Osteoarthritis in 2020 and beyond

We applaud the bold move of creating Lancet Commission on Osteoarthritis, an often forgotten illness.1Hunter DJ March L Chew M Osteoarthritis in 2020 and beyond: a Commission.Lancet. 2020; 396: 1711-1712Summary Full Text PDF PubMed Scopus (32) Google Scholar Globally applicable acceptable solutions need transdisciplinary action, which has clearly thought about, given its diverse professional make-up. In this line thought, we would like to highlight two other Commissions, Global Surgery ongoing Diagnostics.2Wilson ML Atun R DeStigter K et al.The diagnostics: advancing equitable access diagnostics.Lancet. 2019; 393: 2018-2020Summary (11) Total hip arthroplasty is considered one most successful cost-effective surgical interventions ever developed.3Learmonth ID Young C Rorabeck The operation century: total replacement.Lancet. 2007; 370: 1508-1519Summary (1188) Furthermore, even though mantra treat patients not x-rays remains core value orthopaedic surgery, treating with osteoarthritis without diagnostics near impossible. Despite benefits diagnostics, economic constraints low-income middle-income countries severely restrict care diagnostic technology.2Wilson Scholar, 4Meara JG Leather AJM Hagander al.Global 2030: evidence for achieving health, welfare, development.Lancet. 2015; 386: 569-624Summary (1415) believe that work done by Diagnostics can meaningfully inform Osteoarthritis. Additionally, ask commissioners consider inviting paediatrician or paediatric (orthopaedic) surgeon further nature Commission. Such expert could provide valuable insights conditions predispose osteoarthritis, such as scoliosis, developmental dysplasia hip, Legg-Calvé-Perthes disease, septic arthritis, possible pathways prevention mitigation.5Engesæter LB Engesæter IO Fenstad AM al.Low revision rate after pediatric diseases.Acta Orthop. 2012; 83: 436-441Crossref (28) wish all best their important work, hope they are willing our reflections suggestions. MP supported grant from Belgian Kids' Fund research. JGM commissioner diagnostics. All authors declare no competing interests. CommissionOsteoarthritis affects 7% global population, more than 500 million people worldwide, women disproportionately affected condition.1 number globally rose 48% 1990 2019, 2019 was 15th highest cause years lived disability (YLDs) worldwide responsible 2% YLDs.1,2 Although YLDs higher high Socio-demographic Index (SDI) middle SDI regions (about 525 vs 220 per 100 000 population), since change been far greater (89% 48%). Full-Text beyond – Authors' replyWe thank Manon Pigeolet colleagues thoughtful agree critically relevant field, look forward interacting both groups.