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Arthroscopy in knee osteoarthritis : a systematic review of the literature
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Barlow, T., Downham, C. and Griffin, Damian R. (2015) Arthroscopy in knee osteoarthritis : a systematic review of the literature. Acta Orthopaedica Belgica, 81 (1). pp. 1-8.
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Official URL: https://www.ncbi.nlm.nih.gov/pubmed/26280847
Abstract
Knee arthroscopy has historically been a common treatment for knee osteoarthritis. A Cochrane review of the literature up to 2006 has resulted in guidance that arthroscopy is not effective in knee osteoarthritis. It cited that deficiencies in the evidence base prevented widespread acceptance of the recommendations. The aim of this review is to update the evidence base for the efficacy of arthroscopy in knee osteoarthritis. The authors searched CINHAL, EMBASE, MEDLINE, and CENTRAL for randomised controlled trials that compared arthroscopic surgery in knee osteoarthritis with a control group (e.g. lavage, best medical care).
The primary outcome measure was patient reported functional outcome. The study methodology was registered on Prospero, a systematic review register; Registration number CRD42012002891.
Five randomised controlled trials included 516 patients, almost double the 271 episodes contained in previous reviews. Two high quality studies, according to the Jadad classification, published since the Cochrane review, addressed many of the methodological flaws criticised in previous reviews. However, certain subgroup analyses (e.g. patients with meniscal tears and mechanical symptoms) are still underpowered.
| Item Type: | Journal Item | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | Acta Orthopaedica Belgica | ||||
| Publisher: | Acta Medica Belgica | ||||
| ISSN: | 0001-6462 | ||||
| Official Date: | March 2015 | ||||
| Dates: |
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| Volume: | 81 | ||||
| Number: | 1 | ||||
| Page Range: | pp. 1-8 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Funder: | Arthritis Research UK | ||||
| Grant number: | 20596 |
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