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Published 2/1/2013

AUCs in Development

The AAOS is currently working on the following three Appropriate Use Criteria (AUC):

  • Treatment of Distal Radius Fractures (DRF)
  • Optimizing the Treatment of Rotator Cuff Problems (RC)
  • Nonsurgical Treatment of Osteoarthritis of the Knee (OAK)

Three panels—writing, review, and voting—are involved in preparing AUCs. The AAOS follows the RAND/UCLA appropriateness method procedures and all AUCs are based on a systematic review of the research literature.

The writing, review, and voting panels for the DRF AUC have completed their work and this first AUC is expected to be presented to the AAOS Board of Directors for final approval during its March meeting. The writing panel included physicians from the AAOS Board of Councilors (BOC), the American Society for Surgery of the Hand, Orthopaedic Trauma Association, and American Association for Hand Surgery. The DRF AUC is based on an AAOS clinical practice guideline (CPG) plus an updated literature review. A web-based dissemination application is also being developed; it will be pilot tested with the release of the DRF AUC.

The writing and review panels for the RC AUC have completed their work, and the voting panel is just beginning its work. The writing panel for the RC AUC included representatives from the BOC, the American Physical Therapy Association, the Arthroscopy Association of North America, the American Orthopaedic Society for Sports Medicine, the American Shoulder and Elbow Surgeons, and the California Orthopaedic Association. The RC AUC is based on an AAOS CPG plus an updated literature review; it is expected to go to the AAOS Board of Directors in June 2013.

The AAOS is seeking members to participate in the OAK AUC writing panel. The writing panel will develop clinical scenarios, definitions, and assumptions. The OAK CPG forms the basis for this AUC, and an AAOS staff analyst has updated the literature review on this topic. This AUC is expected to be completed by September 2013.