In patients eligible for meniscal surgery who first receive physical therapy, multivariable prognostic models cannot predict who will eventually undergo surgery

Purpose Although physical therapy is the recommended treatment in patients over 45 years old with a degenerative meniscal tear, 24% still opt for meniscal surgery. The aim was to identify those patients with a degenerative meniscal tear who will undergo surgery following physical therapy. Methods Th...

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Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2022-01, Vol.30 (1), p.231-238
Main Authors: Noorduyn, Julia C. A., Teuwen, M. M. H., van de Graaf, V. A., Willigenburg, N. W., Schavemaker, M., van Dijk, R., Scholten-Peeters, G. G. M., Heymans, M. W., Coppieters, M. W., Poolman, R. W.
Format: Article
Language:English
Subjects:
Aged
Education
Humans
Injuries
Knee
Knee Injuries
Knee Joint
Medicine
Medicine & Public Health
Meniscus
Middle Aged
Orthopedics
Patients
Physical therapy
Physical Therapy Modalities
Prognosis
Regression analysis
Sports Medicine
Surgery
Tibial Meniscus Injuries - surgery
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Summary:Purpose Although physical therapy is the recommended treatment in patients over 45 years old with a degenerative meniscal tear, 24% still opt for meniscal surgery. The aim was to identify those patients with a degenerative meniscal tear who will undergo surgery following physical therapy. Methods The data for this study were generated in the physical therapy arm of the ESCAPE trial, a randomized clinical trial investigating the effectiveness of surgery versus physical therapy in patients of 45–70 years old, with a degenerative meniscal tear. At 6 and 24 months patients were divided into two groups: those who did not undergo surgery, and those who did undergo surgery. Two multivariable prognostic models were developed using candidate predictors that were selected from the list of the patients’ baseline variables. A multivariable logistic regression analysis was performed with backward Wald selection and a cut-off of p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-021-06468-0