Impact of a national guideline on use of knee arthroscopy: An interrupted time-series analysis

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

Bibtex

@article{78cf1586d53949e88cdd21c96ff05c1f,
title = "Impact of a national guideline on use of knee arthroscopy: An interrupted time-series analysis",
abstract = "OBJECTIVE: To assess the impact of the Swedish health authority recommendation against the use of knee arthroscopy in patients aged ≥40 years with knee osteoarthritis (OA).DESIGN: Interrupted time series analysis.SETTING: Public health care in Sk{\aa}ne region.PARTICIPANTS: Patients aged ≥40 years who underwent knee arthroscopy from January 2010 to December 2015.INTERVENTION(S): National guideline's recommendation against the use of knee arthroscopy in patients with knee OA.MAIN OUTCOME MEASURE(S): 1) proportion of patients aged ≥40 years with a main diagnosis of Knee OA and/or degenerative meniscal lesions (DML) who underwent knee arthroscopy, and 2) overall knee arthroscopy rate per 100,000 Sk{\aa}ne population aged ≥40 years.RESULTS: A total of 6,155 knee arthroscopy were performed among people aged ≥40 years during study period. Of 42,044 patients with Knee OA/DML, 3,728 had knee arthroscopy. The recommendation was associated with reductions in the use of knee arthroscopy and two years after the recommendation, there was a reduction of 28.6% (95% CI: 9.3, 47.8) and 34.7% (23.9, 45.4) in proportion of Knee OA/DML patients with knee arthroscopy and the overall knee arthroscopy rate, respectively, relative to that expected if pre-recommendation trend continued. Our sensitivity analysis showed that the use of total knee replacement was stable over the study period.CONCLUSION: The national recommendation was associated with reduction in use of knee arthroscopy in public health care in southern Sweden. However, still 4.5% of these patients underwent knee arthroscopy in 2015 implying that more efforts are required to achieve the recommended target.",
author = "Ali Kiadaliri and Dan Bergkvist and Dahlberg, {Leif E} and Martin Englund",
note = "{\textcopyright} The Author(s) 2019. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.",
year = "2019",
doi = "10.1093/intqhc/mzz089",
language = "English",
volume = "31",
pages = "G113–G118",
journal = "International Journal for Quality in Health Care",
issn = "1464-3677",
publisher = "Oxford University Press",
number = "9",

}