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Rheumatology 2001; 40: 841-842
© 2001 British Society for Rheumatology

Editorial

From protocols to principles, from guidelines to toolboxes: aids to good management of osteoarthritis

P. Dieppe

MRC Health Services Collaboration, Department of Social Medicine, University of Bristol, Canynge Hall, Whiteladies Road, Bristol, BS8 2PR, UK The Department of Social Medicine at the University of Bristol is the lead centre of the MRC HSRC.

The recent publication of six new, but rather different, guides to the treatment of osteoarthritis (OA) [1–6] has stimulated this editorial, which asks the question ‘what is a treatment guideline for?’ It concludes that there are probably many alternatives that might be of more value to both patients and health care practitioners.

Guidelines are supposed to ‘assist practitioners and patients about appropriate health care for specific clinical circumstances’ [7]. They are also supposed to be systematically developed and evidence-based, as they have arisen directly from the evidence-based health care movement [8].

In fact they are generally used . . . [Full Text of this Article]

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