Targeting care: tailoring nonsurgical management according to clinical presentation

Rheum Dis Clin North Am. 2013 Feb;39(1):213-33. doi: 10.1016/j.rdc.2012.11.001. Epub 2012 Nov 26.

Abstract

International evidence-based guidelines recommend a multitude of nonsurgical treatment options for the management of osteoarthritis. This article summarizes the evidence available for patient characteristics that have been analyzed as potential predictors of response to nonsurgical interventions for patients with hip and knee osteoarthritis. The specific variables targeted for this review include body mass index, psychological factors, muscle strength, tibiofemoral alignment, radiographic changes, and signs of inflammation. Several studies provide moderate to good evidence of potential predictors of response to nonsurgical treatments, and areas for future research are illuminated.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antirheumatic Agents / therapeutic use*
  • Bone Malalignment
  • Disease Progression
  • Exercise Therapy*
  • Female
  • Humans
  • Joints / physiopathology
  • Male
  • Middle Aged
  • Muscle Strength
  • Osteoarthritis, Hip / diagnosis
  • Osteoarthritis, Hip / rehabilitation
  • Osteoarthritis, Hip / therapy*
  • Osteoarthritis, Knee / diagnosis
  • Osteoarthritis, Knee / rehabilitation
  • Osteoarthritis, Knee / therapy*
  • Patient-Centered Care / methods*
  • Predictive Value of Tests
  • Randomized Controlled Trials as Topic
  • Treatment Outcome
  • Weight Loss

Substances

  • Antirheumatic Agents