Surgeons respond to growing evidence by performing less knee arthroscopic surgery in older patients.
Australia
arthroscopy
debridement
knee
orthopaedics
Journal
ANZ journal of surgery
ISSN: 1445-2197
Titre abrégé: ANZ J Surg
Pays: Australia
ID NLM: 101086634
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
revised:
19
03
2021
received:
03
11
2020
accepted:
07
06
2021
pubmed:
6
7
2021
medline:
18
9
2021
entrez:
5
7
2021
Statut:
ppublish
Résumé
Recent research has shown that knee arthroscopy does not provide a meaningful clinical benefit for degenerative knee changes in the older population. The 2016 Australian Orthopaedic Association (AOA) Annual Scientific Meeting held a plenary session on this topic to educate surgeons about these research findings and communicate their clinical practice statement on this issue. This paper set out to find if there has been a change in clinical practice since this meeting. The analysis consisted of all knee arthroscopies performed in a single city of Far North Queensland, Australia, over an 8-year period. The number and type of arthroscopies performed in patients <50 and ≥50 years of age was compared before and after the 2016 AOA plenary session. After the 2016 AOA educational session, there was a significant reduction in the number of debridement procedures performed in patients aged 50 years or older (275 vs. 142 per year, P < 0.01) but not in patients under 50 years of age (192 vs. 135 per year, P = 0.91). The annual number of repair procedures for all ages combined, increased from 11 per year to 60 per year (P < 0.01). The surgeons of this city have changed their knee arthroscopy clinical practice in line with the evidence and advice from their professional body.
Sections du résumé
BACKGROUND
Recent research has shown that knee arthroscopy does not provide a meaningful clinical benefit for degenerative knee changes in the older population. The 2016 Australian Orthopaedic Association (AOA) Annual Scientific Meeting held a plenary session on this topic to educate surgeons about these research findings and communicate their clinical practice statement on this issue. This paper set out to find if there has been a change in clinical practice since this meeting.
METHODS
The analysis consisted of all knee arthroscopies performed in a single city of Far North Queensland, Australia, over an 8-year period. The number and type of arthroscopies performed in patients <50 and ≥50 years of age was compared before and after the 2016 AOA plenary session.
RESULTS
After the 2016 AOA educational session, there was a significant reduction in the number of debridement procedures performed in patients aged 50 years or older (275 vs. 142 per year, P < 0.01) but not in patients under 50 years of age (192 vs. 135 per year, P = 0.91). The annual number of repair procedures for all ages combined, increased from 11 per year to 60 per year (P < 0.01).
CONCLUSION
The surgeons of this city have changed their knee arthroscopy clinical practice in line with the evidence and advice from their professional body.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1919-1922Informations de copyright
© 2021 Royal Australasian College of Surgeons.
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