Response to Letter to the Editor Regarding: Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register
2024

Response to Letter on Low-Value Musculoskeletal Surgery

Commentary

Author Information

Author(s): Ville Ponkilainen, Anniina Laurema, Ville M Mattila, Teemu Karjalainen

Primary Institution: Tampere University Hospital

Conclusion

The study highlights significant regional variations in the utilization of ankle arthroscopy, suggesting overuse in certain areas and the need for further investigation.

Supporting Evidence

  • The study clarifies that ankle arthroscopy is not categorically unnecessary but shows significant regional variations in its use.
  • The authors argue that existing studies do not provide strong evidence for the benefits of ankle arthroscopy compared to other treatments.
  • The reliability of the Finnish Care Register for Health Care is supported by multiple studies.

Takeaway

Some doctors are doing ankle surgery too much in some places, and we need to check if it's really helping people.

Potential Biases

Potential bias in interpreting the value of ankle arthroscopy based on existing literature.

Limitations

The study does not provide definitive evidence on the effectiveness of ankle arthroscopy and highlights the need for well-designed trials.

Digital Object Identifier (DOI)

10.2340/17453674.2024.42635

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