Surgical management of osteoarthritis of the knee: evidence-based clinical practice guideline methodological interpretation and recommendations explanation_Chinese Journal of Evidence-Based Medicine

Authors：

XING Dan ^1,2 , CHEN Yaolong ^3,4,5 , WANG Qi ^3,4,5 , WANG Xiaoqin ^3,4,5 ,  DU Liang ⁶ ,  LIN Jianhao ^1,2

1. Arthritis Clinic & Research Center, Peking University People's Hospital, Peking University, Beijing, 100044, P.R.China;
2. Arthritis Institute, Peking University, Beijing, 100044, P.R.China;
3. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, P.R.China;
4. WHO Collaborating Centre for Guideline Implementation and Knowledge Translation, Lanzhou, 73000, P.R.China;
5. Chinese GRADE Center, Lanzhou, 73000, P.R.China;
6. Chinese Evidence-based Medicine Centre, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

DU Liang, Email: dul@cjebm.org.cn; LIN Jianhao, Email: linjianhao@pkuph.edu.cn

Keywords：

Clifnical practice guideline; Guideline interpretation; Osteoarthritis; American Academy of Orthopaedic Surgeons(AAOS); Methodology

DOI：

10.7507/1672-2531.201802043

Video：

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Surgical management of osteoarthritis of the knee: evidence based guideline contains 38 recommendations pertaining to the preoperative, perioperative, and postoperative care of patients with knee osteoarthritis (KOA) who are considering surgical treatment. Compared with the domestic consensus on diagnosis and treatment for KOA, this clinical practice guideline (CPG) prepared by the American Academy of Orthopedic Surgeons (AAOS) has some advantages in terms of methodology selection and recommendation. Therefore, it is necessary for us to interpret this CPG to speed up the understanding and dissemination of the CPG. The ultimate aims are to: ① strengthen the standardization and understanding of surgical treatment of KOA; ② enhance the understanding of clinicians for this CPG in treating KOA; ③ speed up the development of guideline development methodologies in China; ④ provide methodological guidance for the development of CPG based on the current situation in China.

Citation： XING Dan, CHEN Yaolong, WANG Qi, WANG Xiaoqin, DU Liang, LIN Jianhao. Surgical management of osteoarthritis of the knee: evidence-based clinical practice guideline methodological interpretation and recommendations explanation. Chinese Journal of Evidence-Based Medicine, 2018, 18(8): 793-801. doi: 10.7507/1672-2531.201802043 Copy

1.	McGrory B, Weber K, Lynott JA, et al. The American academy of orthopaedic surgeons evidence-based clinical practice guideline on surgical management of osteoarthritis of the knee. J Bone Joint Surg Am, 2016, 98(8): 688-692.
2.	Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: an update with relevance for clinical practice. Lancet, 2011, 377(9783): 2115-2126.
3.	Tang X, Wang S, Zhan S, et al. The prevalence of symptomatic knee osteoarthritis in China: results from the China health and retirement longitudinal study. Arthritis Rheumatol, 2016, 68(3): 648-653.
4.	Zhang JF, Song LH, Wei JN, et al. Prevalence of and risk factors for the occurrence of symptomatic osteoarthritis in rural regions of Shanxi Province, China. Int J Rheum Dis, 2016, 19(8): 781-789.
5.	Kang X, Fransen M, Zhang Y, et al. The high prevalence of knee osteoarthritis in a rural Chinese population: the Wuchuan osteoarthritis study. Arthritis Rheum, 2009, 61(5): 641-647.
6.	Murphy L, Helmick CG. The impact of osteoarthritis in the United States: a population-health perspective. Am J Nurs, 2012, 112(3 Suppl 1): S13-S19.
7.	Murphy L, Helmick CG. The impact of osteoarthritis in the United States: a population-health perspective: A population-based review of the fourth most common cause of hospitalization in U.S. adults. Orthop Nurs, 2012, 31(2): 85-91.
8.	Kurtz S, Ong K, Lau E, et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am, 2007, 89(4): 780-785.
9.	Losina E, Walensky RP, Kessler CL, et al. Cost-effectiveness of total knee arthroplasty in the United States: patient risk and hospital volume. Arch Intern Med, 2009, 169(12): 1113-1121.
10.	Ethgen O, Bruyère O, Richy F, et al. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am, 2004, 86-A(5): 963-974.
11.	Maradit Kremers H, Larson DR, Crowson CS, et al. Prevalence of total hip and knee replacement in the United States. J Bone Joint Surg Am, 2015, 97(17): 1386-1397.
12.	Slavin RE. Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol, 1995, 48(1): 9-18.
13.	Jevsevar D, Donnelly P, Brown GA, et al. Viscosupplementation for osteoarthritis of the knee: a systematic review of the evidence. J Bone Joint Surg Am, 2015, 97(24): 2047-2060.
14.	Johnston BC, Thorlund K, Schünemann HJ, et al. Improving the interpretation of quality of life evidence in meta-analyses: the application of minimal important difference units. Health Qual Life Outcomes, 2010, 8: 116.
15.	丁泓帆, 杨楠, 邓围, 等. WHO 指南制定的基本原则和方法. 中国循证医学杂志, 2016, 16(4): 471-477.
16.	Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ, 2004, 328(7454): 1490.

1. McGrory B, Weber K, Lynott JA, et al. The American academy of orthopaedic surgeons evidence-based clinical practice guideline on surgical management of osteoarthritis of the knee. J Bone Joint Surg Am, 2016, 98(8): 688-692.
2. Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: an update with relevance for clinical practice. Lancet, 2011, 377(9783): 2115-2126.
3. Tang X, Wang S, Zhan S, et al. The prevalence of symptomatic knee osteoarthritis in China: results from the China health and retirement longitudinal study. Arthritis Rheumatol, 2016, 68(3): 648-653.
4. Zhang JF, Song LH, Wei JN, et al. Prevalence of and risk factors for the occurrence of symptomatic osteoarthritis in rural regions of Shanxi Province, China. Int J Rheum Dis, 2016, 19(8): 781-789.
5. Kang X, Fransen M, Zhang Y, et al. The high prevalence of knee osteoarthritis in a rural Chinese population: the Wuchuan osteoarthritis study. Arthritis Rheum, 2009, 61(5): 641-647.
6. Murphy L, Helmick CG. The impact of osteoarthritis in the United States: a population-health perspective. Am J Nurs, 2012, 112(3 Suppl 1): S13-S19.
7. Murphy L, Helmick CG. The impact of osteoarthritis in the United States: a population-health perspective: A population-based review of the fourth most common cause of hospitalization in U.S. adults. Orthop Nurs, 2012, 31(2): 85-91.
8. Kurtz S, Ong K, Lau E, et al. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am, 2007, 89(4): 780-785.
9. Losina E, Walensky RP, Kessler CL, et al. Cost-effectiveness of total knee arthroplasty in the United States: patient risk and hospital volume. Arch Intern Med, 2009, 169(12): 1113-1121.
10. Ethgen O, Bruyère O, Richy F, et al. Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Am, 2004, 86-A(5): 963-974.
11. Maradit Kremers H, Larson DR, Crowson CS, et al. Prevalence of total hip and knee replacement in the United States. J Bone Joint Surg Am, 2015, 97(17): 1386-1397.
12. Slavin RE. Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol, 1995, 48(1): 9-18.
13. Jevsevar D, Donnelly P, Brown GA, et al. Viscosupplementation for osteoarthritis of the knee: a systematic review of the evidence. J Bone Joint Surg Am, 2015, 97(24): 2047-2060.
14. Johnston BC, Thorlund K, Schünemann HJ, et al. Improving the interpretation of quality of life evidence in meta-analyses: the application of minimal important difference units. Health Qual Life Outcomes, 2010, 8: 116.
15. 丁泓帆, 杨楠, 邓围, 等. WHO 指南制定的基本原则和方法. 中国循证医学杂志, 2016, 16(4): 471-477.
16. Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ, 2004, 328(7454): 1490.

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