ArticleActa orthopaedica2014
Large increase in arthroscopic meniscus surgery in the middle-aged and older population in Denmark from 2000 to 2011.
Article in Acta orthopaedica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 6 of them syntheses that pooled it.
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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.
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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.
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Who cites it
77 citing papers in PubMed, 6 syntheses or guidelines pooled it, 167 citations in OpenAlex.
- Medical exercise therapy alone versus arthroscopic partial meniscectomy followed by medical exercise therapy for degenerative meniscal tear: a systematic review and meta-analysis of randomized controlled trials.Journal of orthopaedic surgery and research · 2020Pooled it
- Comparison of Arthroscopic Partial Meniscectomy to Physical Therapy following Degenerative Meniscus Tears: A Systematic Review and Meta-analysis.BioMed research international · 2020Pooled it
- Subgroups of patients with osteoarthritis and medial meniscus tear or crystal arthropathy benefit from arthroscopic treatment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline.BMJ (Clinical research ed.) · 2017Guideline
- The Treatment of Non-Traumatic Meniscus Lesions.Deutsches Arzteblatt international · 2015Pooled it
- Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms.BMJ (Clinical research ed.) · 2015Pooled it
- Incidence of Total Knee Arthroplasty After Arthroscopic Surgery for Knee Osteoarthritis: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2024Trial
- Statistical analysis plan for the 5-year and 10-year follow-up assessments of the FIDELITY trial.Trials · 2020Trial
- Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial.Annals of the rheumatic diseases · 2018Trial
- Patient reported outcomes in patients undergoing arthroscopic partial meniscectomy for traumatic or degenerative meniscal tears: comparative prospective cohort study.BMJ (Clinical research ed.) · 2017Trial
- Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up.BMJ (Clinical research ed.) · 2016Trial
- Cost-effectiveness analysis of arthroscopic surgery compared with non-operative management for osteoarthritis of the knee.BMJ open · 2016Trial
- Spatiotemporal gait assessment as an indicator of patient satisfaction after arthroscopic partial meniscectomy.Wiener klinische Wochenschrift · 2026Observational
- Halving of the meniscectomy rate and their costs in Italy: A 15-years period analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Medical negligence compensation claims in knee meniscal surgery in Norway: a cross-sectional study.Patient safety in surgery · 2025Article
- Arthroscopic meniscal surgery in Norway from 2010 to 2020: A paradigmatic shift.Journal of experimental orthopaedics · 2024Article
- How to Improve Meniscal Repair through Biological Augmentation: A Narrative Review.Journal of clinical medicine · 2024Review
- Article
- Costs and Timing of Surgery in the Management of Meniscal Tears.Orthopaedic journal of sports medicine · 2024Article
- Three-dimensional bone morphology is a risk factor for medial postmeniscectomy syndrome: A retrospective cohort study.Journal of experimental orthopaedics · 2024Article
17 more citing papers are in PubMed but not listed here.
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundArthroscopic meniscal surgery is the most common orthopedic procedure, and the incidence has increased in Denmark over the last 10 years. Concomitantly, several randomized controlled trials have shown no benefit of arthroscopic procedures including arthroscopic partial meniscectomy in middle-aged and older individuals suffering from knee pain with or without knee osteoarthritis. We examined the annual incidence of meniscal procedures together with age, sex, and diagnosis for patients who underwent meniscal procedures in the period 2000-2011 in Denmark.
methodsData on age, sex, diagnosis, and surgical procedures were extracted from the Danish National Patient Register for the years 2000-2011, for all records containing meniscal surgery as a primary or secondary procedure.
resultsThe overall annual incidence of meniscal procedures per 100,000 persons in Denmark doubled from 164 in 2000 to 312 in 2011 (i.e. 8,750 procedures to 17,368 procedures). A 2-fold increase was found for patients aged between 35 and 55, and a 3-fold increase was found for those older than 55. Middle-aged and older patients accounted for 75% of all 151,228 meniscal procedures carried out between 2000 and 2011.
interpretationThe incidence of meniscal procedures performed in Denmark doubled from 2000 to 2011, with the largest increase in middle-aged and older patients. This increase contrasts with the mounting evidence showing no added benefit of arthroscopic partial meniscectomy over non-surgical treatments. Our observations illustrate the long delay in the dissemination, acceptance, and implementation of research evidence into the practice of arthroscopic surgery.
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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.