Impact of a national guideline on use of knee arthroscopy: An interrupted time-series analysis. Kiadaliri, A., Bergkvist, D., Dahlberg, L. E., & Englund, M. International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care, 31(9):G113–G118, November, 2019. Paper doi abstract bibtex 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 Skåne 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 Skåne 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.
@article{kiadaliri_impact_2019,
title = {Impact of a national guideline on use of knee arthroscopy: {An} interrupted time-series analysis},
volume = {31},
issn = {1464-3677},
shorttitle = {Impact of a national guideline on use of knee arthroscopy},
url = {https://doi.org/10.1093/intqhc/mzz089},
doi = {10.1093/intqhc/mzz089},
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 Skåne 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 Skåne 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.},
language = {eng},
number = {9},
journal = {International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care},
author = {Kiadaliri, Ali and Bergkvist, Dan and Dahlberg, Leif E. and Englund, Martin},
month = nov,
year = {2019},
pmid = {31725873},
pmcid = {PMC7076349},
keywords = {Adult, Arthroplasty, Replacement, Knee, Arthroplasty, Replacement, Knee/statistics \& numerical data, Arthroscopy, Arthroscopy/*statistics \& numerical data, Guidelines as Topic, Humans, Interrupted Time Series Analysis, Knee Joint, Knee Joint/*surgery, Meniscus, Meniscus/pathology/surgery, Middle Aged, Osteoarthritis, Knee, Osteoarthritis, Knee/*surgery, Sweden, degenerative knee disease, interrupted time series, knee arthroscopy},
pages = {G113--G118},
}
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{"_id":"xLQzma4adwkgvvwXb","bibbaseid":"kiadaliri-bergkvist-dahlberg-englund-impactofanationalguidelineonuseofkneearthroscopyaninterruptedtimeseriesanalysis-2019","author_short":["Kiadaliri, A.","Bergkvist, D.","Dahlberg, L. E.","Englund, M."],"bibdata":{"bibtype":"article","type":"article","title":"Impact of a national guideline on use of knee arthroscopy: An interrupted time-series analysis","volume":"31","issn":"1464-3677","shorttitle":"Impact of a national guideline on use of knee arthroscopy","url":"https://doi.org/10.1093/intqhc/mzz089","doi":"10.1093/intqhc/mzz089","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 Skåne 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 Skåne 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.","language":"eng","number":"9","journal":"International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care","author":[{"propositions":[],"lastnames":["Kiadaliri"],"firstnames":["Ali"],"suffixes":[]},{"propositions":[],"lastnames":["Bergkvist"],"firstnames":["Dan"],"suffixes":[]},{"propositions":[],"lastnames":["Dahlberg"],"firstnames":["Leif","E."],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["Martin"],"suffixes":[]}],"month":"November","year":"2019","pmid":"31725873","pmcid":"PMC7076349","keywords":"Adult, Arthroplasty, Replacement, Knee, Arthroplasty, Replacement, Knee/statistics & numerical data, Arthroscopy, Arthroscopy/*statistics & numerical data, Guidelines as Topic, Humans, Interrupted Time Series Analysis, Knee Joint, Knee Joint/*surgery, Meniscus, Meniscus/pathology/surgery, Middle Aged, Osteoarthritis, Knee, Osteoarthritis, Knee/*surgery, Sweden, degenerative knee disease, interrupted time series, knee arthroscopy","pages":"G113–G118","bibtex":"@article{kiadaliri_impact_2019,\n\ttitle = {Impact of a national guideline on use of knee arthroscopy: {An} interrupted time-series analysis},\n\tvolume = {31},\n\tissn = {1464-3677},\n\tshorttitle = {Impact of a national guideline on use of knee arthroscopy},\n\turl = {https://doi.org/10.1093/intqhc/mzz089},\n\tdoi = {10.1093/intqhc/mzz089},\n\tabstract = {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).\nDESIGN: Interrupted time series analysis.\nSETTING: Public health care in Skåne region.\nPARTICIPANTS: Patients aged ≥40 years who underwent knee arthroscopy from January 2010 to December 2015.\nINTERVENTION(S): National guideline's recommendation against the use of knee arthroscopy in patients with knee OA.\nMAIN 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 Skåne population aged ≥40 years.\nRESULTS: 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.\nCONCLUSION: 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.},\n\tlanguage = {eng},\n\tnumber = {9},\n\tjournal = {International Journal for Quality in Health Care: Journal of the International Society for Quality in Health Care},\n\tauthor = {Kiadaliri, Ali and Bergkvist, Dan and Dahlberg, Leif E. and Englund, Martin},\n\tmonth = nov,\n\tyear = {2019},\n\tpmid = {31725873},\n\tpmcid = {PMC7076349},\n\tkeywords = {Adult, Arthroplasty, Replacement, Knee, Arthroplasty, Replacement, Knee/statistics \\& numerical data, Arthroscopy, Arthroscopy/*statistics \\& numerical data, Guidelines as Topic, Humans, Interrupted Time Series Analysis, Knee Joint, Knee Joint/*surgery, Meniscus, Meniscus/pathology/surgery, Middle Aged, Osteoarthritis, Knee, Osteoarthritis, Knee/*surgery, Sweden, degenerative knee disease, interrupted time series, knee arthroscopy},\n\tpages = {G113--G118},\n}\n\n","author_short":["Kiadaliri, A.","Bergkvist, D.","Dahlberg, L. 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