Evidence map›Paper›PMID 34811974›Full record

SynthesisJournal of Korean medical science2021

Arthroscopic Partial Meniscectomy versus Physical Therapy for Degenerative Meniscal Tear: a Systematic Review.

Miyoung Choi, Su Jung Lee, Chan Mi Park, Seungeun Ryoo, Sunghyun Kim, Ju Yeon Jang, Hyun Ah Kim

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% of its field
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 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Costs and Timing of Surgery in the Management of Meniscal Tears.Orthopaedic journal of sports medicine · 2024
    Article
  4. Article
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

7 authors at 4 institutions in 2 countries.

Miyoung Choi *National Evidence-based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0002-2424-9965
Su Jung Lee *College of Nursing, Korea University, Seoul, Korea.ORCID https://orcid.org/0000-0001-5346-9126
Chan Mi ParkNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0001-6404-4174
Seungeun RyooNational Evidence-based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0002-0604-5141
Sunghyun KimKorea Social Security Information Service, Seoul, Korea.ORCID https://orcid.org/0000-0001-9587-674X
Ju Yeon JangDivision of Rheumatology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.ORCID https://orcid.org/0000-0002-9134-4524
Hyun Ah KimDivision of Rheumatology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. kimha@hallym.ac.kr.ORCID https://orcid.org/0000-0002-9318-7446
National Evidenc- based healthcare Collaborating Agency · KRHallym University Sacred Heart Hospital · KRKorea University · KRSecurity Information Service · CZ

Funding

Hallym UniversityNational Evidence-based Healthcare Collaborating Agency NECA-R-20-001-50
6 · The paper itself

Abstract

backgroundMeniscal tears are commonly observed in patients with knee osteoarthritis (OA), however, clinical significance of such lesions detected by magnetic resonance imaging is in many cases unclear. This study aimed to determine the clinical effectiveness of arthroscopic partial meniscectomy (APM) compared with non-operative care in patients with knee OA.

methodWe used existing systematic reviews with updates of latest studies. Three randomized controlled studies were selected, where two studies compared the effects of APM plus physical therapy (PT) with PT alone and one compared APM alone and PT alone. While 1 study exclusively included OA patients, 2 studies included 21.1 and 12% of patients with no radiographic OA. Patients with knee locking were unanimously excluded.

resultsUpon comparison of APM plus PT and PT alone, there was no significant difference observed in knee function, physical activity, or adverse events. Knee pain was observed to be significantly lower in the APM plus PT group at 6 months, but there was no difference between the two groups at 12 and 24 months. With respect to the comparison between APM alone and PT alone, PT was non-inferior based on the criteria for knee function during 24 months; however, knee pain was significantly reduced in the APM alone group.

conclusionsOur study showed that knee pain was significantly improved in the APM group compared to non-operative care group at 6 months and over 24 months. Our result was based on only 3 randomized controlled trials (RCTs) revealing a significant knowledge gap, hence demanding more high-quality RCTs in OA patients.

trial registrationPROSPERO Identifier: CRD42020215965.

Indexed as

MeniscectomyPhysical Therapy ModalitiesArthroplasty, Replacement, KneeHumansKnee JointOsteoarthritis, KneePainRisk FactorsTibial Meniscus InjuriesArthroscopic Partial MeniscectomyKnee OsteoarthritisSystematic Review

Identifiers

PMID34811974
PMCPMC8608923
OpenAlexW3209083206

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.