ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Orthopedic surgeons feel that there is a treatment gap in management of early OA: international survey.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07036003 (Recombinant Human Growth Hormone), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Recombinant Human Growth Hormone (rHGH) for Knee Osteoarthritis (KORR): a Pilot, Randomized Placebo-controlled Trial
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Focal metallic inlay resurfacing prosthesis for the treatment of localized cartilage defects of the femoral condyles: a systematic review of clinical studies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Trial
- Meniscus Tear Morphology and Patient Demographics as Predictors of Treatment for Meniscal Tears: A Natural Language Processing Study.Orthopaedic journal of sports medicine · 2026Article
- A Novel Approach to Femoral Cartilage Repair: Episealer Twin Implantation Case Report.Case reports in orthopedics · 2025Article
- Patient-specific resurfacing implant knee surgery in subjects with early osteoarthritis results in medial pivot and lateral femoral rollback during flexion: a retrospective pilot study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Cell-based treatment options facilitate regeneration of cartilage, ligaments and meniscus in demanding conditions of the knee by a whole joint approach.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Review
- HemiCAP Knee Implants: Mid- to Long-Term Results.Cartilage · 2021Article
- Ultrasound-Based Quantification of Cartilage Damage AfterCartilage · 2021Article
- Successful Treatment of Femoral Chondral Lesions with a Novel Customized Metal Implant at Midterm Follow-Up.Cartilage · 2021Article
- A Systematic Review of Focal Cartilage Defect Treatments in Middle-Aged Versus Younger Patients.Orthopaedic journal of sports medicine · 2021Review
- Patient-specific metal implants for focal chondral and osteochondral lesions in the knee; excellent clinical results at 2 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Observational
- [Focal femoral resurfacing and unicompartmental knee replacement : Between osteotomy and total knee replacement].Der Orthopade · 2021Review
- Total knee replacement after high tibial osteotomy: time-to-event analysis and predictors.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021Article
- Awareness of performance on outcomes after total hip and knee arthroplasty among Dutch orthopedic surgeons: how to improve feedback from arthroplasty registries.Acta orthopaedica · 2021Article
- Applicability of Exercise and Education Programmes for Knee Osteoarthritis Management to Switzerland.Frontiers in health services · 2021Article
- Focal inlay resurfacing for full-thickness chondral defects of the femoral medial condyle may delay the progression to varus deformity.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- In vitro and in vivo study on the osseointegration of BCP-coated versus uncoated nondegradable thermoplastic polyurethane focal knee resurfacing implants.Journal of biomedical materials research. Part B, Applied biomaterials · 2020Article
- Early-stage knee OA induced by MIA and MMT compared in the murine model via histological and topographical approaches.Scientific reports · 2020Article
- Pain Trajectories in Knee Osteoarthritis-A Systematic Review and Best Evidence Synthesis on Pain Predictors.Journal of clinical medicine · 2020Review
- Existing comorbidities in people with osteoarthritis: a retrospective analysis of a population-based cohort in Alberta, Canada.BMJ open · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo understand orthopedic surgeons' views, preferences, and awareness on "treatment gap" and various conservative and surgical treatments for early to mid-stage knee osteoarthritis (OA).
methodsA self-administered questionnaire on the treatment of knee OA was developed in collaboration with orthopedic surgeons with extensive research experience and methodological expertise. The survey was distributed electronically to a group of international orthopedic surgeons and surgical trainees. The data were collected, reviewed, and analyzed using descriptive statistics.
resultsOne hundred and seventy-three surgeons and surgical trainees completed the survey. The respondents reported that about 58 % of the patients they treat have early to mid-stage knee OA (Kellgren and Lawrence grade I-III). There were significantly higher usage of medications and lower usage of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) (P < 0.05) in developing countries than in developed countries. Four of five surgeons (84 %) perceived a need for better treatments for younger (<60 years old) physically active OA patients in which UKA or TKA is not indicated. Most respondents (80 %) would be willing to adjust age/activity threshold for surgery if a procedure was reversible and recovery was minimal. Two of three surgeons (68.4 %) perceived a treatment gap for early knee OA. However, effective treatments for patients within the treatment gap would have substantial positive social, and economic impacts.
conclusionThe study suggests an ongoing treatment gap for patients with early knee OA and the need for better evidence to guide practice.
Indexed as
Identifiers
23775341What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.