Italian Society for Rheumatology recommendations for the management of hand osteoarthritis
M. Manara,
A. Bortoluzzi,
M. Favero,
I. Prevete,
C.A. Scirè,
G. Bagnato,
G. Bianchi,
M. Ceruso,
G. A. Checchia,
G. M. D'Avola,
G. Di Giacinto,
B. Frediani,
A. Lombardi,
A. Mannoni,
G. Mascheroni,
M. Matucci Cerinic,
L. Punzi,
P. Richelmi,
M. Scarpellini,
F. Torretta,
A. Migliore,
R. Ramonda,
G. Minisola
Affiliations
M. Manara
Epidemiology Unit, Italian Society for Rheumatology (SIR), Milano
A. Bortoluzzi
Rheumatology Unit, Department of Clinical and Experimental Medicine, Ferrara University, S. Anna University Hospital, Ferrara, Italy; SIR
M. Favero
Rheumatology Unit, Department of Medicine DIMED, University of Padova, Italy; SIR
I. Prevete
Rheumatology Unit, S. Camillo Hospital, Roma, Italy; SIR
C.A. Scirè
Epidemiology Unit, Italian Society for Rheumatology (SIR), Milano
G. Bagnato
Rheumatology Unit, Department of Clinical and Experimental Medicine, Policlinico di Messina University Hospital, Messina, Italy; SIR
G. Bianchi
Rheumatology Unit, Azienda Sanitaria Locale 3, Genova, Italy; SIR
M. Ceruso
Department of Hand Surgery and Microsurgery, Careggi University Hospital, Firenze, Italy; Italian Society of Hand Surgery (SICM)
G. A. Checchia
Recovery and functional rehabilitation Service, Santa Corona Hospital, Pietra Ligure (SV), Italy; Italian Society of Physical Therapy and Rehabilitation (SIMFER)
G. M. D'Avola
Rheumatology and Osteoporosis Service, ASP3 Catania, Italy; SIR
G. Di Giacinto
General Practitioner, ASUR Marche, Urbino, Italy; Italian Interdisciplinary Society of Primary Care (SIICP)
B. Frediani
Rheumatology Section, Department of Clinical Medicine and Immunology, University of Siena, Siena, Italy; SIR
A. Lombardi
General practitioner, Azienda Sanitaria Locale 10, Firenze, Italy; Scientific Society of General Practitioners, Italian Federation of Family Doctors (Metis-FIMMG)
A. Mannoni
Department of Medicine and Medical Specialties, Azienda Sanitaria Firenze, Italy; SIR
G. Mascheroni
General practitioner, Carate Brianza (MB), Italy; Italian Society of General Medicine (SIMG)
M. Matucci Cerinic
Department of Biomedicine, Division of Rheumatology AOUC, Firenze, Italy; Department of Clinical and Experimental Medicine, University of Firenze, Firenze, Italy; SIR;
L. Punzi
Rheumatology Unit, Department of Medicine DIMED, University of Padova, Italy; SIR
P. Richelmi
Department of Internal Medicine, University of Pavia, Pavia, Italy; Italian Medical Association of Hydroclimatology, Talassotherapy and Physical Therapy (AMIITTF)
M. Scarpellini
Rheumatology Unit, Fornaroli Hospital, Magenta, Italy; SIR
F. Torretta
Hand Surgery Unit, Gaetano Pini Institute, Milano, Italy; Italian Society of Orthopaedics and Traumatology (SIOT)
A. Migliore
Rheumatology Unit, San Pietro Hospital, Roma, Italy; SIR
R. Ramonda
Rheumatology Unit, Department of Medicine DIMED, University of Padova, Italy; SIR
G. Minisola
Rheumatology Unit, S. Camillo Hospital, Roma, Italy; SIR
Hand osteoarthritis (OA) is a common and potentially disabling disease, with different features from hip and knee OA so that a specific therapeutic approach is required. Evidence based recommendations for the management of hand OA were developed by the European League Against Rheumatism (EULAR) in 2006. The Italian Society for Rheumatology (SIR) aimed to update, adapt to national contest and disseminate the EULAR recommendations for the management of hand OA. The multidisciplinary group of experts included specialists involved in the management of patients with hand OA. In order to maintain consistency with EULAR recommendations, a similar methodology was utilized by the Italian group. The original propositions were reformulated in terms of a search query and for every recommendation a systematic search was conducted updating EULAR recommendations’ review. The propositions were translated in Italian and reformulated basing on collected evidences and expert opinion. The strength of recommendation was measured for each proposition with the EULAR ordinal and visual analogue scales. The original 11 propositions of EULAR recommendations were translated and adapted to Italian context. Further evidences were collected about non-pharmacological therapies, local treatments, intra-articular injection with SYSADOA and corticosteroids, and surgery. The SIR has developed updated recommendations for the management of hand OA adapted to the Italian healthcare system. Their implementation in clinical practice is expected to improve the management of patients with hand OA.
