ArticleArthritis & rheumatology (Hoboken, N.J.)2014
Use of a validated algorithm to judge the appropriateness of total knee arthroplasty in the United States: a multicenter longitudinal cohort study.
Article in Arthritis & rheumatology (Hoboken, N.J.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05105646 (Are Preoperative Perception of Pain and Psychological Distress Before Primary Knee Arthroplasty Associated With Reason for Revision Surgery? Results of an Observational Study From the Dutch Arthroplasty Register.), which is not on this map. Cited by 88 papers, 4 of them syntheses that pooled it.
What it found
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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.
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.
Are Preoperative Perception of Pain and Psychological Distress Before Primary Knee Arthroplasty Associated With Reason for Revision Surgery? Results of an Observational Study From the Dutch Arthroplasty Register.
Who cites it
88 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Association of smoking with knee osteoarthritis structural defects and symptoms: an individual participant data meta-analysis.Scientific reports · 2024Pooled it
- Examining Timeliness of Total Knee Replacement Among Patients with Knee Osteoarthritis in the U.S.: Results from the OAI and MOST Longitudinal Cohorts.The Journal of bone and joint surgery. American volume · 2020Pooled it
- Arthroscopic meniscal surgery: a national society treatment guideline and consensus statement.The bone & joint journal · 2019Guideline
- Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview.BMC musculoskeletal disorders · 2016Pooled it
- Facilitators and barriers to the use of a personalised digital decision aid in total knee replacement consultations: insights from patients and orthopaedic surgeons - an interview study.BMC health services research · 2025Trial
- Trial
- Intra-articular injections of platelet-rich plasma, hyaluronic acid or corticosteroids for knee osteoarthritis : A prospective randomized controlled study.Der Orthopade · 2019Trial
- Effects of a 12-Week Digital Care Program for Chronic Knee Pain on Pain, Mobility, and Surgery Risk: Randomized Controlled Trial.Journal of medical Internet research · 2018Trial
- Can we have an overall osteoarthritis severity score for the patellofemoral joint using magnetic resonance imaging? Reliability and validity.Clinical rheumatology · 2018Trial
- Association between activity limitations and pain in patients scheduled for total knee arthroplasty.BMC musculoskeletal disorders · 2016Trial
- A 120° Preoperative Knee Flexion Cutoff Identifies Patients Likely to Achieve Postoperative Flexion ≥ 120° and Clinically Meaningful Flexion Gain After Total Knee Arthroplasty.Journal of clinical medicine · 2026Article
- Digital Versus In-Person Physical Therapy in Adults With Musculoskeletal Conditions: Retrospective Matched-Cohort Analysis of Surgery and Low-Value Surgical Rates.Journal of medical Internet research · 2025Article
- A virtual knee replacement (vKR) multi-component endpoint for knee osteoarthritis based on patient-reported PROs: Data from the Osteoarthritis Initiative.Osteoarthritis and cartilage · 2025Article
- Shared decision making using digital twins in knee osteoarthritis care: a randomized clinical trial of an AI-enabled decision aid versus education alone on decision quality, physical function, and user experience.EClinicalMedicine · 2025Article
- Prevalence of Appropriate Anatomic Total Shoulder Arthroplasty in a Large Multicenter US Cohort Using a RAND/UCLA Algorithm.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- To What Degree Do Patients' and Clinicians' Ratings of Appropriateness of TKA Align, and Were Expected Outcomes Associated With Those Ratings?Clinical orthopaedics and related research · 2025Article
- Patients' Experience With Evaluation by Both a Musculoskeletal Physician and Physical Therapist in the Same Digital Visit: Survey Study.JMIR formative research · 2025Article
- Reducing the value/burden ratio: a key to high performance in value-based care.BMJ quality & safety · 2025Article
- Clinical and engagement efficacy of a virtual musculoskeletal integrated practice unit in health system employees: aggregate and comparative results from two employers.Frontiers in rehabilitation sciences · 2025Article
- Transforming Musculoskeletal Care: Effectiveness of a Physician-Led Telemedicine Integrated Practice Unit.Telemedicine reports · 2025Article
28 more citing papers are in PubMed but not listed here.
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3 authors.
Funding
Abstract
objectiveIn previous studies conducted outside the US, ∼20% of total knee arthroplasty (TKA) surgeries were judged to be inappropriate. The present study was undertaken to determine the prevalence rates of TKA surgeries classified as appropriate, inconclusive, and inappropriate in a knee osteoarthritis population in the US.
methodsWe used a modification of a validated appropriateness classification system and applied it to patients in the Osteoarthritis Initiative data set who underwent TKA. A variety of preoperative data were used in the classification, including Western Ontario and McMaster Universities Osteoarthritis Index pain and physical function scores, radiographic features, knee motion and laxity measures, and age.
resultsData on 205 patients who underwent TKA were examined. The prevalence rates for classification of the procedure as appropriate, inconclusive, and inappropriate were 44.0% (95% confidence interval [95% CI] 37-51%), 21.7% (95% CI 16-28%), and 34.3% (95% CI 27-41%), respectively.
conclusionApproximately one-third of TKA surgeries were judged to be inappropriate. Variation in the characteristics of patients undergoing TKA was extensive. These data support the need for consensus development of criteria for patient selection among US practitioners treating patients who are potential candidates for TKA. Among the important issues, consensus development needs to address variation in patient characteristics and the relative importance of preoperative status and subsequent outcome.
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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.