Knee arthroscopy – Inside Health 21/7/15

4271 Bupa Medical Poster Orthopaedic_v7 (2)

NEJM sham surgery RCT

http://www.nejm.org/doi/full/10.1056/NEJMoa013259

further trial with control group having maximum medical/physiotherapy

http://www.nejm.org/doi/full/10.1056/NEJMoa0708333#t=articleBackground

RCT physiotherapy vs surgery for moderate-severe arthritis of knee

http://www.nejm.org/doi/full/10.1056/NEJMoa0708333

surgery vs physiotherapy for mild-moderate osteoarthritis or meniscal tear

http://www.nejm.org/doi/full/10.1056/NEJMoa1301408#t=articleMethods

Arthroscopic surgery for degenerative knee changes : real vs sham , www.nejm.org/doi/full/10.1056/NEJMoa1305189

Meniscal tears are commonly asymptomatic

N Engl J Med 2008; 359:1108-1115September 11, 2008DOI: 10.1056/NEJMoa0800777

Cochrane reviews

http://www.cochrane.org/CD005118/MUSKEL_arthroscopic-debridement-for-osteoarthritis-of-the-knee

NICE guidance

https://www.nice.org.uk/guidance/ipg230/chapter/1-guidance

New BMJ systematic review

http://www.bmj.com/content/350/bmj.h2747

Canadian review

http://www.cmaj.ca/content/186/14/1057.long

variability of use across Scotland (2010)

http://www.ncbi.nlm.nih.gov/pubmed/20400024

Australian use over time

https://www.mja.com.au/system/files/issues/197_07_011012/boh11645_fm.pdf

declining in UK

http://www.thekneejournal.com/article/S0968-0160(14)00041-6/abstract

 

2 Responses to “Knee arthroscopy – Inside Health 21/7/15”

  1. ted willis August 10, 2015 at 8:30 pm #

    and how about a blog on the way the cochrane review of hyaluronic acid injections is positive and yet NICE ‘do not recommend it ‘ as ‘unlikely’ to be cost effective. see

    The increasing demand for knee replacements: a hostage to fortune

    Edmund Willis
    DOI: 10.3399/bjgp15X683293 Published 1 January 2015

  2. Omar November 11, 2015 at 7:46 am #

    this reminds me of a siailmr study mandated and published by the Swiss Department of Health. The study included “loss of productivity” for those who die before having reached the age of retirement. For the purpose of the study, the age of retirement was set to 74 years. Since the age of retirement in Switzerland is 65, they included house hold chores, such us cleaning, vacuuming and ironing as productive work (who needs to iron shirts in heaven?)But nonetheless they were honest enough to deduct the taxes payed by smokers and to declare a net gain for society.

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