Knee Replacement Linked To More Pain Relief, Functional Improvement and …
http://medicalresearch.com/author-interviews/knee-replacement-linked-to-more-pain-relief-functional-improvement-and-adverse-side-effects/18482/
Søren Thorgaard Skou
MedicalResearch.com Interview with:
Søren Thorgaard Skou PT, PhD Postdoc
Research Unit for Musculoskeletal Function and Physiotherapy
University of Southern Denmark
Clinical Nursing Research Unit
Aalborg University Hospital
Medical Research: What is a credentials for this study? What are a categorical findings?
Response: Total knee deputy has been achieved for decades. The series of procedures are augmenting and is approaching to strech 1 million procedures per year in a US alone in a nearby future, highlighting a compared destiny mercantile burden. However, no studies have compared it to non-surgical alternatives, even yet this is critical to examine a effectiveness.
We found that in patients with knee osteoarthritis authorised for sum knee replacement, treatment with sum knee deputy followed by non-surgical diagnosis (exercise, education, dietary advice, use of insoles, and pain medication) were compared with larger pain use and organic alleviation after 12 months than the non-surgical diagnosis alone.
However, both groups had clinically applicable improvements, and patients who underwent total knee replacement had more serious inauspicious events. Furthermore, most patients who were reserved to accept non-surgical diagnosis alone did not undergo sum knee deputy within a 12 months.
Medical Research: What should clinicians and patients take divided from your report?
Response: This is initial high-quality examine to surprise a contention between a studious and a alloy when it comes to determining on either or not to bear sum knee replacement. While a additional pain use and organic alleviation from sum knee deputy is in preference of a surgery, several critical harms are compared with it, that is not found after non-surgical treatment. Since non-surgical diagnosis is also compared with clinical applicable improvements, it might be advisable to ensure that a studious has had extensive non-surgical diagnosis of sufficient sip and length before total knee replacement is considered. Either way, a routine of shared decision making involving a patient’s preferences is important.
Medical Research: What recommendations do we have for destiny investigate as a outcome of this study?
Response: More high-quality trials are indispensable to support a commentary of this hearing and yield serve clinical insights into a efficacy of surgical compared to non-surgical diagnosis of assuage to serious knee osteoarthritis. Furthermore, criteria for undergoing sum knee deputy are not organisation and are varying opposite a world. Future studies should assistance a clinicians confirm that patients that need surgery, and that patients that need non-surgical treatment.
Citation:
A Randomized, Controlled Trial of Total Knee Replacement
N Engl J Med 2015; 373:1597-1606 October 22, 2015
DOI: 10.1056/NEJMoa1505467
Søren Thorgaard Skou (2015). Knee Replacement Linked To More Pain Relief, Functional Improvement and Adverse Side Effects
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