The upper extremity postthrombotic syndrome score: an international Delphi consensus study to determine the score's functional disability component.

Autor: Schropp L; Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands., Cats RB; Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands., de Kleijn RJCMF; Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands., van Hattum ES; Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands., Middeldorp S; Department of Internal Medicine & Radboud Institute of Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands., Nijkeuter M; Department of Internal Medicine, University Medical Center Utrecht, The Netherlands., Westerink J; Department of Internal Medicine, Isala Hospital, Zwolle, The Netherlands., Petri BJ; Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands., de Borst GJ; Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: Research and practice in thrombosis and haemostasis [Res Pract Thromb Haemost] 2023 Jan 19; Vol. 7 (1), pp. 100051. Date of Electronic Publication: 2023 Jan 19 (Print Publication: 2023).
DOI: 10.1016/j.rpth.2023.100051
Abstrakt: Background: In upper extremity thrombosis research, the occurrence of upper extremity postthrombotic syndrome (UE-PTS) is commonly used as the main outcome parameter. However, there is currently no reporting standard or a validated method to assess UE-PTS presence and severity. In a recent Delphi study, consensus was reached on a preliminary UE-PTS score, combining 5 symptoms, 3 signs, and the inclusion of a functional disability score. However, no consensus was reached on which functional disability score to be included.
Objectives: The aim of the current Delphi consensus study was to determine the specific type of functional disability score to finalize UE-PTS score.
Methods: This Delphi project was designed as a three-round study using open text questions, statements with 7-point Likert scales, and multiple-choice questions. The CREDES recommendations for Delphi studies were applied. In this context, a systematic review was conducted before the start of the Delphi rounds to identify the available functional disability scores as available in the literature and present these to the expert panel.
Results: Thirty-five of 47 initially invited international experts from multiple disciplines completed all the Delphi rounds. In the second round, consensus was reached on the incorporation of the quick disabilities of the arm, shoulder, and hand (QuickDASH) in the UE-PTS score, rendering the third round obsolete.
Conclusion: Consensus was reached that the QuickDASH should be incorporated in the UE-PTS score. The UE-PTS score will need to be validated in a large cohort of patients with upper extremity thrombosis before it can be used in clinical practice and future research.
(© 2023 The Author(s).)
Databáze: MEDLINE
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