Intraarticular therapies (IAT) are often used to treat joint conditions such as gout, rheumatoid arthritis, or osteoarthritis. The procedure involves inserting a needle into the space between the bones of the joint to administer a drug. The types of injectables used in ITV techniques vary, from steroids to radiopharmaceuticals.
Although IAT is usually performed, there are variations in how, why, and where it is done. EULAR aimed to help standardize the way IATs are delivered and explain to people what they can expect from treatment. An EULAR working group was set up to develop a set of new recommendations to provide guidance and advice on best practices for ITV.
The working group included doctors, nurses, surgeons and other health professionals, as well as patients. The working group examined the IAT tests. As there is little published evidence, the working group also conducted two surveys to collect information. The first was sent to patients to find out their perspectives on what it is like to have IAT and the second went to healthcare providers to gather information on how IAT is done in different clinics and settings. After looking at the evidence, they developed five general principles and eleven individual recommendations.
The principles say that ITT is recommended and widely used in the management of joint diseases and that the technique aims to improve patient-centered outcomes. They also emphasize that contextual factors are important and contribute to the effect of IAT. As such, ITV should be offered as part of a comprehensive set of individualized information and a shared decision-making process. Finally, they recognize that there is a wide variety of health professionals they are able to perform these procedures routinely. The individual recommendations cover information on the type of support and advice that people undergoing ITV should expect to receive from their healthcare team. They also set the minimum for the clinic’s operating procedures, such as making sure the IAT is done in a clean, quiet room and maintaining good aseptic technique to prevent infections.
EULAR hopes that these new recommendations will be included in different educational programs, used by patient associations, and that they will be implemented through scientific societies to help improve the uniformity and quality of care when performing IAT.
Jacqueline Uson et al, EULAR recommendations for intra-articular therapies, Annals of rheumatic diseases (2021). DOI: 10.1136 / annrheumdis-2021-220266
Provided by EULAR
Citation: Improving the uniformity and quality of care for people undergoing intraarticular injection (2021, June 24) retrieved June 24, 2021 at https://medicalxpress.com/news/2021-06-uniformity- quality-people-intra-articular.html
This document is subject to copyright. Apart from any fair treatment for the purposes of private study or research, no part may be reproduced without written permission. Content is provided for informational purposes only.