November 2012

Expert group recommends “chronic disease” approach to OA management

Spurred by conclusions from the Chronic Osteoarthritis Management Initiative (COAMI) Work Group, which met earlier this year to assess current practice in OA management, healthcare providers from more than 20 professional societies are proposing significant changes in management of osteoarthritis (OA), according to a November announcement by the United States Bone and Joint Initiative.

COAMI Work Group members, who included primary care physicians; orthopedic nurses and surgeons; nurse practitioners; specialists in rheumatology, rehabilitation, and sports medicine; physical therapists; and athletic trainers, recommended moving from largely symptomatic management to treating OA like other chronic diseases, with screening for risk factors, prevention-oriented interventions, ongoing monitoring, and comprehensive care models. The work group identified a number of priority actions.

These included convening a large OA management conference; building agreement across disciplines and specialties; exploring standardized screening tools and OA indicators to facilitate early diagnosis; developing tools that promote patient engagement; and developing and supporting an OA-specific research agenda.

For more information, and to read the full Call to Action and detailed COAMI Work Group report, visit

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