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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">mrj</journal-id><journal-title-group><journal-title xml:lang="ru">Современная ревматология</journal-title><trans-title-group xml:lang="en"><trans-title>Modern Rheumatology Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1996-7012</issn><issn pub-type="epub">2310-158X</issn><publisher><publisher-name>IMA-PRESS, LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14412/1996-7012-2025-4-96-110</article-id><article-id custom-type="elpub" pub-id-type="custom">mrj-1815</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL GUIDELINES</subject></subj-group></article-categories><title-group><article-title>Евразийские рекомендации по диагностике и лечению первичного остеоартрита (2025). Ассоциация ревматологов Евразии (League of Eurasian Rheumatologists, LEAR)</article-title><trans-title-group xml:lang="en"><trans-title>Eurasian recommendations for the diagnosis and treatment of primary osteoarthritis (2025). League of Eurasian Rheumatologists (LEAR)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0797-2051</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мазуров</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Mazurov</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>191015, Санкт-Петербург, Кирочная ул., 41</p></bio><bio xml:lang="en"><p>41, Kirochnaya Street, St. Petersburg 191015анно</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6068-3080</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лила</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Lila</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А;</p><p>125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>34A, Kashirskoye Shosse, Moscow 115522;</p><p>2/1, Barrikadnaya Street, Build. 1, Moscow 125993</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7842-1871</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тогизбаев</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Togizbayev</surname><given-names>G. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>050000, Алматы, ул. Айтеке би, 120</p></bio><bio xml:lang="en"><p>120, Ayteke Bi Street, Almaty 050000</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1025-8825</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мирахмедова</surname><given-names>Х. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Mirakhmedova</surname><given-names>H. T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100109, Ташкент, Фараби, 2</p></bio><bio xml:lang="en"><p>2, Farabi Street, Tashkent 100109</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5433-3300</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Койлубаева</surname><given-names>Г. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Koilubaeva</surname><given-names>G. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>720040, Бишкек, ул. Тоголока Молдо, 3</p></bio><bio xml:lang="en"><p>3, Togolok Moldo Street, Bishkek 720040</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7017-0898</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Алексеева</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Alexeeva</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, Москва, Каширское шоссе, 34А;</p><p>125993, Москва, ул. Баррикадная, 2/1, стр. 1</p></bio><bio xml:lang="en"><p>34A, Kashirskoye Shosse, Moscow 115522;</p><p>2/1, Barrikadnaya Street, Build. 1, Moscow 125993</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8218-3223</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Таскина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Taskina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Елена Александровна Таскина,</p><p>115522, Москва, Каширское шоссе, 34А</p></bio><bio xml:lang="en"><p>Elena Alexandrovna Taskina,</p><p>34A, Kashirskoye Shosse, Moscow 115522</p></bio><email xlink:type="simple">braell@mail.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Нургалиева</surname><given-names>С. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Nurgalieva</surname><given-names>S. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100109, Ташкент, Фараби, 2</p></bio><bio xml:lang="en"><p>2, Farabi Street, Tashkent 100109</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7879-1522</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Набиева</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Nabiyeva</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100109, Ташкент, Фараби, 2</p></bio><bio xml:lang="en"><p>2, Farabi Street, Tashkent 100109</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6253-621X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Наумов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Naumov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>129226, Москва, ул. 1-я Леонова, 16</p></bio><bio xml:lang="en"><p>16, 1st Leonova Street, Moscow 129226</p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3236-4485</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Трофимов</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Trofimov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>191015, Санкт-Петербург, Кирочная ул., 41</p></bio><bio xml:lang="en"><p>41, Kirochnaya Street, St. Petersburg 191015</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2083-2424</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Божкова</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Bozhkova</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>195427, Санкт-Петербург, ул. Академика Байкова, 8</p></bio><bio xml:lang="en"><p>8, Akademika Baikova Street, St. Petersburg 195427</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6348-6867</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зырянов</surname><given-names>С. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Zyryanov</surname><given-names>S. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>117198, Москва, ул. Миклухо-Маклая, 6;</p><p>127015, Москва, ул. Писцовая, 10</p></bio><bio xml:lang="en"><p>6, Miklukho-Maklaya Street, Moscow 117198;</p><p>10, Pistsovaya Street, Moscow 127015</p></bio><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1078-9725</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Очкуренко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ochkurenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>127299, Москва, ул. Приорова 10</p></bio><bio xml:lang="en"><p>10, Priorova Street, Moscow 127299</p></bio><xref ref-type="aff" rid="aff-11"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>North-Western State Medical University named after I.I. Mechnikov, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»;&#13;
ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology;&#13;
Russian Medical Academy of Continuing Professional Education, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Республиканский ревматологический центр НИИ кардиологии и внутренних болезней НАО «Казахский национальный медицинский университет им. С.Д. Асфендиярова»</institution><country>Казахстан</country></aff><aff xml:lang="en"><institution>Republican Rheumatology Center, Research Institute of Cardiology and Internal Medicine, S.D. Asfendiyarov Kazakh National Medical University</institution><country>Kazakhstan</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Ташкентская медицинская академия</institution><country>Узбекистан</country></aff><aff xml:lang="en"><institution>Tashkent Medical Academy</institution><country>Uzbekistan</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Национальный центр кардиологии и терапии им. акад. Мирсаида Миррахимова при Министерстве здравоохранения Кыргызской республики</institution><country>Кыргызстан</country></aff><aff xml:lang="en"><institution>National Center of Cardiology and Internal Medicine named after acad. Mirsaid Mirrakhimov, Ministry of Health of the Kyrgyz Republic</institution><country>Kyrgyzstan</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.A. Nasonova Research Institute of Rheumatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Ташкентская медицинская академия,</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tashkent Medical Academy</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>ОСП «Российский геронтологический научно-клинический центр» ФГАОУ ВО&#13;
«Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России (Пироговский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Gerontological Scientific and Clinical Center, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia (Pirogov University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>R.R. Vreden National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>ФГАОУ ВО «Российский университет дружбы народов им. Патриса Лумумбы»; &#13;
ГБУ г. Москвы «Городская клиническая больница №24 Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>RUDN University;&#13;
City Clinical Hospital №24, Moscow Department of Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Н.Н. Приорова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Priorov National Medical Research Center of Traumatology and Orthopedics, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>08</month><year>2025</year></pub-date><volume>19</volume><issue>4</issue><fpage>96</fpage><lpage>110</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Мазуров В.И., Лила А.М., Тогизбаев Г.А., Мирахмедова Х.Т., Койлубаева Г.М., Алексеева Л.И., Таскина Е.А., Нургалиева С.М., Набиева Д.А., Наумов А.В., Трофимов Е.А., Божкова С.А., Зырянов С.К., Очкуренко А.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Мазуров В.И., Лила А.М., Тогизбаев Г.А., Мирахмедова Х.Т., Койлубаева Г.М., Алексеева Л.И., Таскина Е.А., Нургалиева С.М., Набиева Д.А., Наумов А.В., Трофимов Е.А., Божкова С.А., Зырянов С.К., Очкуренко А.А.</copyright-holder><copyright-holder xml:lang="en">Mazurov V.I., Lila A.M., Togizbayev G.A., Mirakhmedova H.T., Koilubaeva G.M., Alexeeva L.I., Taskina E.A., Nurgalieva S.M., Nabiyeva D.A., Naumov A.V., Trofimov E.A., Bozhkova S.A., Zyryanov S.K., Ochkurenko A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://mrj.ima-press.net/mrj/article/view/1815">https://mrj.ima-press.net/mrj/article/view/1815</self-uri><abstract><p>Представлены рекомендации League of Eurasian Rheumatologists (LEAR) по диагностике и лечению первичного остеоартрита 2025 г. В подготовке рекомендаций приняли участие ведущие эксперты из России, Казахстана, Кыргызстана и Узбекистана.</p></abstract><trans-abstract xml:lang="en"><p>These guidelines represent the official 2025 recommendations of the League of Eurasian Rheumatologists (LEAR) for the diagnosis and management of primary osteoarthritis. The recommendations were developed with participation of leading experts in Russia, Kazakhstan, Kyrgyzstan, and Uzbekistan.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>первичный остеоартрит</kwd><kwd>диагностика</kwd><kwd>лечение</kwd><kwd>Евразийские рекомендации</kwd></kwd-group><kwd-group xml:lang="en"><kwd>primary osteoarthritis</kwd><kwd>diagnosis</kwd><kwd>treatment</kwd><kwd>Eurasian recommendations</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
