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Basu argues in a new First Opinion essay that tactics like accelerating value-based payment models, incorporating predictive technology, and supporting community health worker programs are clear opportunities for improvement

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List of the abbreviations PRP: Platelet-Rich Plasma MRI: Magnetic Resonance Imaging ACL: Anterior Cruciate Ligament NRS: Numerical Rating Scale KOOS: Knee Injury and Osteoarthritis Outcome Score TLKSS: Tegner Lysholm Knee Scoring Scale VAS: Visual Analog Scale SF-36: RAND-36 (Short Form 36) IKDC: International Knee Documentation Committee IL: Interleukin TGF-: Transforming Growth Factor Beta PDGF: Platelet-Derived Growth Factor IGF: Insulin-like Growth Factor VEGF: Vascular Endothelial Growth Factor EGF: Epidermal Growth Factor -FGF: Basic Fibroblast Growth Factor NSAIDs: Non-steroidal anti-inflammatory Drugs Authors Contributions Both authors AEZ and JY equally contributed to the project

Lancet 359:20532058 Belch J, Hiatt WR, Baumgartner I, Driver IV, Nikol S, Norgren L, Van Belle E, Committees T, Investigators (2011) Effect of fibroblast growth factor NV1FGF on amputation and death: a randomised placebo-controlled trial of gene therapy in critical limb ischaemia