study of Apremilast (CC- 10004) in Subjects with Erosive Hand Osteoarthritis. ACR/ARHP Annual Meeting November 14-19, 2014; Boston: Abstract Number: 2233.

Wouters RM, Tsehaie J, Hovius SER, Dilek B, Selles RW. Postoperative rehabilitation following thumb base surgery: A systematic review of the literature. Arch Phys Med Rehabil 2018;99:1177-212.e2.

Haugen IK, Mathiessen A, Slatkowsky-Christensen B, Magnusson K, Bøyesen P, Sesseng S, et al. Synovitis and radiographic progression in non-erosive and erosive hand osteoarthritis: is erosive hand osteoarthritis a separate inflammatory phenotype? Osteoarthritis Cartilage 2016;24:647-54.

Ahern M, Skyllas J, Wajon A, Hush J. The effectiveness of physical therapies for patients with base of thumb osteoarthritis: Systematic review and meta-analysis. Musculoskelet Sci Pract 2018:46-54.

Rillo O, Riera H, Acosta C, Liendo V, Bolaños J, Monterola L, et al. PANLAR consensus recommendations for the management in osteoarthritis of hand, hip, and knee. J Clin Rheumatol 2016;22:345-54.

Kaynak Göster

347 141

Arşiv
Sayıdaki Diğer Makaleler

Joint Surgery in Tunisian Rheumatoid Arthritis Patients: Prevalence and Risk Factors

Olfa SAIDANE, Leila GAFSI, Aicha BEN TEKAYA, Ines MAHMOUD, Rawdha TEKAYA, Leila ABDELMOULA

Fulminant Brain Atrophy and Vasculitis on Vessel-Wall Imaging in Neuropsychiatric Lupus: Case Report and Literature Review

Mihaela Ionela SARBU, Nicolae SARBU

The Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendations

Fi̇kri̇ye Fi̇gen AYHAN, İsmihan SUNAR, Ebru UMAY, ESRA DİLEK KESKİN, Lale ALTAN, Fitnat DİNÇER, Tuncay DURUÖZ, Nazım KARALEZLİ, Tiraje TUNCER, KADRİYE BANU KURAN

The Relationship Between 99mTc-Pertechnetate Hand Perfusion Scintigraphy and Nailfold Capillaroscopy in Systemic Sclerosis Patients: A Pilot Study

Slavica PAVLOV DOLIJANOVIC, Nebojsa PETROVIC, Nada VUJASINOVIC STUPAR, Nemanja DAMJANOV, Goran RADUNOVIC, Dragan BABIC, Dragana SOBIC SARANOVIC, Vera ARTIKO

Biomarkers of Cardiovascular Disease in Patients With Ankylosing Spondylitis

Ümit SARP, Evren ÜSTÜNER, Sehim KUTLAY, Şebnem ATAMAN, Sim KUTLAY

Retrospective Analysis of the Factors Affecting Growth Parameters in Turkish Children With Systemic Lupus Erythematosus

Sibel BALCI, Rabia Miray KIŞLA EKİNCİ, Engin MELEK, Aysun KARABAY BAYAZIT, Dilek DOĞRUEL, Derya UFUK ALTINTAŞ, Mustafa YILMAZ

Tofacitinib Induced Psoriasiform Lesion in a Patient With Rheumatoid Arthritis

Kemal EROL, Ragıp ERTAŞ

Efficacy of Rituximab for Refractory Pyoderma Gangrenosum-Like Ulcers in Granulomatosis With Polyangiitis Associated to Antiphospholipid Antibodies

Julia RIERA, Jorge MUSURUANA, Cecilia COSTA, Javier CAVALLASCA

Epigenetics in Osteoarthritis Related Pain: An Update

Jorge Hugo VILLAFA E, Paolo PEDERSINI, Pedro BERJANO

The Frequency of Fibromyalgia and its Relationship With Disease Activity in Female Patients With Behçet’s Disease: A Cross Sectional Study

Koray AYAR, Burcu METİN ÖKMEN, Lale ALTAN, Esra KÖSEGİL ÖZTÜRK