2010+EULAR建议：膝关节骨性关节炎的诊断2010+EULAR建议：膝关节骨性关节炎的诊断.pdf

Downloaded from on March 4, 2011 - Published by Recommendations EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis W Zhang,1 M Doherty,1 G Peat,2 S M A Bierma-Zeinstra,3 N K Arden,4 B Bresnihan,5 G Herrero-Beaumont,6 S Kirschner,7 B F Leeb,8 L S Lohmander,9 B Mazières,10 K Pavelka,11 L Punzi,12 A K So,13 T Tuncer,14 I Watt,15 J W Bijlsma16 ? Additional data are published ABSTRACT Classi? cation criteria developed by the American online only at http://ard.bmj. Objective To develop evidence-based recommendations College of Rheumatology (ACR) in 1986 are often com/content/vol69/issue3 for the diagnosis of knee osteoarthritis (OA). used to standardise case de? nitions for research For numbered af? liations see Methods The multidisciplinary guideline development purposes.11 Currently there is no guideline primar- end of article group, representing 12 European countries, generated ily for the purpose of clinical diagnosis of knee OA. Correspondence to 10 key propositions regarding diagnosis using a Delphi Radiography is often used as the ‘gold standard’, Dr Weiya Zhang, Academic consensus approach. For each recommendation, research but it is not the only marker for OA. De? nition of Rheumatology, University of evidence was searched systematically. Whenever knee OA may change according to different levels Nottingham, Clinical Sciences possible, the sensitivity, speci? city and likelihood ratio of care and clinical requirements. Therefore the Building, City H