Constructing an integrative Chinese and western medical clinical pathway for knee osteoarthritis based on guideline recommendations
10.3760/cma.j.cn115398-20231203-00019
- VernacularTitle:基于指南意见构建膝骨关节炎中西医结合临床路径
- Author:
Luping LIU
1
;
Xiyou WANG
;
Lingyun ZHANG
;
Yuan LEI
;
Yi AN
;
Yixuan GAO
;
Zhendong XING
;
Jiaqi LIU
;
Changhe YU
Author Information
1. 北京中医药大学东直门医院推拿疼痛科，北京 100700
- Keywords:
Osteoarthritis, knee;
Guidelines;
Critical pathways;
Integrated Traditional Chinese Medicine & western medicine
- From:
International Journal of Traditional Chinese Medicine
2025;47(1):9-17
- CountryChina
- Language:Chinese
-
Abstract:
Knee osteoarthritis (KOA) is a common chronic degenerative disease that not only causes pain and reduces the quality of life for patients but also imposes a significant societal burden. Clinical pathways can be developed by referencing recommendations from clinical practice guidelines to localize guidelines within the context of integrated traditional Chinese and western medical systems. However, existing clinical pathways suffer from shortcomings such as deficiencies in integrated traditional Chinese and western medical diagnosis and treatment, inadequate shared decision-making between healthcare providers and patients, and suboptimal visualization of clinical pathways. This study aimed to address and optimize the clinical pathway of KOA by comprehensively organizing and localizing the recommended guidelines. The concept of integrated traditional Chinese and western medicine was reflected through the construction of a path of joint decision-making between doctors and patients, emphasizing the coexistence of diagnosis and screening, the combination of clinical and imaging staging, joint decision-making between doctors and patients, and treatment stages. This pathway emphasizes patient-centered approach, with pain relief and functional rehabilitation running parallel, achieving the implementation of evidence-based concepts in practical medical practice. It provides a concrete basis for joint decision-making between doctors and patients in the integrated treatment of KOA with traditional Chinese and western medicine, which helps to improve diagnosis and treatment efficiency and patient quality of life.
