<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">REMEDIUM</journal-id><journal-title-group><journal-title>REMEDIUM</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">966</article-id><article-id pub-id-type="doi">10.21518/1561-5936-2020-7-8-29-32</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>The role of NSAIDs in the treatment of OA: new data</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Vodovozov</surname><given-names>Alexey</given-names></name><bio></bio><email>noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Remedium</aff><pub-date date-type="epub" iso-8601-date="2020-12-07" publication-format="electronic"><day>07</day><month>12</month><year>2020</year></pub-date><issue>7-8</issue><fpage>29</fpage><lpage>32</lpage><history><pub-date date-type="received" iso-8601-date="2022-03-18"><day>18</day><month>03</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2020,</copyright-statement><copyright-year>2020</copyright-year></permissions><abstract>Modern therapy for osteoarthritis of any localization follows the principle on integrating patients’ concerns as much as possible, including thorough building of balance of benefits confirmed in strict accordance with the principles of evidence-based medicine, and potential harm due to unwanted side effects of the drugs used. In this case, NSAIDs gained a rightful place of drugs of choice, but the emphasis was placed on their systemic use, on oral forms for a long time. The new guidelines from the American College of Rheumatology (ACR) and the Osteoarthritis Research Society International (OARSI) are shifting the center of balance towards topical forms, focusing on current evidence of their effectiveness and safety. At the same time, it is recommended to refuse some previously used agents, for example, chondroprotectors.</abstract><kwd-group xml:lang="en"><kwd>ACR</kwd><kwd>OARSI</kwd><kwd>osteoarthritis</kwd><kwd>NSAIDs</kwd><kwd>chondroprotectors</kwd><kwd>clinical guidelines</kwd><kwd>voltaren</kwd><kwd>topical forms</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>остеоартроз</kwd><kwd>НПВС</kwd><kwd>хондропротекторы</kwd><kwd>клинические рекомендации</kwd><kwd>вольтарен</kwd><kwd>топические формы</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Cisternas M.G., Murphy L., Sacks J.J., Solomon D.H., Pasta D.J., Helmick C.G. Alternative methods for defining osteoarthritis and the impact on estimating prevalence in a US population-based survey. Arthritis Care Res (Hoboken). 2016;68:574-580.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>GBD 2015 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 315 diseases and injuries and healthy life expectancy (HALE), 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388:1603-1658.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Murphy L., Schwartz T.A., Helmick C.G., Renner J.B., Tudor G., Koch G. et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum. 2008;59:1207-1213.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Murphy L.B., Helmick C.G., Schwartz T.A., Renner J.B., Tudor G., Koch G.G. et al. One in four people may develop symptomatic hip osteoarthritis in his or her lifetime. Osteoarthritis Cartilage. 2010;18:1372-1379.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Qin J., Barbour K.E., Murphy L.B., Nelson A.E., Schwartz T.A., Helmick C.G. et al. Lifetime risk of symptomatic hand osteoarthritis: the Johnston County Osteoarthritis Project. Arthritis Rheumatol. 2017;69:1204-1212.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Nuesch E., Dieppe P., Reichenbach S., Williams S., Iff S., Juni P. All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study. BMJ. 2011;342:d1165. doi: 10.1136/bmj.d1165.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Хитров Н.А. Остеоартроз. Медицинский совет. 2011;(11-12):132-139.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Kolasinski S.L., Neogi T., Hochberg M.C. et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken). 2020;72(2):149-162. doi: 10.1002/ acr.24131.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Bannuru R.R., Osani M.C., Vaysbrot E.E. et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019;27(11):1578-1589. doi: 10.1016/j.joca.2019.06.011.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Rannou F., Pelletier J.P., Martel-Pelletier J. Efficacy and safety of topical NSAIDs in the management of osteoarthritis: evidence from real-life setting trials and surveys. Semin Arthritis Rheum. 2016;45(Suppl.):18-21.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Wadsworth L.T., Kent J.D., Holt R.J. Efficacy and safety of diclofenac sodium 2% topical solution for osteoarthritis of the knee: a randomized, double-blind, vehicle-controlled, 4 week study. Curr Med Res Opin. 2016;32(2):241.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Rannou F., Pelletier J.P., Martel-Pelletier J. Efficacy and safety of topical NSAIDs in the management of osteoarthritis: evidence from real-life setting trials and surveys. Semin Arthritis Rheum. 2016;45(4 Suppl.):18-21. doi: 10.1016/j.semarthrit.2015.11.007.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Lin J., Zhang W., A. Jones, M. Doherty. Efficacy of topical non- steroidal anti-inf lammatory drugs in the treatment of osteo- arthritis: meta-analysis of randomised controlled trials. BMJ. 2004;329(7461):324. doi: 10.1136/bmj.38159.639028.7C.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Sardana V., Burzynski J., Zalzal P. Safety and efficacy of topi- cal ketoprofen in transfersome gel in knee osteoarthritis: a systematic review. Musculoskeletal Care. 2017;15(2):114-121. doi: 10.1002/msc.1163.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Derry S., Conaghan P., Da Silva J.A., Wiffen P.J., Moore R.A. Topical NSAIDs for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2016;(4):CD007400. doi: 10.1002/14651858.CD007400.pub3.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Derry S., Wiffen P.J., Kalso E.A., Bell R.F., Aldington D., Phillips T. et al. Topical analgesics for acute and chronic pain in adults - an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017;(5):CD008609. doi: 10.1002/14651858.CD008609.pub2.</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Zeng C., Wei J., Persson M.S.M., Sarmanova A., Doherty M., Xie D. et al. Relative efficacy and safety of topical non-steroidal anti-inf lammatory drugs for osteoarthritis: a systematic review and network meta-analysis of randomised controlled trials and observational studies. Br J Sports Med. 2018. doi: 10.1136/bjs- ports-2017-098043.</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Chou R., McDonagh M.S., Nakamoto E., Griffin J. Analgesics for Osteoarthritis: An Update of the 2006 Comparative Effectiveness Review. Rockville (MD): Agency for Healthcare Research and Quality (US); 2011.</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Honvo G., Leclercq V., Geerinck A., Thomas T., Veronese N., Charles A. et al. Safety of topical non-steroidal anti-inf lammato- ry drugs in osteoarthritis: outcomes of a systematic review and meta-analysis. Drugs Aging. 2019;36(Suppl. 1):45-64. doi: 10.1007/ s40266-019-00661-0.</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Chan F.K., Ching J.Y., Tse Y.K., Lam K., Wong G.L., Ng S.C. et al. Gastrointestinal safety of celecoxib versus naproxen in patients with cardiothrombotic diseases and arthritis after upper gastrointestinal bleeding (CONCERN): an industry</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Nissen S.E., Yeomans N.D., Solomon D.H., Lüscher T.F., Libby P., Husni M.E. et al. for the PRECISION Trial Investigators. Cardiovascular safety of celecoxib, naproxen, or ibuprofen for arthritis. N Engl J Med. 2016;375:2519-2529.</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Solomon D.H., Husni M.E., Libby P.A., Yeomans N.D., Lincoff A.M., Lüscher T.F. et al. The risk of major NSAID toxicity with celecoxib, ibuprofen, or naproxen: a secondary analysis of the PRECISION trial. Am J Med. 2017;130:1415-1422.</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Nissen S.E., Yeomans N.D., Solomon D.H., Lüscher T.F., Libby P., Husni M.E. et al. Cardiovascular safety of celecoxib, naproxen, or ibuprofen for arthritis. N Engl J Med. 2016;375(26):2519e29.</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Runhaar J., Rozendaal R.M., van Middelkoop M., Bijlsma H.J., Doherty M., Dziedzic K.S. et al. Subgroup analyses of the effec- tiveness of oral glucosamine for knee and hip osteoarthritis: a systematic review and individual patient data meta-analysis from the OA trial bank. Ann Rheum Dis. 2017;76:1862-1869.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Wandel S., Jüni P., Tendal B., Nüesch E., Villiger P.M., Welton N.J. et al. Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analy- sis. BMJ. 2010;341:4675.</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Clarke T.C., Black L.I., Stussman B.J., Barnes P.M., Nahin R.L. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015;1-16.</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Biggee B.A., Blinn C.M., Nuite M., Silbert J.E., McAlindon T.E. Effects of oral glucosamine sulphate on serum glucose and insu- lin during an oral glucose tolerance test of subjects with osteo- arthritis. Ann Rheum Dis. 2007;66:260-262.</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Santos G.R., Piquet A.A., Glauser B.F., Tovar A.M., Pereira M.S., Vilanova E. et al. Systematic analysis of pharmaceutical preparations of chondroitin sulfate combined with glucosamine. Pharmaceuticals (Basel). 2017;10(2). doi: 10.3390/ph10020038.</mixed-citation></ref></ref-list></back></article>
