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PMID- 29794771
OWN - NLM
STAT- MEDLINE
DCOM- 20180604
LR  - 20180604
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 21
DP  - 2018 May
TI  - Function scores of different surgeries in the treatment of knee osteoarthritis: A
      PRISMA-compliant systematic review and network-meta analysis.
PG  - e10828
LID - 10.1097/MD.0000000000010828 [doi]
AB  - BACKGROUND: Osteoarthritis (OA) is the third most common diagnosis made by
      general practitioners in older patients. The aim of this study was to compare the
      function scores of different surgeries in the treatment of knee osteoarthritis
      (KOA). METHODS: Cohort studies about different surgical treatments for KOA were
      included with a comprehensive search in PubMed, Cochrane Library, and Embase. The
      standard mean difference (SMD) value was evaluated and the surface under the
      cumulative ranking (SUCRA) curve was drawn with a combination of direct and
      indirect evidence. A total of 265 eligible patients were enrolled and served as
      the nonoperative treatment group, osteotomy group, unicompartmental knee
      arthroplasty (UKA) group, total knee arthroplasty (TKA) group, and arthroscopic
      surgery group. Before surgery, 6 months after surgery, 1 year after surgery and 5
      years after surgery, the hospital for special surgery (HSS) knee score, Lysholm
      score, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)
      score, and American knee society score (KSS) were recorded. RESULTS: A total of 9
      cohort studies including 954 patients with KOA were finally enrolled into the
      study. The network-meta analysis revealed that osteotomy and UKA treatments
      showed a better efficacy on improving the function score. Our cohort study
      further confirmed that, a higher HSS knee score after 1 year and higher Lysholm
      score after 6 months and 1 year were observed in the osteotomy and UKA groups,
      while better HSS knee score and KSS after 6 months and 1 year were showed in the 
      osteotomy and TKA groups. In the TKA group, Lysholm score and KSS were higher and
      WOMAC score was lower after 5 years than other groups. WOMAC score was lowest in 
      the UKA group after 6 months, 1 year and 5 years of surgery. CONCLUSION: These
      results provide evidence that function scores of patients with KOA were improved 
      by osteotomy, UKA, TKA, and arthroscopic surgery. And osteotomy and UKA showed
      better short-term efficacy, while TKA appeared better long-term efficacy.
FAU - Liu, Cheng-Yao
AU  - Liu CY
AD  - Department of Bone and Joint Surgery.
FAU - Li, Chuan-Dong
AU  - Li CD
AD  - Department of Bone and Joint Surgery.
FAU - Wang, Liang
AU  - Wang L
AD  - Department of Bone Trauma, The Sixth People's Hospital of Ji'nan City, Ji'nan, PR
      China.
FAU - Ren, Shan
AU  - Ren S
AD  - Department of Bone and Joint Surgery.
FAU - Yu, Fu-Bin
AU  - Yu FB
AD  - Department of Bone and Joint Surgery.
FAU - Li, Jin-Guang
AU  - Li JG
AD  - Department of Bone and Joint Surgery.
FAU - Ma, Jiang-Xiong
AU  - Ma JX
AD  - Department of Bone and Joint Surgery.
FAU - Ma, Xing-Long
AU  - Ma XL
AD  - Department of Bone and Joint Surgery.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Aged
MH  - Arthroplasty, Replacement, Knee/*methods/statistics & numerical data
MH  - Arthroscopy/*methods/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Knee Joint/*surgery
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis, Knee/epidemiology/*surgery
MH  - Osteotomy/*methods/statistics & numerical data
MH  - Range of Motion, Articular/physiology
MH  - Recovery of Function/physiology
MH  - Treatment Outcome
EDAT- 2018/05/26 06:00
MHDA- 2018/06/05 06:00
CRDT- 2018/05/26 06:00
PHST- 2018/05/26 06:00 [entrez]
PHST- 2018/05/26 06:00 [pubmed]
PHST- 2018/06/05 06:00 [medline]
AID - 10.1097/MD.0000000000010828 [doi]
AID - 00005792-201805250-00047 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(21):e10828. doi: 10.1097/MD.0000000000010828.