What's new in osteoarthritis?

IF 4.8 2区 医学 Q1 RHEUMATOLOGY
Graeme Jones
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引用次数: 0

Abstract

Osteoarthritis is major and growing public health problem. Major advances have occurred in terms of understanding the pathogenesis of the disease primarily due to advances in imaging. Both systemic and local factors are involved. Some of these are modifiable making them attractive targets for therapy and the development of precision medicine in osteoarthritis. A growing number of these trials selecting subgroups of osteoarthritis with specific imaging features have been completed with mixed results. In many cases, the interventional studies have not replicated the results of the basic science and human observational studies and the majority of trials have been negative with a few notable exceptions. There is an urgent need for greater choice of therapies in this condition.

骨关节炎有什么新进展?
骨关节炎是一个日益严重的重大公共卫生问题。在了解疾病的发病机制方面取得了重大进展,这主要是由于成像技术的进步。系统因素和局部因素都有涉及。其中一些是可修改的,使它们成为骨关节炎治疗和精确医学发展的有吸引力的目标。越来越多的这些选择具有特定影像学特征的骨关节炎亚组的试验已经完成,结果好坏参半。在许多情况下,干预性研究并没有重复基础科学研究和人体观察研究的结果,除了少数明显的例外,大多数试验都是否定的。在这种情况下,迫切需要更多的治疗选择。
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来源期刊
CiteScore
9.40
自引率
0.00%
发文量
43
审稿时长
27 days
期刊介绍: Evidence-based updates of best clinical practice across the spectrum of musculoskeletal conditions. Best Practice & Research: Clinical Rheumatology keeps the clinician or trainee informed of the latest developments and current recommended practice in the rapidly advancing fields of musculoskeletal conditions and science. The series provides a continuous update of current clinical practice. It is a topical serial publication that covers the spectrum of musculoskeletal conditions in a 4-year cycle. Each topic-based issue contains around 200 pages of practical, evidence-based review articles, which integrate the results from the latest original research with current clinical practice and thinking to provide a continuous update. Each issue follows a problem-orientated approach that focuses on the key questions to be addressed, clearly defining what is known and not known. The review articles seek to address the clinical issues of diagnosis, treatment and patient management. Management is described in practical terms so that it can be applied to the individual patient. The serial is aimed at the physician in both practice and training.
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