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dc.contributor.authorAyhan, Fikriye Figen
dc.contributor.authorSunar, Ismihan
dc.contributor.authorUmay, Ebru
dc.contributor.authorKeskin, Dilek
dc.contributor.authorAltan, Lale
dc.contributor.authorDincer, Fitnat
dc.contributor.authorTuncer, Tiraje
dc.contributor.authorKaralezli, Nazım
dc.date.accessioned2020-11-20T14:30:05Z
dc.date.available2020-11-20T14:30:05Z
dc.date.issued2020
dc.identifier.issn2148-5046
dc.identifier.issn1309-0283
dc.identifier.urihttps://doi.org/10.46497/ArchRheumatol.2020.7693
dc.identifier.urihttps://app.trdizin.gov.tr//makale/TXpZeU1ERTBOQT09
dc.identifier.urihttps://hdl.handle.net/20.500.12809/347
dc.descriptionWOS: 000574427300001en_US
dc.description.abstractObjectives: This study aims to explore the accordance to the 2018 European League Against Rheumatism (EULAR) recommendations for the management of hand osteoarthritis (OA) among the Turkish League Against Rheumatism (TLAR) expert panel and composition of TLAR recommendations for the management of hand OA under guidance of the current literature. Materials and methods: The TLAR convener designated an expert panel of 10 physicians experienced in hand OA for this process. The 2018 EULAR recommendations for the management of hand OA and the systematic review of the literature were sent to the expert panel via e-mails. The e-mail process which included Delphi round surveys was completed. The EULAR standard operational procedure Appraisal of Guidelines for Research and Evaluation II was followed. The level of agreement was calculated for each item and presented as mean, standard deviations, minimum and maximum and comparisons of 2018 EULAR recommendations were performed. Results: Five overarching principles and 10 recommendations were discussed. Revisions were held for the sixth, seventh, and ninth recommendations with lowest level of agreements. These recommendations were revised in accordance with suggestions from the experts and re-voted. The revised forms were approved despite the lack of statistically significant difference between these forms (p=0.400, p=0.451, p=0.496, respectively). Except for the ninth recommendation about surgery (p=0.008), no significant difference in level of agreements was observed between the EULAR and TLAR hand OA recommendations. The 11th recommendation about paraffin bath was added. Conclusion: The optimal treatment of hand OA consists of personalized non-pharmacological (self-management, exercise, splint), pharmacological (topical non-steroidal anti-inflammatory drugs as the first choke), and interventional procedures (only for refractory cases) based on shared decision between the patient and physician. TLAR hand OA recommendations were created mainly based on the most recent literature and the last EULAR hand OA management recommendations, which are widely approved among the TLAR experts.en_US
dc.item-language.isoengen_US
dc.publisherTurkish League Against Rheumatismen_US
dc.item-rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGuidelineen_US
dc.subjectHanden_US
dc.subjectManagementen_US
dc.subjectOsteoarthritisen_US
dc.subjectTreatmenten_US
dc.titleThe Turkish League Against Rheumatism Recommendations for the Management of Hand Osteoarthritis Under Guidance of the Current Literature and 2018 European League Against Rheumatism Recommendationsen_US
dc.item-typearticleen_US
dc.contributor.departmentMÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.contributor.institutionauthorKaralezli, Nazım
dc.identifier.doi10.46497/ArchRheumatol.2020.7693
dc.identifier.volume35en_US
dc.identifier.issue3en_US
dc.identifier.startpage309en_US
dc.identifier.endpage320en_US
dc.relation.journalArchives of Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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