Management of Glenohumeral Joint Osteoarthritis

Michael Khazzam, MD, FAAOS; Albert O. Gee, MD, FAAOS; Michael Pearl, MD, FAAOS

Disclosures

J Am Acad Orthop Surg. 2020;28(19):790-794. 

In This Article

Recommendations

This Summary of Recommendations of the AAOS Management of Glenohumeral Joint Osteoarthritis Evidence-Based Clinical Practice Guideline contains a list of evidence-based prognostic and treatment recommendations. Discussions of how each recommendation was developed and the complete evidence report are contained in the full guideline at www.aaos.org/gjocpg. Readers are urged to consult the full guideline for the comprehensive evaluation of the available scientific studies. The recommendations were established using methods of evidence-based medicine that rigorously control for bias, enhance transparency, and promote reproducibility.

The Summary of Recommendations is not intended to stand alone. Medical care should be based on evidence, a physician's expert judgement, and the patient's circumstances, values, preferences, and rights. For treatment procedures to provide benefit, mutual collaboration with shared decision-making between patient and physician/allied healthcare provider is essential.

A Strong recommendation means that the quality of the supporting evidence is high. A Moderate recommendation means that the benefits exceed the potential harm (or that the potential harm clearly exceeds the benefits in the case of a negative recommendation), but the quality/applicability of the supporting evidence is not as strong. A Limited recommendation means that there is a lack of compelling evidence that has resulted in an unclear balance between benefits and potential harm. A Consensus recommendation means that expert opinion supports the guideline recommendation although there is no available empirical evidence that meets the inclusion criteria of the guideline's systematic review.

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