Japanese Orthopaedic Association (JOA) clinical practice guidelines on the management of lateral epicondylitis of the humerus - Secondary publication

Masatoshi Amako, Takeshi Arai, Kousuke Iba, Masayoshi Ikeda, Hiroyasu Ikegami, Hideaki Imada, Akihiro Kanamori, Jiro Namba, Yasumasa Nishiura, Masato Okazaki, Osamu Soejima, Toshikazu Tanaka, Masahiro Tatebe, Yasuhiro Yoshikawa, Katsuji Suzuki

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: The guidelines presented herein provide recommendations for the management of patients with lateral epicondylitis of the humerus. These recommendations are endorsed by the Japanese Orthopaedic Association (JOA) and Japan Elbow Society. Methods: The JOA lateral epicondylitis guideline committee revised the previous guidelines on the basis of the “Medical Information Network Distribution Service Handbook for Clinical Practice Guideline Development 2014”, which emphasized the importance of the balance between benefit and harm, and proposed a desirable method for preparing clinical guidelines in Japan. These guidelines consist of 11 clinical questions (CQs), 9 background questions (BQs), and 3 future research questions (FRQs). For each CQ, outcomes from the literature were collected and evaluated systematically according to the adopted study design. Results: The committee proposed recommendations for each CQ by determining the level of evidence and assessing the consensus rate. Physical therapy was the best recommendation with the best evidence. The BQs and FRQs were answered by collecting evidence based on the literature. Conclusions: The guidelines presented herein were reviewed systematically, and recommendations were proposed for each CQ. These guidelines are expected to be widely used not only by surgeons or physicians but also by other healthcare providers, such as nurses, therapists, and athletic trainers.

Original languageEnglish
Pages (from-to)514-532
Number of pages19
JournalJournal of Orthopaedic Science
Volume27
Issue number3
DOIs
Publication statusPublished - 05-2022

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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