A conceptual framework for outcomes research in arthroscopic meniscectomy: results of a nominal group process.

Abstract

Standard measures for the assessment of arthroscopic knee surgery are needed, as existing instruments do not cover the full range of relevant outcomes. Using a modified nominal group technique, a panel of orthopedic surgeons and methodologists developed a conceptual framework for the assessment of arthroscopic knee procedures. The outcome domains included in the evaluation comprised traditional measures such as range of motion, complications, and other objective parameters, as well as patient-centered variables such as health status and satisfaction. Independent variables that might influence the outcome of surgery included traditional measures such as knee alignment as well as comorbidity and patient expectations. This conceptual framework should allow a more comprehensive, patient-centered assessment of the outcome of arthroscopic meniscectomy.