Early Hip and Knee Osteoarthritis Top 10 priorities
- Taking cost into account what is the most effective treatment for early OA between surgical and non surgical treatments?
- What is the best way (content and structure) of delivering rehabilitation (physiotherapy) after surgery for early OA?
- What pre-operative factors can predict the outcome of surgery in people with early OA?
- In people with early OA are surgical treatments designed to repair, not replace the joint (such as stem cells, micro fracture and cartilage transplant) effective?
- In people with early OA does timing affect the outcome for non joint replacement surgery e.g. osteotomy, athroplasty?
- What are the most effective surgical treatments e.g. arthroscopic, biological, realignment, osteotomy in people with early OA?
- What is the best way of measuring outcomes (pain, function, quality of life, joint preservation) of non arthroplasty surgery with people with early OA?
- What is the best way of delivering care short and long term post surgery for early OA?
- In people with early OA is joint replacement appropriate and effective?
- In people with early OA do surgical procedures that involve cutting and re shaping bone (inc. realignment and osteotomy) work?
- Is regular exercise and physical activity effective at reducing disease progression?
- What are the most effective and cost effective non-surgical management options, including combinations of treatments to improve outcomes in people with early OA?
- For people with early OA, what are the most effective and cost effective exercise programmes for clinical improvement?
- Is it possible to influence the progression of OA by modifying identifiable risk factors?
- What options are available for OA self management and how effective are they?
- What is the most effective and cost effective physiotherapy for treating people with early OA?
- For people with early OA going to primary care what is the best and most cost effective and appropriate pain relief strategy?
- What new drug treatments are effective in treating people with early OA?
- What are the best treatments for people with early OA, who also have other musculoskeletal conditions (such as Rheumatoid Arthritis and back pain)?
- When does Body Mass Index (BMI) impact on the progression of early OA?
Other important priorities:
- Can early OA be slowed down, reversed or cured?
- What standardised non-surgical integrated pathways for early OA improve patient outcomes and experience?
- What are the best interventions to keep people with early OA working?
- How can we predict disease progression in people with early OA of the knee/hip?
- What is the best multidisciplinary care model for effective management of OA in primary care?
- What factors and patterns of disease are responsible for progression of OA?
- Is timing of OA diagnosis important for disease progression and applying interventions/treatments?
- In people with early symptoms of OA, which diagnostic tests should be used?
- What tests are useful to monitor the progress of OA?
- Does the amount or type of joint abnormality seen in the early stages of OA have impact on outcome?