Year: 2020
Type: article
Abstract: BACKGROUND: The classification criteria of osteoarthritis (OA) is lack of the support of relevant research evidence and there is no standardized protocol for detailed steps of the development or clinical verification of classification criteria has yet been established. This study aims to describe the development process of the Categorization of Osteoarthritis CHecklist (COACH), which is designed to choose the precise treatment option for patients with OA. METHODS: A multidisciplinary panel was established to gather opinions. We conducted questionnaire survey and literature review to generate and COACH Panel members were invited to review the drafted classification criteria and optimize classification criteria. The final list of items was discussed and reached the agreement by the core group of the panel. RESULTS: Thirty-six experts participated in COACH Panel including rheumatologist (80.6%; 29/36), orthopedist (13.9%; 5/36), methodologist (2.8%; 1/36) and rehabilitation physician (2.8%; 1/36) for classification factors generating and optimizing. The main body of the final classification criteria consists of six types of OA pathogenesis, eight types of medical findings (which can be grouped into two categories), and six types of the location. The final criteria include load-based type, structure-based type, inflammation-based type, metabolic-based type, systemic factor based type and mixed type. CONCLUSIONS: COACH can better help clinicians quickly classify OA patients and help to choose the best treatment option from the aspects of types, findings and locations. What's more, the classification criteria are also helpful to promote the basic medical research and targeted prevention of OA.
Source: Annals of Translational Medicine
DOI: 10.21037/atm-20-4673
Authors: on behalf of the COACH Group, Cibo Huang, Zhiyi Zhang, Yaolong Chen, Yue Zhang, Dan Xing, Like Zhao, Jianhao Lin, Yifang Mei, Hsiao-Yi Lin, Yi Zheng, Wei-Chung Tsai, Shengyun Liu, Quan Jiang, Yi Liu, Jinwei Chen, Zhizhong Ye, Min Chen, Yingjuan Chen, Cong-Qiu Chu, Ming Gao, Lan He, Jin Lin, Lijun Wu, Jianhua Xu, Pinting Yang, Xuewu Zhang, Qing Jiang, Guanghua Lei, Mengtao Li, Wanling Yang, Xin Gu, Yixin Zhou, Dongyi He, Wei Liu, Weiya Zhang, Changhai Ding, Xiaofeng Zeng
Institutions: Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing Hospital, Harbin Medical University, First Affiliated Hospital of Harbin Medical University, Lanzhou University, Peking University People's Hospital, First Affiliated Hospital Zhejiang University, Zhejiang University, Taipei Veterans General Hospital, Capital Medical University, Beijing Chao-Yang Hospital, Capital Medical University, Kaohsiung Medical University, First Affiliated Hospital of Zhengzhou University, Nanjing Drum Tower Hospital, China Academy of Chinese Medical Sciences, Guang’anmen Hospital, Nanjing University, Sichuan University, West China Medical Center of Sichuan University, West China Hospital of Sichuan University, Central South University, Second Xiangya Hospital of Central South University, Fourth People's Hospital of Shenzhen, Oregon Health & Science University, VA Portland Health Care System, First Affiliated Hospital of Xi'an Jiaotong University, First Hospital of Xi'an, Xi'an Jiaotong University, People's Hospital of Xinjiang Uygur Autonomous Region, First Affiliated Hospital of Anhui Medical University, Xiangya Hospital Central South University, Beijing Jishuitan Hospital, Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, Tianjin University of Traditional Chinese Medicine, University of Nottingham, University of Tasmania
Language: English
Subfield: Rheumatology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
Funders: Lanzhou University, Université de Genève
OpenAlex ID: W3081069796