Non Surgical Priority 2 from the Early Hip and Knee Osteoarthritis PSP


UNCERTAINTY: What are the most effective and cost effective non surgical management options, including combinations of treatments to improve outcomes in people with early OA? (JLA PSP Non Surgical Priority 2)
Overall ranking amongst non surgical questions 2
JLA question ID 0041/12
Extra explanatory note Important that this question addresses combinations of non surgical options as this replicates real life.
Type of research; Clinical trials
Intervention; to include complementary and alternative options especially acupuncture, debate about whether to include physiotherapy and hydro therapy.
Population; older people with OA and with co-morbidities, we discussed whether this was also relevant for younger people
Outcomes; Pain and function (life limiting and impact on daily activities
Health related quality of life measures
Evidence None identified
Health Research Classification System category Musculoskeletal
Extra information provided by this PSP
Original uncertainty examples Are non-operative measures better than placebo treatment?  ~  What kinds of treatments are available that enable me to optimise my function without causing more damage?  ~  Are there estimates for how long I should persist in implementing non-surgical treatments before it's apparent that they are not going to improve matters for me and that I should put my resources and energy into something else?
Submitted by 13 patient/carers, 12 clinicians, 1 carer/clinician, 2 H&K PSP (1 clinician and 1 professional) focus group and 1 professional focus group
PSP information
PSP unique ID 0041
PSP name Early Hip and Knee Osteoarthritis
Total number of uncertainties identified by this PSP. 52  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 26 February 2016