Appropriate Use Criteria for Hyaluronic Acid in the Treatment of Knee Osteoarthritis in the United States

被引:44
作者
Bhadra, Arup K. [1 ]
Altman, Roy [2 ]
Dasa, Vinod [3 ,4 ]
Myrick, Karen [5 ,6 ]
Rosen, Jeffrey [7 ,8 ]
Vad, Vijay [9 ]
Vitanzo, Peter, Jr. [10 ]
Bruno, Michelle [11 ]
Kleiner, Hillary [11 ]
Just, Caryn [11 ]
机构
[1] Northeast Orthoped & Sports Med, 327 Route 59, Airmont, NY 10952 USA
[2] Ronald Reagan UCLA Med Ctr, Los Angeles, CA USA
[3] LSU Hlth Sci Ctr, Dept Orthopaed, New Orleans, LA USA
[4] LSU Sch Med, New Orleans, LA USA
[5] Quinnipiac Univ, Sch Nursing, Joint Appointment Frank Netter Sch Med, North Haven, CT USA
[6] Orthoped Associates, Farmington, CT USA
[7] New York Presbyterian Queens Hosp, Dept Orthopaed & Rehabil, New York, NY USA
[8] Cornell Univ, Weill Med Coll, New York, NY 10021 USA
[9] Cornell Univ, Hosp Special Surg, Weill Med Coll, New York, NY 10021 USA
[10] Rothman Inst Jefferson, Philadelphia, PA USA
[11] Avalere Hlth, Washington, DC USA
关键词
appropriate use criteria; hyaluronic acid; knee; osteoarthritis; viscosupplementation; RANDOMIZED CLINICAL-TRIAL; EVIDENCE-BASED GUIDELINE; G-F; 20; INTRAARTICULAR HYALURONAN; DOUBLE-BLIND; SYSTEMATIC REVIEWS; MOLECULAR-WEIGHT; GRANULOMATOUS INFLAMMATION; SODIUM HYALURONATE; 2ND EDITION;
D O I
10.1177/1947603516662503
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Objective: A workgroup of clinical experts has developed an Appropriate Use Criteria (AUC) for the use of hyaluronic acid (HA) in the treatment of osteoarthritis (OA) of the knee. The increasingly broad and varied use of HA injections, lack of published clinical guidance, and limited coverage for their use has created the imperative to establish appropriateness criteria. Methods: The experts of this workgroup represent rheumatology, orthopedic surgery, physiatry, sports medicine, and nursing clinicians with substantive knowledge of intra-articular HA therapy. This workgroup utilized the results of a systematic review of evidence, expert clinical opinion, and current evidence-based clinical practice guidelines to develop appropriateness criteria for the use of intra-articular HA for knee OA in 17 real-world clinical scenarios. Results: The workgroup scored the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as appropriate (7-9), uncertain (4-6), or inappropriate (1-3). Six scenarios were scored as appropriate, 10 scenarios were scored as uncertain, and 1 scenario was scored as inappropriate. Conclusion: This article can assist clinicians in shared decision-making by providing best practices in considering HA injections for knee OA treatment. Moreover, this AUC article can aid payers and policy makers in determining reimbursement and preauthorization policies and more appropriately managing health care resources. It is clear that further research is still necessaryparticularly in patient populations differentiated by OA severitythat may benefit the greatest from the use of HA injections for the treatment of knee OA.
引用
收藏
页码:234 / 254
页数:21
相关论文
共 100 条
[1]
ADAMS ME, 1993, J RHEUMATOL, V20, P16
[2]
A risk-benefit assessment of injections of hyaluronan and its derivatives in the treatment of osteoarthritis of the knee [J].
Adams, ME ;
Lussier, AJ ;
Peyron, JG .
DRUG SAFETY, 2000, 23 (02) :115-130
[3]
Efficacy of Viscosupplementation in Knee Osteoarthritis: A Clinical Trial of Three Agents [J].
Al-Omran, Abdullah ;
Azam, Quamar .
BAHRAIN MEDICAL BULLETIN, 2014, 36 (03) :150-153
[4]
Altman R, 2013, MONOGRAPH, P1
[5]
The mechanism of action for hyaluronic acid treatment in the osteoarthritic knee: a systematic review [J].
Altman, R. D. ;
Manjoo, A. ;
Fierlinger, A. ;
Niazi, F. ;
Nicholls, M. .
BMC MUSCULOSKELETAL DISORDERS, 2015, 16
[6]
American Academy of Orthopaedic Surgeons, APPR US CRIT NON TRE
[7]
American College of Radiology, 2015, APPR CRIT RAT ROUND
[8]
American College of Rheumatology, GLOSSARY
[9]
Stem Cell Therapies for Knee Cartilage Repair The Current Status of Preclinical and Clinical Studies [J].
Anderson, John A. ;
Little, Dianne ;
Toth, Alison P. ;
Moorman, Claude T., III ;
Tucker, Bradford S. ;
Ciccotti, Michael G. ;
Guilak, Farshid .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2014, 42 (09) :2253-2261
[10]
[Anonymous], 1990, CLIN PRACTICE GUIDEL