A modified Delphi study to identify which items should be evaluated in shoulder instability research: a first step in developing a core outcome set.

Autor:	Verweij LPE; Amsterdam UMC, Location AMC, University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, The Netherlands.; Amsterdam Movement Sciences, Musculoskeletal Health Program, Amsterdam, The Netherlands.; Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands., Sierevelt IN; Xpert Clinics, Department of Orthopedic Surgery, Amsterdam, The Netherlands.; Spaarnegasthuis Academy, Orthopedic Department, Hoofddorp, The Netherlands., Baden DN; Emergency Department, Diakonessenhuis, Utrecht, The Netherlands., Derksen RJ; Department of Trauma Surgery, Zaandam Medical Center, Zaandam, The Netherlands., van der Woude HJ; Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands.; Department of Radiology, OLVG, Amsterdam, The Netherlands., Hekman KMC; Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands.; Shoulder Center IBC Amstelland, Amstelveen, The Netherlands.; Department of Orthopedic Surgery, Medical Center Jan van Goyen, Amsterdam, The Netherlands., van den Bekerom MPJ; Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands.; Department of Orthopedic Surgery, Medical Center Jan van Goyen, Amsterdam, The Netherlands.; Shoulder and Elbow Unit, Joint Research, Department of Orthopedic Surgery, OLVG, Amsterdam, The Netherlands.; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	JSES international [JSES Int] 2023 Jul 14; Vol. 7 (6), pp. 2304-2310. Date of Electronic Publication: 2023 Jul 14 (Print Publication: 2023).
DOI:	10.1016/j.jseint.2023.06.012
Abstrakt:	Background: The aim of this study was to identify items that healthcare providers and/or patients consider important to include in a questionnaire for clinical trials and cohort studies in shoulder instability research. This could serve as a basis to develop a core outcome set for shoulder instability research. Methods: Healthcare providers and patients were included in a panel for a modified Delphi consensus study. The study consisted of three rounds, comprising (1) identifying items, (2) rating the importance of the items, and (3) rating the importance again after seeing a summary of the results of round two. Importance was rated on a 9-point Likert scale. Consensus was defined as ≥ 80% of the panel giving a score of 7 or higher. Results: In total, 44 healthcare providers and 30 patients completed all three rounds. Round one identified 54 items. After round three, the panel reached a consensus on 11 items that should be included in a questionnaire, comprising re-dislocation (99%), instable feeling of the shoulder (96%), limitations during sport (93%), patient satisfaction with the shoulder (93%), fear/anxiety for re-dislocation (91%), range of motion (88%), return to old level of functioning (85%), performing daily activities (85%), return to sport (82%), return to work (82%), and trusting the shoulder (81%). Conclusion: Healthcare providers and patients reached a consensus on 11 items that should be included in a questionnaire for shoulder instability research. These items can facilitate design and development of future clinical trials and form the basis for the development of a core outcome set. (© 2023 The Author(s).)
Databáze:	MEDLINE
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