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The principles of chronic disease management apply to the care of patients with osteoarthritis and are based on the following: care should be continuous, tailored to patients according to individual needs, goals, and values, and be patient-centered; decision-making should be based on the best evidence available, with prioritization of the safety of the patient; information should be widely accessible to patients; and anticipation of needs should be prioritized over a reactive health service design . Patient's adherence, optimal uptake of recommendations, and behavior modifications are key elements of OA treatment and can be optimized by OA and self-management education, establishing treatment goals, and periodic monitoring