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  • Infographic. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions

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Infographic. Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions
  1. Coen H Bloembergen1,
  2. Victor A van de Graaf2,
  3. Adam Virgile3,
  4. Nienke W Willigenburg2,
  5. Julia C A Noorduyn2,
  6. Daniel BF Saris4,
  7. Ian Harris5,6,
  8. Rudolf W Poolman2
  1. 1 Centre for Orthopaedic Research (CORAL), Noordwest Ziekenhuisgroep, Alkmaar, The Netherlands
  2. 2 Department of Orthopaedic Surgery, Joint Research, OLVG, Amsterdam, The Netherlands
  3. 3 ROCKDAISY LLC, New York city, New York, USA
  4. 4 Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, USA
  5. 5 Ingham Institute for Applied Medical Research, Whitlam Orthopaedic Research Centre, University of New South Wales, Australia, Liverpool, New South Wales, Australia
  6. 6 Orthopaedic Department, South Western Sydney Local Health District, Liverpool Hospital, Liverpool, New South Wales, Australia
  1. Correspondence to Dr Coen H Bloembergen, Centre for Orthopaedic Research (CORAL), Noordwest Ziekenhuisgroep, Alkmaar 1800 AM, The Netherlands; coenbloembergen{at}gmail.com

https://doi.org/10.1136/bjsports-2019-101502

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    Arthroscopic partial meniscectomy (APM) is one of the most common performed procedures in orthopaedic surgery.1 In the middle aged and older population, meniscal tears are often part of a degenerative process of the knee. The most recent guidelines recommend against the use of arthroscopic knee surgery in patients with degenerative knee disease.2 However, this has not led to a consistent decline in the number of APMs performed.3 4 One of the reasons for this is a surgeon’s belief in being capable to identify which patient will benefit more from surgery than from conservative treatment.5

    For this study, we created an online survey to test the ability of orthopaedic surgeons to predict the functional outcome of patients who received treatment for meniscal tears. Also, …

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    Footnotes

    • Twitter @VictorvdGraaf

    • Contributors The infographic was created by AV. VvdG and CHB equally contributed to the manuscript. VvdG, CHB and RP were cochief investigators. VvdG, CHB, NWW, DS, IH and RP were involved in the design of the study and its implementation. VvdG, CHB, NWW, IH and RP designed the prespecified statistical analysis plan. The members of the ESCAPE Research Group were responsible for study progress of the ESCAPE Trial and data collection at site. VvdG, CHB and NWW did the statistical analyses. VvdG and CHB wrote the first draft of the manuscript. NWW, JCAN, DS, IH and RP made revisions. All authors and collaborators read and approved the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.