Reducing low-value knee arthroscopy in Australia

本研究项目旨在解决膝关节骨性关节炎过度使用关节镜手术的重要问题。高质量的证据表明关节镜检查无效且可能有害。尽管如此，每年仍有3万多澳大利亚人接受这种手术，医疗保险费用为3200万澳元。我建议评估患者决策辅助是否能有效提高患者对膝关节镜检查的知识和风险认知，并减少膝关节镜检查的转诊。

This fellowship project addresses the important problem of overuse of arthroscopic surgery for knee osteoarthritis. High quality evidence shows arthroscopy is ineffective and potentially harmful. Despite this, over 30,000 Australians undergo this surgery annually at a cost of >$32 million to Medicare. I propose to evaluate whether a patient decision aid is effective in improving patients’ knowledge and risk perceptions about knee arthroscopy and reduces referrals for knee arthroscopy.