Orthopaedic Department, Hamad General Hospital, Hamad Medical Corporation, PO Box 3050, Doha, Qatar.
Int Orthop. 2021 Nov;45(11):2805-2810. doi: 10.1007/s00264-021-05150-x. Epub 2021 Aug 17.
The American Academy of Orthopaedic Surgeons (AAOS) developed the appropriate use criteria (AUC) for the management of hip osteoarthritis (OA) to guide surgeons in making decisions based on the best available evidence. This study aimed to assess the applicability of the AUC by comparing the actual treatment provided at our institution with the AUC recommendations.
A retrospective review of 115 patients who were diagnosed and treated for hip OA at our institution between December 2017 and December 2019 was performed. Data were collected and entered into the AUC application to determine the rate of appropriateness of the provided treatment according to the AUC recommendations. Then, the actual provided treatments were compared with the AUC recommendations to determine the agreement between the two.
There were 115 patients, with a mean age of 50.08 years (range, 30-80 years). The most frequent patient characteristics were middle age (40-65 years) with function-limiting pain at moderate to long distances, minimal hip OA on X-ray examination, mild range of motion limitation, and presence of modifiable risk factors for negative outcomes. The overall rate of appropriateness and in agreement with the AUC recommendations was 100% for conservative treatments and 80.1% for surgical treatments.
This study shows that the majority of the hip OA treatments provided at our institution were appropriate and in agreement with the AUC recommendations. Furthermore, the AUC can be easily accessed through a free web application using a computer or smartphone to obtain the recommended treatment for any patient with hip OA.
美国矫形外科医师学会（AAOS）制定了髋关节骨关节炎（OA）管理的适用标准（AUC），以指导外科医生根据现有最佳证据做出决策。本研究旨在通过比较我院实际提供的治疗方法与 AUC 建议，评估 AUC 的适用性。
对 2017 年 12 月至 2019 年 12 月在我院诊断和治疗髋关节 OA 的 115 例患者进行回顾性研究。收集数据并输入 AUC 应用程序，以根据 AUC 建议确定所提供治疗的适宜率。然后，将实际提供的治疗方法与 AUC 建议进行比较，以确定两者之间的一致性。
共有 115 例患者，平均年龄为 50.08 岁（范围，30-80 岁）。最常见的患者特征是中年（40-65 岁），伴有中长距离功能受限性疼痛、X 线检查轻度髋关节 OA、轻度运动范围受限和存在可改变的不良预后风险因素。保守治疗的整体适宜率和与 AUC 建议的一致性为 100%，手术治疗为 80.1%。
本研究表明，我院提供的大多数髋关节 OA 治疗方法是适宜的，与 AUC 建议一致。此外，AUC 可通过使用计算机或智能手机的免费网络应用程序轻松访问，以获得任何髋关节 OA 患者的推荐治疗方法。
