[How to evaluate the long-term course of osteoarthritis. Tests for trials of fundamental treatments (spine excluded)]

Rev Rhum Mal Osteoartic. 1990 Oct 30;57(9 ( Pt 2)):24S-31S.
[Article in French]

Abstract

The best assessment tests for long term trials on osteoarthritis (OA) of the hip and knee are the following, in order of relevance value (consensus of french experts): 1) the loss of joint space thickness on successive radiographies; 2, 3) the indices of the severity for OA of the hip and knee; the investigator's overall opinion; 4) the patient's overall opinion (visual analogue scale of handicap); 5, 6, 7) the pain level (visual analogue scale); the time for going up and down a standard flight of stairs and the time of pain in this distance; the limitation of two articular movements; 8) the increase of either analgesics or NSAIDs consumption; 9) concerning OA of fingers, the number of joints newly involved on successive radiographies. At present, only the radiological tests 1 and 9 are validated. The clinical tests 2 to 8, valuable for short term trials, have yet to be validated for long term follow-up. Recommended duration of trials is three years. A rigorous organisation is necessary to avoid erroneous inclusions: all data recorded in the pre-inclusion visit have to be checked by the principal investigator. Since we have not yet a validated chondroprotective agent as a reference drug, the trial must be randomised, double blind, placebo controlled, parallel group study.

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Cartilage Diseases / drug therapy
  • Clinical Trials as Topic / methods
  • Follow-Up Studies
  • Humans
  • Osteoarthritis / diagnostic imaging
  • Osteoarthritis / drug therapy*
  • Pain Measurement
  • Radiography
  • Severity of Illness Index
  • Time Factors

Substances

  • Anti-Inflammatory Agents, Non-Steroidal