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Clinical practice guidelines for the treatment of KOA unanimously recommend non\u2010surgical interventions such as exercise, education, and weight reduction in overweight patients. The aim of this systematic review is to determine the proportion of patients with end\u2010stage KOA who attended physiotherapy (PT) prior to TKA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic literature search was carried out in the medical databases MEDLINE (via Pubmed), PEDro, and EBSCO in August of 2022. Studies were included regardless of their design, if they reported the proportion of patients with a diagnosis of primary KOA, who participated in PT prior to undergoing TKA. Study quality assessment was performed by two independent authors using the Joanna Briggs Institutes Checklist for studies reporting prevalence data. Results were presented by using a narrative synthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen studies, comprising 579,718 patients, were identified in this systematic review. PT utilisation prior to TKA ranged from 10% to 73% for patients with advanced KOA. Only two studies showed PT utilisation rates of 60% or higher. Female gender, higher income, better socioeconomic status, higher education levels, older age were associated with PT utilisation. Data for other predicting factors was conflicting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This review shows substantial variation in the utilisation of PT in patients with end\u2010stage KOA. This is concerning, considering the uniform recommendation from clinical practice guidelines for non\u2010surgical treatments like exercise and education in patients with KOA, which are mostly provided by physiotherapists.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1726","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T05:24:29Z","timestamp":1671600269000},"page":"338-354","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Variation in the utilisation of physiotherapy in patients with advanced knee osteoarthritis prior to total knee arthroplasty a systematic review"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4390-7422","authenticated-orcid":false,"given":"Jean\u2010Pascal","family":"Grenier","sequence":"first","affiliation":[{"name":"Department for Health Sciences University for Continuing Education Krems  Krems Austria"},{"name":"Department of Physiotherapy Health University of Applied Sciences Tyrol  Innsbruck Austria"},{"name":"Ludwig Boltzmann Institute for Rehabilitation Research  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5299-9165","authenticated-orcid":false,"given":"Maria","family":"Rothmund","sequence":"additional","affiliation":[{"name":"University Clinic for Psychiatry II Medical University Innsbruck  Innsbruck Austria"},{"name":"Institute of Psychology University of Innsbruck  Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2111-8772","authenticated-orcid":false,"given":"Martin","family":"Missmann","sequence":"additional","affiliation":[{"name":"Ludwig Boltzmann Institute for Rehabilitation Research  Vienna Austria"},{"name":"Austrian Workers' Compensation Board AUVA  Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23466"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.31271"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620x.95b2.29695"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2019.06.011"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12402"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.03.044"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.01.011"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2014.01.009"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22197"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2018.12.024"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000000784"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1475"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab012"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2019.06.004"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.55.2.132"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102019\u2010101328"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(11)60752\u20106"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1491"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.103B.BJJ\u20102021\u20100104.R1"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00241"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocarto.2020.100056"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2012.02.636"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2020.08.004"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40674\u2010020\u201000154\u2010x"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f2304"},{"issue":"10","key":"e_1_2_10_27_1","first-page":"2099","article-title":"Knee osteoarthritis clinical practice guidelines \u2010 How are we doing?","volume":"34","author":"DeHaan M. 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