Non-Arthroplasty Treatment of Osteoarthritis of the Knee
Non-Arthroplasty Treatment of Osteoarthritis of the Knee
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DOI：
10.5435/jaaos-22-04-256
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发表时间：
2014-04-01
影响因子：
3.2
通讯作者：
Gross, Leeaht
中科院分区：
文献类型：
--
作者：
Sanders, James O.;Murray, Jayson;Gross, Leeaht
美国矫形外科医师学会制定了膝关节骨性关节炎(OAK)非关节成形术的适当使用标准(AUC)。以证据为基础的信息与医生的临床专业知识一起用于制定标准，以改善患者护理并获得最佳结果，同时考虑做出临床决策所需的微妙和区别。Oak AUC的临床方案来自于患者通常伴随Oak的适应症，以及当前的循证临床实践指南及其支持文献。576名患者的情景和10种治疗方法是由写作小组制定的，写作小组是一个临床医生小组，他们是这个AUC主题的专家。接下来，由志愿医生组成的独立小组审查小组独立审查了这些材料，以确保它们代表临床医生在日常实践中可能遇到的患者情景。最后，多学科投票小组(由专家和非专家组成)使用9分量表对每个患者情景的治疗适当性进行评级，以指定适当的治疗(中位数评分为7到9)，可能是合适的(中位数评分，4到6)，或者很少合适(中位数评分，1到3)。投票小组分配的最终适当性评级可通过AAOS Oak AUC基于网络的移动应用程序在线访问：www.aaos.org/ucapp。
The American Academy of Orthopaedic Surgeons has developed an Appropriate Use Criteria (AUC) on the Non-Arthroplasty Treatment of Osteoarthritis of the Knee (OAK). Evidence-based information, in conjunction with clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The OAK AUC clinical scenarios were derived from patient indications that generally accompany OAK as well as from the current evidence-based clinical practice guidelines and its supporting literature. The 576 patient scenarios and 10 treatments were developed by the Writing Panel, a group of clinicians who are specialists in this AUC topic. Next, the Review Panel, a separate group of volunteer physicians, independently reviewed these materials to ensure that they were representative of patient scenarios clinicians are likely to encounter in daily practice. Finally, the multidisciplinary Voting Panel (made up of specialists and nonspecialists) rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3). The final appropriateness ratings assigned by the voting panel can be accessed online via the AAOS OAK AUC web-based mobile application at: www.aaos.org/aucapp.