Abstract
Introduction: The American Academy of Orthopaedic Surgeons (AAOS) published a series of evidence-based guidelines for treatment of knee osteoarthritis (OA). We studied compliance with these guidelines among orthopaedic surgeons. Methods: We sent a survey to members of the American Association of Hip and Knee Surgeons. It included five clinical vignettes based on the Kellgren-Lawrence radiographic system for classification of knee OA. Respondents selected treatment currently supported or not supported by the AAOS guidelines. Results: Of 345 responses, the frequency of use of recommended interventions was 80%, 82%, 21%, 50%, and 98% for OA at stages 0 through 4, respectively. For stage 2 and stage 3 OA, intra-articular hyaluronic acid was the most commonly selected intervention not recommended by the AAOS. Discussion: Apparently, AAOS guidelines on the treatment of OA have not reached the orthopaedic community, resulting in lack of treatment consensus and continued use of modalities with no proven patient benefits. Conclusions: Management of moderate to severe knee OA does not align with AAOS guidelines. We encourage researchers to conduct clinical trials to identify the role of intra-articular corticosteroids in treating this condition.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 103-107 |
| Number of pages | 5 |
| Journal | Journal of the American Academy of Orthopaedic Surgeons |
| Volume | 26 |
| Issue number | 3 |
| DOIs | |
| State | Published - Feb 1 2018 |
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Keywords
- clinical practice
- compliance
- evidence-based medicine
- knee osteoarthritis
- treatment
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Compliance with the AAOS Guidelines for Treatment of Osteoarthritis of the Knee : A Survey of the American Association of Hip and Knee Surgeons. / Carlson, Victor Rex; Ong, Alvin Chua; Orozco, Fabio Ramiro; Hernandez, Victor; Lutz, Rex William; Post, Zachary Douglas.
In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 26, No. 3, 01.02.2018, p. 103-107.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Compliance with the AAOS Guidelines for Treatment of Osteoarthritis of the Knee
T2 - A Survey of the American Association of Hip and Knee Surgeons
AU - Carlson, Victor Rex
AU - Ong, Alvin Chua
AU - Orozco, Fabio Ramiro
AU - Hernandez, Victor
AU - Lutz, Rex William
AU - Post, Zachary Douglas
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Introduction: The American Academy of Orthopaedic Surgeons (AAOS) published a series of evidence-based guidelines for treatment of knee osteoarthritis (OA). We studied compliance with these guidelines among orthopaedic surgeons. Methods: We sent a survey to members of the American Association of Hip and Knee Surgeons. It included five clinical vignettes based on the Kellgren-Lawrence radiographic system for classification of knee OA. Respondents selected treatment currently supported or not supported by the AAOS guidelines. Results: Of 345 responses, the frequency of use of recommended interventions was 80%, 82%, 21%, 50%, and 98% for OA at stages 0 through 4, respectively. For stage 2 and stage 3 OA, intra-articular hyaluronic acid was the most commonly selected intervention not recommended by the AAOS. Discussion: Apparently, AAOS guidelines on the treatment of OA have not reached the orthopaedic community, resulting in lack of treatment consensus and continued use of modalities with no proven patient benefits. Conclusions: Management of moderate to severe knee OA does not align with AAOS guidelines. We encourage researchers to conduct clinical trials to identify the role of intra-articular corticosteroids in treating this condition.
AB - Introduction: The American Academy of Orthopaedic Surgeons (AAOS) published a series of evidence-based guidelines for treatment of knee osteoarthritis (OA). We studied compliance with these guidelines among orthopaedic surgeons. Methods: We sent a survey to members of the American Association of Hip and Knee Surgeons. It included five clinical vignettes based on the Kellgren-Lawrence radiographic system for classification of knee OA. Respondents selected treatment currently supported or not supported by the AAOS guidelines. Results: Of 345 responses, the frequency of use of recommended interventions was 80%, 82%, 21%, 50%, and 98% for OA at stages 0 through 4, respectively. For stage 2 and stage 3 OA, intra-articular hyaluronic acid was the most commonly selected intervention not recommended by the AAOS. Discussion: Apparently, AAOS guidelines on the treatment of OA have not reached the orthopaedic community, resulting in lack of treatment consensus and continued use of modalities with no proven patient benefits. Conclusions: Management of moderate to severe knee OA does not align with AAOS guidelines. We encourage researchers to conduct clinical trials to identify the role of intra-articular corticosteroids in treating this condition.
KW - clinical practice
KW - compliance
KW - evidence-based medicine
KW - knee osteoarthritis
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=85048397742&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048397742&partnerID=8YFLogxK
U2 - 10.5435/JAAOS-D-17-00164
DO - 10.5435/JAAOS-D-17-00164
M3 - Article
VL - 26
SP - 103
EP - 107
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
SN - 1067-151X
IS - 3
ER -