Medical exercise therapy, and not arthroscopic surgery, resulted in decreased depression and anxiety in patients with degenerative meniscus injury

Østerås, Håvard; Østerås, Berit; Torstensen, Tom Arild

doi:10.1016/j.jbmt.2012.04.003

Cited by 74 publications

(98 citation statements)

References 33 publications

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“…Seven RCTs (n = 805 patients) were eligible for inclusion in this review [37][38][39][40][41][42][43] ( Figure 1). No non-English articles were identified.…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

“…41 Four of the included trials were single-centre trials 37,38,41,43 and 3 were multicentre trials 39,40,42 (Table 1). All eligible trials included patients with degenerative meniscal tears, documented by magnetic resonance imaging (MRI) or arthroscopy, in the setting of mild or no osteoarthritis.…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

“…Age eligibility criteria from included studies ranged from 35 to 65 years when reported. [37][38][39][40]42 Two trials 37,41 did not report crossovers to the surgical arm. Of the trials that did report crossover, Herrlin and colleagues 38 reported 27%, Katz and colleagues 39 reported 30%, Østerås and colleagues 42 reported 0%, Vermesan and colleagues 43 reported 17%, and Sihvonen and colleagues 40 reported 7%.…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

“…[37][38][39][40]42 Two trials 37,41 did not report crossovers to the surgical arm. Of the trials that did report crossover, Herrlin and colleagues 38 reported 27%, Katz and colleagues 39 reported 30%, Østerås and colleagues 42 reported 0%, Vermesan and colleagues 43 reported 17%, and Sihvonen and colleagues 40 reported 7%. Six trials [37][38][39][40][41][42] documented patients who declined to participate, with rates ranging from 5% 39 to 40%.…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis

Khan

Evaniew

Bedi

et al. 2014

CMAJ

171

133

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“…Seven RCTs (n = 805 patients) were eligible for inclusion in this review [37][38][39][40][41][42][43] ( Figure 1). No non-English articles were identified.…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis

Khan

Evaniew

Bedi

et al. 2014

CMAJ

171

133

View full text Add to dashboard Cite

“…We are currently witnessing a notable shift in the indications for knee arthroscopy. 7 high-quality randomized controlled trials assessing the benefit of arthroscopic partial meniscectomy for patients with degenerative meniscal tears were recently published (Østerås et al 2012, Herrlin et al 2013, Katz et al 2013, Sihvonen et al 2013, Yim et al 2013, Gauffin et al 2014, Stensrud et al 2015). Only 1 of these trials (Gauffin et al 2014) provided any support for surgery of the degenerative knee.…”

Section: Discussionmentioning

confidence: 99%

Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden

et al. 2015

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Background and purposeKnee arthroscopy is commonly performed to treat degenerative knee disease symptoms and traumatic meniscal tears. We evaluated whether the recent high-quality randomized control trials not favoring arthroscopic surgery for degenerative knee disease affected the procedure incidence and trends in Finland and Sweden.Patients and methodsWe conducted a bi-national registry-based study including all adult (aged ≥18 years) inpatient and outpatient arthroscopic surgeries performed for degenerative knee disease (osteoarthritis (OA) and degenerative meniscal tears) and traumatic meniscal tears in Finland between 1997 and 2012, and in Sweden between 2001 and 2012.ResultsIn Finland, the annual number of operations was 16,389 in 1997, reached 20,432 in 2007, and declined to 15,018 in 2012. In Sweden, the number of operations was 9,944 in 2001, reached 11,711 in 2008, and declined to 8,114 in 2012. The knee arthroscopy incidence for OA was 124 per 105 person-years in 2012 in Finland and it was 51 in Sweden. The incidence of knee arthroscopies for meniscal tears coded as traumatic steadily increased in Finland from 64 per 105 person-years in 1997 to 97 per 105 person-years in 2012, but not in Sweden.InterpretationThe incidence of arthroscopies for degenerative knee disease declined after 2008 in both countries. Remarkably, the incidence of arthroscopy for degenerative knee disease and traumatic meniscal tears is 2 to 4 times higher in Finland than in Sweden. Efficient implementation of new high-quality evidence in clinical practice could reduce the number of ineffective surgeries.

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Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears

Jazrawi

Gold

Zuckerman

2018

JAMA

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Medical exercise therapy, and not arthroscopic surgery, resulted in decreased depression and anxiety in patients with degenerative meniscus injury

Cited by 74 publications

References 33 publications

Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis

Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis

Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden

Physical Therapy or Arthroscopic Surgery for Treatment of Meniscal Tears

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