Note: To access the supplementary material accompanying this report, visit the November issue of Arthroscopy at www.arthroscopyjournal.org.
Arthroscopy: The Journal of Arthroscopic & Related Surgery
Systematic ReviewInternational Knee Documentation Committee Knee Survey Use After Anterior Cruciate Ligament Reconstruction: A 2005-2012 Systematic Review and World Region Comparison
Section snippets
Methods
A systematic literature review was performed using Ovid to search the Medline database from January 2005 through December 2012. This 8-year period was considered representative of a period during which both the objective and subjective IKDC knee survey components were widely available. The key search term “anterior cruciate ligament” was combined with other terms including “reconstructive surgical procedures or reconstruction” and “outcome assessment (health care) or outcome and process
Results
We identified a total of 421 studies that met the inclusion criteria (Appendix References, available at www.arthroscopyjournal.org). The studies were well dispersed over the systematic review period (2005, 9.3%; 2006, 13.1%; 2007, 11.6%; 2008, 13.1%; 2009, 10.9%; 2010, 11.6%; 2011, 16.9%; and 2012, 13.5%). Evaluated studies were representative of many world regions: Asia, 26.4% of studies; Europe, 45.4%; North America, 19.5%; Australia, 7.1%; and South America, 1.7%. The overall study evidence
Discussion
As expected, the MCMS differed among studies of varying evidence levels. This validates the review procedures we used to score studies. A total of 33 different survey types were identified in the studies included in this systematic review. Among the surveys used by at least 5% of the studies, significant use pattern differences were observed among different world regions. Europe and Australia showed greater use of both the objective and subjective IKDC forms. Europe and Asia displayed greater
Conclusions
Objective and subjective IKDC form use is comparable with Lysholm knee score and Tegner Activity Level scale use. The strengths and weaknesses of methodologic ACL patient outcome research study quality differed by world region. Information such as this should help improve the quality of knee research in both established and developing areas. We recommend use of the combined objective and subjective IKDC criteria in combination with the Tegner Activity Level scale on the basis of research
Acknowledgment
The authors thank Dr. James Jay Irrgang of the University of Pittsburgh for his generous assistance during study development.
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The authors report the following potential conflict of interest or source of funding: J.N. receives support as follows: Journal of Orthopaedic and Sports Physical Therapy Board President but non-funded. J.C.B. receives support as follows: Associate Editor, Arthroscopy Journal.