Decreasing the number of arthroscopies in knee osteoarthritis - a service evaluation of a de-implementation strategy.

ABSTRACT:

Background

The Personalised Knee Improvement Programme (P-KIP) was developed based on previously published work, with the hypothesis that surgeons would refer patients to a well-structured conservative management intervention instead of for arthroscopy (de-implementation of arthroscopy by substitution with P-KIP). This meets NICE guidelines and international recommendations but such programmes are not widely used in the UK. Our aim was to determine whether P-KIP would reduce the number of arthroscopies performed for knee osteoarthritis.

Methods

P-KIP is a conservative care pathway including a group education session followed by individually tailored one-to-one dietician and physiotherapy sessions. Virtual clinic follow-up is conducted three to 6 months after completion of th

SUBMITTER: Barlow T 

PROVIDER: S-EPMC7055049 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature