From the University of Texas Health Science Center, San Antonio, TX (Dr. Quinn) and the American Academy of Orthopaedic Surgeons, Rosemont, IL (Mr. Murray, Mr. Pezold, and Ms. Sevarino).
J Am Acad Orthop Surg. 2018 May 1;26(9):e191-e193. doi: 10.5435/JAAOS-D-17-00424.
The American Academy of Orthopaedic Surgeons has developed Appropriate Use Criteria (AUC) for Surgical Management of Osteoarthritis of the Knee. Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the criteria to improve patient care and obtain best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The Surgical Management of Osteoarthritis of the Knee AUC clinical patient scenarios were derived from indications of patients under consideration for surgical treatment of osteoarthritis of the knee as well as from current evidence-based clinical practice guidelines and supporting literature to identify the appropriateness of the three treatments. The 864 patient scenarios and 3 treatments were developed by the writing panel, a group of clinicians who are specialists in this AUC topic. Next, a separate, multidisciplinary, voting panel (made up of specialists and nonspecialists) rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).
美国矫形外科医师学会已经制定了膝关节骨关节炎手术治疗的适当使用标准（AUC）。该标准结合了循证医学信息和医生的临床专业知识，旨在提高患者护理水平，并在考虑临床决策所需的细微差别和区别的情况下获得最佳结果。膝关节骨关节炎手术治疗 AUC 的临床患者情况是从考虑膝关节骨关节炎手术治疗的患者的适应症以及当前基于循证的临床实践指南和支持文献中得出的，以确定三种治疗方法的适当性。864 个患者情况和 3 种治疗方法是由写作小组开发的，该小组由专门研究 AUC 这一主题的临床医生组成。接下来，一个独立的多学科投票小组（由专家和非专家组成）使用 9 分制对每个患者情况的治疗适当性进行评分，以指定治疗方法为适当（中位数评分 7 至 9）、可能适当（中位数评分 4 至 6）或很少适当（中位数评分 1 至 3）。
