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I welcome the publication of the EULAR recommendations for the management of knee osteoarthritis by the EULAR Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT).1 However, it is out of date and has been superseded by other more up to date publications such as the recommendations for the medical management of osteoarthritis of the hip and knee by the American College of Rheumatology (ACR) Subcommittee on Osteoarthritis Guidelines2 and another review of the medical management of osteoarthritis.3 The newer COX-1 sparing non-steroidal anti-inflammatory drugs, rofecoxib and celecoxib are not discussed in the EULAR recommendations, but they have been included in the other reviews.2 ,3
My second criticism of the report is that it contains statements such as “ SYSADOA... may possess structure modification properties”, which is misleading and may lead to widespread use …