Joint implementation of guidelines for osteoarthritis in Western Europe: JIGSAW-E

Relevance: With the increase in the ageing population and increase in risk factors for poorer health such as obesity and reduced physical activity, musculoskeletal conditions such as osteoarthritis (OA) will be the main cause of physical disability in older adults. In the UK, the Netherlands, Norway, Denmark and Portugal, OA is primarily managed in primary care. The UK National Institute of Health and Care Excellence (NICE has international reach) recommends that core treatments such as written information and advice on exercises and physical activity should be offered to all people with symptomatic osteoarthritis. Currently there is a gap between recommendations and best practice.