Variation in patient-reported outcomes in young and old patients up to 4 to 6 years after arthroscopic partial meniscectomy. Tayfur, B., Pihl, K., Varnum, C., Lohmander, S., Englund, M., & Thorlund, J. B. Clinical Journal of Sport Medicine, 32(5):523–530, September, 2022. Number: 5
Variation in patient-reported outcomes in young and old patients up to 4 to 6 years after arthroscopic partial meniscectomy [link]Paper  doi  abstract   bibtex   
Objective:  To assess the variation in changes in patient-reported outcomes 4 to 6 years after arthroscopic partial meniscectomy (APM). Design:  Prospective cohort study. Setting:  Orthopedic departments at public hospitals. Patients:  Patients (n = 447) from the Knee Arthroscopy Cohort Southern Denmark undergoing APM. Interventions:  All patients underwent APM. Main Outcome Measures:  Change in KOOS4 scores from baseline before surgery to ∼5 years (range 4-6 years) after surgery. KOOS4 is the average aggregated score of 4 of 5 of the Knee injury and Osteoarthritis Outcome Score (KOOS) excluding the activities of daily living subscale (minimal clinical important improvement ∼10 points). A mixed linear model adjusted for sex and body mass index was used to assess change from baseline to ∼5-year follow-up. Change in KOOS4 was divided into 5 categories based on change from baseline to ∼5-year follow-up: \textless0 points, 0 to 9 points, 10 to 19 points, 20 to 29 points, and ≥30 points. Results:  On average, patient-reported outcomes continued to improve from baseline to ∼5-year follow-up (mean KOOS4 change: 26, 95% CI, 24-28). Proportions in the different response groups were \textless0 points (12%), 0 to 9 points (13%), 10 to 19 points (16%), 20 to 29 points (19%), and ≥30 points (40%), with no difference between younger (≤40 years, n = 75) and older (\textgreater40 years, n = 337) patients (P = 0.898). Conclusions:  Patient-reported outcomes on average improved up to ∼5 years after APM; however, large variability was observed. The similar variability in younger and older patients questions the assumption that younger patients with traumatic injuries experience larger benefits from APM.
@article{tayfur_variation_2022,
	title = {Variation in patient-reported outcomes in young and old patients up to 4 to 6 years after arthroscopic partial meniscectomy},
	volume = {32},
	issn = {1050-642X},
	url = {https://journals.lww.com/cjsportsmed/Abstract/2022/09000/Variation_in_Patient_Reported_Outcomes_in_Young.13.aspx},
	doi = {10.1097/JSM.0000000000001011},
	abstract = {Objective: 
        To assess the variation in changes in patient-reported outcomes 4 to 6 years after arthroscopic partial meniscectomy (APM).
        Design: 
        Prospective cohort study.
        Setting: 
        Orthopedic departments at public hospitals.
        Patients: 
        Patients (n = 447) from the Knee Arthroscopy Cohort Southern Denmark undergoing APM.
        Interventions: 
        All patients underwent APM.
        Main Outcome Measures: 
        Change in KOOS4 scores from baseline before surgery to ∼5 years (range 4-6 years) after surgery. KOOS4 is the average aggregated score of 4 of 5 of the Knee injury and Osteoarthritis Outcome Score (KOOS) excluding the activities of daily living subscale (minimal clinical important improvement ∼10 points). A mixed linear model adjusted for sex and body mass index was used to assess change from baseline to ∼5-year follow-up. Change in KOOS4 was divided into 5 categories based on change from baseline to ∼5-year follow-up: {\textless}0 points, 0 to 9 points, 10 to 19 points, 20 to 29 points, and ≥30 points.
        Results: 
        On average, patient-reported outcomes continued to improve from baseline to ∼5-year follow-up (mean KOOS4 change: 26, 95\% CI, 24-28). Proportions in the different response groups were {\textless}0 points (12\%), 0 to 9 points (13\%), 10 to 19 points (16\%), 20 to 29 points (19\%), and ≥30 points (40\%), with no difference between younger (≤40 years, n = 75) and older ({\textgreater}40 years, n = 337) patients (P = 0.898).
        Conclusions: 
        Patient-reported outcomes on average improved up to ∼5 years after APM; however, large variability was observed. The similar variability in younger and older patients questions the assumption that younger patients with traumatic injuries experience larger benefits from APM.},
	language = {en-US},
	number = {5},
	urldate = {2022-10-10},
	journal = {Clinical Journal of Sport Medicine},
	author = {Tayfur, Beyza and Pihl, Kenneth and Varnum, Claus and Lohmander, Stefan and Englund, Martin and Thorlund, Jonas Bloch},
	month = sep,
	year = {2022},
	note = {Number: 5},
	pages = {523--530},
}

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