Evidence map›Paper›PMID 33611640›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021

ARthroscopy in Knee OsteoArthritis (ARK-OA): a multicentre study assessing compliance to national guidelines.

Chetan Khatri, Edward Dickenson, Imran Ahmed, Chris Bretherton, Tom Ranaboldo, Colin Shaw, Jared Quarcoopome, Ricci Plastow, Christopher Downham, Damir Rasidovic and 2 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Chetan KhatriDepartment of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.ORCID http://orcid.org/0000-0002-3961-1314
Edward DickensonDepartment of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Imran AhmedDepartment of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Chris BrethertonMilton Keynes University Hospital, Milton Keynes, UK.
Tom RanaboldoMilton Keynes University Hospital, Milton Keynes, UK.
Colin ShawNorth Cumbria Integrated Care NHS Foundation, Carlisle, UK.
Jared QuarcoopomeNorth Cumbria Integrated Care NHS Foundation, Carlisle, UK.
Ricci PlastowLancashire Teaching Hospital Trust, Preston, UK.
Christopher DownhamDepartment of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Damir RasidovicDepartment of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK.
Caroline PlantSouth Warwickshire Foundation Trust, Warwick, UK.
Timothy BarlowDepartment of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry, CV2 2DX, UK. timbarlow1@hotmail.com.

Funding

Department of Health DRF-2018-11-ST2-030
6 · The paper itself

Abstract

introductionThe use of arthroscopy to alleviate the symptoms of osteoarthritis has been questioned by recent high quality evidence. This has led to the development of guidelines by specialist and national bodies advocating against its use.

aimsTo examine the trends of the rates of arthroscopy in patients with knee osteoarthritis over the past five years and determining compliance with guidelines.

methodsMulti-centre, retrospective audit in five hospital trusts in the United Kingdom. The number of arthroscopies performed by month from 2013 to 2017 was identified through hospital coding. Fifty randomly selected records from the year 2017 were further analysed to assess compliance with NICE guidelines.

resultsBetween 2013 and 2017, the number of arthroscopies performed annually in five trusts dropped from 2028 to 1099. In the year 2017, 17.7% of patients with no mechanical symptoms and moderate-to-severe arthritis pre-operatively had arthroscopy.

conclusionKnee arthroscopy continues to be used as a treatment for osteoarthritis, against national guidelines. Whilst overall numbers are declining, further interventions, including implementation of high-quality conservative care is required to further eliminate unnecessary procedures.

Indexed as

ArthroscopyOsteoarthritis, KneeHumansKnee JointRetrospective StudiesUnited KingdomArthroscopyKneeOsteoarthritis

Identifiers

PMID33611640

What OpenQuestion holds

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Registered trials

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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.