Demographic reality dictates that orthopaedic surgeons will be under ever-increasing pressure to serve aging patients. This explosion in the need for diagnostic and treatment services calls for engaged and informed patients to work with physicians in a shared decision-making process.
In the August 2, 2017 issue of The Journal, Sepucha et al. document the positive impact that patient decision aids—succinct presentations of treatment options and their attendant risks and benefits—have in shared decision making for hip, knee, and spinal complaints. In this prospective cohort study focused on routine orthopaedic care, the authors show that decision aids lead to higher knowledge scores among patients, greater patient involvement in shared decision making, lower surgical rates, and better patient-experience ratings.
The quality of available decision aids is generally excellent, and they are typically more evidence-based than information patients can locate on the Internet. In this time when orthopaedic surgeons are evaluating higher volumes of patients, these tools can inform patients before or after they interact with their orthopaedist. In addition to providing everyday-language explanations of clinical benefits and risks, these aids help individual patients align their health-care decisions with their personal values, needs, and lifestyles. I hope that these tools will find increasing use over the next 5 to 10 years in the orthopaedic practice environment.
Marc Swiontkowski, MD
The new second-quarter 2017 JBJS Quarterly CME Exam—based on articles published in April, May, and June 2017—is now available.
This course contains 100 assessment questions on topics including Shoulder, Infection, Knee, Pediatrics, Trauma, Hip, General Interest, Sports Medicine, Hand & Wrist, Basic Science, Oncology, Foot & Ankle, Elbow, and Spine.
Selected articles included in the CME Q2 Examination:
- Formal Physical Therapy After Total Hip Arthroplasty Is Not Required. A Randomized Controlled Trial
- Management of ACL Injuries in Children and Adolescents
- Modular Fluted Tapered Stems in Aseptic Revision Total Hip Arthroplasty
- The Clinical Outcome of Computer-Navigated Compared with Conventional Knee Arthroplasty in the Same Patients.
This activity is approved for 10 AMA PRA Category 1 Credits™ and by ABOS for 10 scored and recorded SAE credits
In 2015, JBJS launched an “article exchange” collaboration with the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) to support multidisciplinary integration, continuity of care, and excellent patient outcomes in orthopaedics and sports medicine.
During the month of August 2017, JBJS and OrthoBuzz readers will have open access to the JOSPT article titled “Clinical Prediction Models for Patients With Nontraumatic Knee Pain in Primary Care: A Systematic Review and Internal Validation Study.”
This systematic review yielded two new prognostic models for function and recovery in patients with nontraumatic knee pain. A longer duration of complaints predicted poorer function.