Healthcare management dilemmas in patients with osteoarthritis of the knee

Background: Knee Osteoarthritis (KOA) was estimated to affect about 250 million people worldwide, with symptomatic KOA affecting about 10 to 16 percent of people over the age of 60. The epidemiological study of KOA in the Chinese population showed that the prevalence of KOA in China was about 18%, with 11% in men and 19% in women, and the prevalence of KOA in women was significantly higher than that in men. Methods: Systematic search of PubMed, Web of Science, The Cochrane Library, Embase, and CINAHL for studies on health management dilemmas in KOA patients. The search was conducted from the time the library was constructed until January 2024.  Results: A total of 496 documents were retrieved, with 441 remaining after deletion of duplicates. After reviewing the titles and abstracts of 441 documents, 390 documents were excluded. The remaining 51 literatures were read in full text and 40 literatures were excluded. 11 literatures were finally included. Conclusion: Although a few scholars have achieved some success in the exploration of KOA health management, due to the large randomness of their research, lack of systematic and rigour, and the KOA health management model suitable for different regions has not been established. More research is still needed in the future to explore the shortcomings of KOA health management and to establish a complete KOA health management programme and system to promote patients' disease control. Contribution to Evidence-Based Care: The article helps to make healthcare professionals aware of the current dilemmas in the health management of KOA patients. It helps healthcare professionals to develop a scientific discharge plan and apply it in the clinic to promote health management outcomes for KOA patients.