Benefits and Harms of Interventions With Surgery Compared to Interventions Without Surgery for Musculoskeletal Conditions: A Systematic Review With Meta-analysis | Journal of Orthopaedic & Sports Physical Therapy

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“Musculoskeletal (MSK) conditions affect around 1.5 billion people worldwide, with low back pain, neck pain, and osteoarthritis (OA) being some of the most common contributors to disability.”

“MSK conditions are the second most common indication for surgery worldwide.”

“In only 14% of trials of common MSK conditions comparing surgery to placebo surgery, nonsurgical intervention, or no intervention, there was a statistically significant and clinically relevant benefit for surgery.”

“surgical intervention of MSK conditions had less RCT support compared to other surgical procedures and that less than 1% of available RCTs on surgery for MSK conditions had compared surgery to not performing the surgical procedure (eg, by offering nonsurgical intervention)”

“For most non-fracture MSK conditions with sufficient available data on pain and SAEs and all conditions with data on function, quality of life, and death, there were no clinically relevant differences between interventions with and without surgery. The low certainty of evidence suggests that best practice nonsurgical interventions are viable alternatives to surgery for many MSK conditions.”

#Overutilization_of_Surgery
#Foot_and_Ankle
#Hip_and_Groin
#Knee
#Shoulder_and_Arm

https://www.jospt.org/doi/full/10.2519/jospt.2022.11075

Benefits and Harms of Interventions With Surgery Compared to Interventions Without Surgery for Musculoskeletal Conditions: A Systematic Review With Meta-analysis | Journal of Orthopaedic & Sports Physical Therapy

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