Non Surgical Priority 2 from the Early Hip and Knee Osteoarthritis PSP
UNCERTAINTY: What are the most effective and cost effective non surgical management options, including combinations of treatments to improve outcomes in people with early OA? (JLA PSP Non Surgical Priority 2)
Overall ranking amongst non surgical questions
2
JLA question ID
0041/12
Extra explanatory note
Important that this question addresses combinations of non surgical options as this replicates real life. Type of research; Clinical trials Intervention; to include complementary and alternative options especially acupuncture, debate about whether to include physiotherapy and hydro therapy. Population; older people with OA and with co-morbidities, we discussed whether this was also relevant for younger people Outcomes; Pain and function (life limiting and impact on daily activities Health related quality of life measures
Evidence
None identified
Health Research Classification System category
Musculoskeletal
Extra information provided by this PSP
Original uncertainty examples
Are non-operative measures better than placebo treatment? ~ What kinds of treatments are available that enable me to optimise my function without causing more damage? ~ Are there estimates for how long I should persist in implementing non-surgical treatments before it's apparent that they are not going to improve matters for me and that I should put my resources and energy into something else?
Submitted by
13 patient/carers, 12 clinicians, 1 carer/clinician, 2 H&K PSP (1 clinician and 1 professional) focus group and 1 professional focus group
PSP information
PSP unique ID
0041
PSP name
Early Hip and Knee Osteoarthritis
Total number of uncertainties identified by this PSP.
52 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)