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 Hugo
AU - Lutz, Rex William
AU - Post, Zachary Douglas
N1 - Publisher Copyright:
© Copyright 2017 by the American Academy of Orthopaedic Surgeons.
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
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U2 - 10.5435/JAAOS-D-17-00164
DO - 10.5435/JAAOS-D-17-00164
M3 - Article
C2 - 29283898
AN - SCOPUS:85048397742
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 -