Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline

作者: Reed AC Siemieniuk , Ian A Harris , Thomas Agoritsas , Rudolf W Poolman , Romina Brignardello-Petersen

DOI: 10.1136/BMJ.J1982

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摘要: #### What you need to know What is the role of arthroscopic surgery in degenerative knee disease? An expert panel produced these recommendations based on a linked systematic review triggered by randomised trial published The BMJ June 2016, which found that, among patients with medial meniscus tear, arthroscopy was no better than exercise therapy. make strong recommendation against for disease. Box 1 shows all articles and evidence this Rapid Recommendation package. infographic provides an overview absolute benefits harms standard GRADE format. Table 2 below any that has emerged since publication article. #### 1: Linked Recommendations cluster

参考文章(32)
Muyibat A. Adelani, Alexander H. S. Harris, Thomas R. Bowe, Nicholas J. Giori, Arthroscopy for Knee Osteoarthritis Has Not Decreased After a Clinical Trial Clinical Orthopaedics and Related Research®. ,vol. 474, pp. 489- 494 ,(2016) , 10.1007/S11999-015-4514-4
Mariëtte de Rooij, Marike van der Leeden, Martijn W. Heymans, Jasmijn F. M. Holla, Arja Häkkinen, Willem F. Lems, Leo D. Roorda, Cindy Veenhof, Diana C. Sanchez-Ramirez, Henrica C. W. de Vet, Joost Dekker, Prognosis of Pain and Physical Functioning in Patients With Knee Osteoarthritis: A Systematic Review and Meta‐Analysis Arthritis Care and Research. ,vol. 68, pp. 481- 492 ,(2016) , 10.1002/ACR.22693
J B Thorlund, C B Juhl, E M Roos, LS Lohmander, Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms British Journal of Sports Medicine. ,vol. 49, pp. 1229- 1235 ,(2015) , 10.1136/BJSPORTS-2015-H2747REP
Megan A Bohensky, Vijaya Sundararajan, Nick Andrianopoulos, Richard N Steiger, Andrew Bucknill, Christos M Kondogiannis, Geoffrey McColl, Caroline A Brand, Trends in elective knee arthroscopies in a population-based cohort, 2000-2009 The Medical Journal of Australia. ,vol. 197, pp. 399- 403 ,(2012) , 10.5694/MJA11.11645
Jacquelyn D Marsh, Trevor B Birmingham, J Robert Giffin, Wanrudee Isaranuwatchai, Jeffrey S Hoch, Brian G Feagan, Robert Litchfield, Kevin Willits, Peter Fowler, Cost-effectiveness analysis of arthroscopic surgery compared with non-operative management for osteoarthritis of the knee BMJ Open. ,vol. 6, ,(2015) , 10.1136/BMJOPEN-2015-009949
G. H Guyatt, E. F Juniper, S. D Walter, L. E Griffith, R. S Goldstein, Interpreting treatment effects in randomised trials BMJ. ,vol. 316, pp. 690- 693 ,(1998) , 10.1136/BMJ.316.7132.690
Uyen-Sa D.T. Nguyen, Yuqing Zhang, Yanyan Zhu, Jingbo Niu, Bin Zhang, David T. Felson, Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. Annals of Internal Medicine. ,vol. 155, pp. 725- 732 ,(2011) , 10.7326/0003-4819-155-11-201112060-00004
Jeffrey C. Andrews, Holger J. Schünemann, Andrew D. Oxman, Kevin Pottie, Joerg J. Meerpohl, Pablo Alonso Coello, David Rind, Victor M. Montori, Juan Pablo Brito, Susan Norris, Mahmoud Elbarbary, Piet Post, Mona Nasser, Vijay Shukla, Roman Jaeschke, Jan Brozek, Ben Djulbegovic, Gordon Guyatt, GRADE guidelines: 15. Going from evidence to recommendation—determinants of a recommendation's direction and strength Journal of Clinical Epidemiology. ,vol. 66, pp. 726- 735 ,(2013) , 10.1016/J.JCLINEPI.2013.02.003
J. Bruce Moseley, Kimberly O'Malley, Nancy J. Petersen, Terri J. Menke, Baruch A. Brody, David H. Kuykendall, John C. Hollingsworth, Carol M. Ashton, Nelda P. Wray, A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee The New England Journal of Medicine. ,vol. 347, pp. 81- 88 ,(2002) , 10.1056/NEJMOA013259
M. Khan, N. Evaniew, A. Bedi, O. R. Ayeni, M. Bhandari, Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis Canadian Medical Association Journal. ,vol. 186, pp. 1057- 1064 ,(2014) , 10.1503/CMAJ.140433