Reducing low-value knee arthroscopy in Australia

这个奖学金项目解决了膝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，关节镜检查是无效的，并具有潜在的危害。尽管如此，每年仍有超过30,000名澳大利亚人接受这种手术，医疗保险的费用为3,200万美元。我建议评估患者决策辅助在提高患者对膝关节镜检查的知识和风险认知方面是否有效，并减少膝关节镜检查的转诊次数。

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.