[Standards for health technologies appropriateness: Knee arthroscopy. Development of criteria for appropriateness]

Molina Linde JM, Villegas Portero R, Lacalle Remigio JR, Guerado Parra E, Aguilar Garcia F, Zamora Navas P
Record ID 32010000804
Spanish
Authors' results and conclusions: In the first round of voting, and following the definitions proponed by RAND for the scores analysis, it resulted that: 229 indications (29.8%) were considered as appropriate, 387 (50.4%) as uncertain, and 152 (19.8%) as inappropriate. The observed disagreement score was moderate. Hence 122 (15.9%) indications were scored with disagreement, 174 (22.7%) were classified as agreement, and 472 (61.4%) as indeterminate. On the other hand, it was recorded in the second round of voting: 393 (51.2%) indications were considered as appropriate, 196 (25.5%) as uncertain, and 179 (23.3%) as inappropriate. The disagreement score lowered visibly with regard to the score achieved in the first round: 0 (0%) indications were scored with disagreement, as indeterminate 348 (45.3%), and 420 (54.7%) with agreement.
Authors' recommendations: Standards on the appropriateness of knee arthroscopy, which may be applied to patients with different knee pathologies, were realised. The combination of patients’ clinical features allows grouping them together as high specificity score. There can be a multiplicity of utilities for these standards. On the one hand, they can serve to conduct clinical practice guidelines (CPG) that improve the appropriate use, decrease variability of use and finally, improve healthcare quality. They can also be used retrospectively. Thus by matching the standards with clinical records of the patients who underwent the procedure, there can be known the percentage with which the procedure was performed in practice for either appropriate reasons or not.
Details
Project Status: Completed
URL for project: https://www.aetsa.org/publicacion/estandares-de-uso-adecuado-de-tecnologias-sanitarias-metodo-rand-3-artroscopia-de-rodilla/
Year Published: 2008
URL for published report: https://www.aetsa.org/download/publicaciones/antiguas/AETSA_2006-30c_Artroscopia.pdf
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Knee Joint
  • Patient Selection
  • Technology Assessment, Biomedical
Contact
Organisation Name: Andalusian Health Technology Assessment Area
Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name: aetsa.csalud@juntadeandalucia.es
Contact Email: aetsa.csalud@juntadeandalucia.es
Copyright: Andalusian Agency for Health Technology Assessment (AETSA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.