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Journal of Long-Term Effects of Medical Implants

Publication de 4  numéros par an

ISSN Imprimer: 1050-6934

ISSN En ligne: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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Is the Treatment Gap in Knee Osteoarthritis Real? A Qualitative Study of Surgeons' Perceptions

Volume 23, Numéro 2-03, 2013, pp. 223-240
DOI: 10.1615/JLongTermEffMedImplants.2013010144
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RÉSUMÉ

Background: Knee osteoarthritis (OA) is a chronic condition characterized by loss of joint cartilage that leads to persistent pain, loss of function, and disability. It has been reported that a treatment gap exists in a subset of knee OA patients who are unresponsive to conservative treatment yet are unsuitable for or unwilling to undergo more invasive, irreversible, surgical procedures.

Methods: Ten orthopedic healthcare professionals participated in a focus group (n=5) and semistructured interviews (n=5). We explored their perceptions on the treatment gap in knee OA patients and their opinions of the KineSpring® Knee Implant System.

Results: Among the responses of orthopedic healthcare professionals, we identified seven themes: (1) Delaying operative treatment for knee OA patients is very important. (2) Unrealistic expectations of younger patients play an important role in management of knee OA. (3) A treatment gap does exist. (4) Management of knee OA should be tailored to the individual patient. (5) The ability to delay total knee replacement without compromising the ability to do it in the future is important for the acceptance of the KineSpring System. (6) Improving patient lives by decreasing pain, improving function, and potentially delaying arthroplasty is important. (7) A well-designed randomized control trial and further evidence regarding the KineSpring System is desired.

Conclusions: Orthopedic healthcare professionals are enthusiastic about the prospect of the KineSpring System as an option to help close the treatment gap in knee OA. Focusing only on clinical trials with long-term data may be impractical and deprive patients and society of benefits that can be gained while trial data are maturing.

CITÉ PAR
  1. Shenoy Vivek N., Gifford Hanson S., Kao John T., A Novel Implant System for Unloading the Medial Compartment of the Knee by Lateral Displacement of the Iliotibial Band, Orthopaedic Journal of Sports Medicine, 5, 3, 2017. Crossref

  2. Phillips Mark, Vannabouathong Christopher, Devji Tahira, Patel Rahil, Gomes Zoya, Patel Ashaka, Dixon Mykaelah, Bhandari Mohit, Differentiating factors of intra-articular injectables have a meaningful impact on knee osteoarthritis outcomes: a network meta-analysis, Knee Surgery, Sports Traumatology, Arthroscopy, 28, 9, 2020. Crossref

  3. Aüllo-Rasser Gaetan, Dousset Erick, Roffino Sandrine, Zahouani Hassan, Lecurieux-Clerville Roger, Argenson Jean-Noël, Chabrand Patrick, Early-stage knee OA induced by MIA and MMT compared in the murine model via histological and topographical approaches, Scientific Reports, 10, 1, 2020. Crossref

  4. Bedenbaugh Angela V, Bonafede Machaon, Marchlewicz Elizabeth H, Lee Vinson, Tambiah Jeyanesh, Real-World Health Care Resource Utilization and Costs Among US Patients with Knee Osteoarthritis Compared with Controls, ClinicoEconomics and Outcomes Research, Volume 13, 2021. Crossref

  5. Bunzli Samantha, Taylor Nicholas, O’Brien Penny, Dowsey Michelle, Wallis Jason, Choong Peter, Shields Nora, How Do People Communicate About Knee Osteoarthritis? A Discourse Analysis, Pain Medicine, 22, 5, 2021. Crossref

  6. Wallis Jason A., Barton Christian J., Brusco Natasha K., Kemp Joanne L., Sherwood James, Young Kirby, Jennings Sophie, Trivett Adrian, Ackerman Ilana N., Exploring views of orthopaedic surgeons, rheumatologists and general practitioners about osteoarthritis management, Musculoskeletal Care, 19, 4, 2021. Crossref

  7. Dismore Lorelle, van Wersch Anna, Murty Aradhyula N, Swainston Katherine, A qualitative study with orthopaedic surgeons on pain catastrophizing and surgical outcomes: shifting from a medical towards a biopsychosocial model of surgery, British Journal of Pain, 16, 1, 2022. Crossref

  8. Dismore Lorelle Louise, van Wersch Anna, Critchley Rebecca, Murty Aradhyula, Swainston Katherine, A qualitative study to understand patients’ experiences of their post-operative outcomes following forefoot surgery, British Journal of Pain, 16, 3, 2022. Crossref

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