Academic Journal
French Societies of Rheumatology and of Physical and Rehabilitation Medicine recommendations for the management of people living with hand osteoarthritis.
| Τίτλος: | French Societies of Rheumatology and of Physical and Rehabilitation Medicine recommendations for the management of people living with hand osteoarthritis. |
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| Συγγραφείς: | Courties A; Assistance publique-Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Service de Rhumatologie, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Inserm 938, 75012 Paris, France. Electronic address: alice.courties@aphp.fr., Daste C; Université Paris Cité, UFR de Médecine, 75006 Paris, France; Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, AP-HP. Centre-Université de Paris, 75014 Paris, France., Homs AF; Department of Physical and Rehabilitation Medicine, CHU de Nîmes, Université de Montpellier, Nîmes, France., Kouki I; Assistance publique-Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Service de Rhumatologie, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Inserm 938, 75012 Paris, France., Alliot-Launois F; AFLAR, 75013 Paris, France., Bialé L; Service de rhumatologie, hôpital national d'instruction des Armées Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France., Cailleaux PE; Université Rouen Normandie, Inserm, ADEN UMR 1073, CHU de Rouen, Geriatrics Department, Rouen, France., Cambon A; Sorbonne Université, Service de chirurgie orthopédique et traumatologique-SOS mains, Hôpital Saint-Antoine, Centre de Recherche Saint-Antoine UMR_S938 Inserm, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France., Chapurlat R; Inserm UMR_S 1033, Hôpital Édouard-Herriot, Association Prévention des Maladies Osseuses (PMO), 69003 Lyon, France., Chammas M; Service de Chirurgie de la Main, Membre Supérieur, SOS Main, Hôpital Lapeyronie, CHU de Montpellier, Université de Montpellier, 34295 Montpellier cedex 5, France., Cormier G; CHD Vendée - site de la Roche-sur-Yon, Service de Rhumatologie, 85000 La Roche-sur-Yon, France., Fabre MC; AFLAR, 75013 Paris, France., Gaud-Listrat V; Service de Rhumatologie, Centre Hospitalier Universitaire Cochin, AP-HP, Paris, France; Hospital And City In Rheumatology (RHEVER) network, Paris, France., Latourte A; Université de Paris, AP-HP Lariboisière, Service de Rhumatologie, 75010 Paris, France., Lopez A; University Department of General Practice, Faculty of Medicine of Montpellier-Nîmes, Université de Montpellier, Montpellier, France; Maison de santé pluriprofessionnelle Montpellier-Cévennes, Montpellier, France., Maheu E; Assistance publique-Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Service de Rhumatologie, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Inserm 938, 75012 Paris, France., Nayral N; IRMB, University of Montpellier, Inserm, CHU de Montpellier, Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Lapeyronie University Hospital, Montpellier, France., Rannou F; Université Paris Cité, UFR de Médecine, 75006 Paris, France; Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, AP-HP. Centre-Université de Paris, 75014 Paris, France., Rat AC; Normandie Université, UNICAEN, CHU de Caen Normandie, Rheumatology Department, Inserm, COMETE, 14000 Caen, France., Rören A; Université Paris Cité, UFR de Médecine, 75006 Paris, France; Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, AP-HP. Centre-Université de Paris, 75014 Paris, France., Roux CH; CHU Pasteur 2, Service de Rhumatologie, University Côte d'Azur, 06000 Nice, France., Mathieu S; Université Clermont-Auvergne, CHU Gabriel-Montpied, Service de Rhumatologie, Inserm, Neuro-Dol, 63000 Clermont-Ferrand, France., Nguyen C; Université Paris Cité, UFR de Médecine, 75006 Paris, France; Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, Hôpital Cochin, AP-HP. Centre-Université de Paris, 75014 Paris, France., Pers YM; IRMB, University of Montpellier, Inserm, CHU de Montpellier, Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Lapeyronie University Hospital, Montpellier, France., Sellam J; Assistance publique-Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Service de Rhumatologie, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Inserm 938, 75012 Paris, France. |
| Πηγή: | Joint bone spine [Joint Bone Spine] 2026 Mar; Vol. 93 (2), pp. 106000. Date of Electronic Publication: 2025 Nov 01. |
| Τύπος έκδοσης: | Journal Article; Systematic Review; Practice Guideline; Research Support, Non-U.S. Gov't |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Editions Elsevier Country of Publication: France NLM ID: 100938016 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1778-7254 (Electronic) Linking ISSN: 1297319X NLM ISO Abbreviation: Joint Bone Spine Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Paris : Editions Elsevier, c2000- |
| Ιατρικοί όροι (MeSH): | Osteoarthritis*/therapy , Osteoarthritis*/rehabilitation , Osteoarthritis*/diagnosis , Hand Joints*/physiopathology , Physical and Rehabilitation Medicine* , Rheumatology*, Humans ; France ; Societies, Medical ; Disease Management ; Physical Therapy Modalities |
| Περίληψη: | Objectives: To establish French recommendations for the management of people living with hand osteoarthritis (OA) on behalf of the French Society of Rheumatology (SFR) and of the French Society of Physical and Rehabilitation Medicine (SOFMER). Methods: A systematic review of the literature, including systematic reviews, meta-analyses, and randomized controlled trials on pharmacological and non-pharmacological treatments, was conducted from inception until November 24, 2023. Based on this review and expert consensus, a multidisciplinary group of 25 healthcare professionals-including rheumatologists, physical and rehabilitation medicine physicians, hand surgeons, general practitioner, geriatrician, occupational therapists, physiotherapists, and patients-formulated the recommendations. Each statement was assigned a level of evidence, a grade of recommendation, and a level of agreement based on EULAR standardized procedures for recommendations. Results: The group established four general principles and 11 specific recommendations. The general principles emphasize treatment objectives, individualized management, patient education, and a multimodal approach combining non-pharmacological and pharmacological therapies. Four specific recommendations address non-pharmacological strategies, including exercise, ergonomic advice, assistive devices, orthoses and heat applications. The group advises against the use of electromagnetic waves, laser therapy, acupuncture, or kinesiotaping. Seven specific recommendations cover pharmacological treatments, advocating for topical and oral NSAIDs, acetaminophen, chondroitin sulfate for symptom relief, low-dose oral corticosteroids for inflammatory flares, and intra-articular steroid injections for inflammatory painful interphalangeal OA. Given the current data, the group advises against the use of conventional synthetic or biological disease-modifying anti-rheumatic drugs (DMARDs). Conclusions: These recommendations provide a structured approach for the management of people living with hand OA in France, aligning with national healthcare practices and patient needs. (Copyright © 2025 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.) |
| Contributed Indexing: | Keywords: Hand osteoarthritis; Management; Recommendation; Treatment |
| Entry Date(s): | Date Created: 20251103 Date Completed: 20260307 Latest Revision: 20260504 |
| Update Code: | 20260505 |
| DOI: | 10.1016/j.jbspin.2025.106000 |
| PMID: | 41183591 |
| Βάση Δεδομένων: | MEDLINE |
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