TY - JOUR
T1 - ICON 2019—International Scientific Tendinopathy Symposium Consensus: There are nine core health- related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients
AU - Vicenzino, Bill
AU - de VOS, Robert-Jan
AU - Alfredson, Hakan
AU - Bahr, Roald
AU - Cook, Jill
AU - Coombes, Brooke
AU - Fu, Siu Ngor
AU - Gravare Sibernagel, Karin
AU - Grimaldi, Alison
AU - Lewis, Jeremy
AU - Maffulli, Nicola
AU - Magnusson, SP
AU - Malliaris, Peter
AU - McAuliffe, Sean
AU - Oei, Edwin
AU - Purdam, Craig
AU - Rees, Jonathan
AU - Rio, Eboni
AU - Scott, Alex
AU - Speed, Cathy
AU - van den Akker-Scheek, Inge
AU - Weir, Adam
AU - Moriatis Wolf, Jennifer
AU - Zwerver, Johannes
N1 - © Author(s) 2019. Published by BMJ. This article has been accepted for publication in the British Journal of Sports Medicine following peer review. The definitive copyedited, typeset version: Vicenzino B, de Vos R, Alfredson H, et alICON 2019—International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients. British Journal of Sports Medicine Published Online First: 04 November 2019 is available online at: http://dx.doi.org/10.1136/bjsports-2019-100894.
PY - 2019/11/4
Y1 - 2019/11/4
N2 - Background:
The absence of any agreed-upon tendon health-related domains hampers advances in clinical tendinopathy research. This void means that researchers report a very wide range of outcome measures in consistently. As a result, substantial synthesis/meta analysis of tendon research findings is almost futile despite researchers publishing busily. We aimed to determine options for, and then define, core health related domains for tendinopathy. Methods We conducted a Delphi study of healthcare professionals (HCP) and patients in a three-stage process. In stage 1, we extracted candidate domains from clinical trial reports and developed an online survey.Survey items took the form: ’The ’candidate domain’is important enough to be included as a core health related domain of tendinopathy’; response options were:agree, disagree, or unsure. In stage 2, we administered the online survey and reported the findings. Stage 3 consisted of discussions of the findings of the survey at the ICON (International Scientific Tendinopathy Symposium Consensus) meeting. We set 70% participant agreement as the level required for a domain to be considered ’core’; similarly, 70% agreement was required for a domain to be relegated to ’not core’ (see Results next).Results Twenty-eight HCP (92% of whom had >10 years of tendinopathy experience, 71% consulted >10 cases per month) and 32 patients completed the online survey. Fifteen HCP and two patients attended the consensus meeting. Of an original set of 24 candidate domains, the ICON group deemed nine domains to be core. These were: (1) patient rating of condition, (2)participation in life activities (day to day, work, sport), (3)pain on activity/loading, (4) function, (5) psychological factors, (6) physical function capacity, (7) disability, (8)quality of life and (9) pain over a specified time. Two of these (2, 6) were an amalgamation of five candidate domains. We agreed that seven other candidate domains were not core domains: range of motion, pain on clinician applied test, clinical examination, palpation,drop out, sensory modality pain and pain with out other specification. We were undecided on the other five candidate domains of physical activity, structure,medication use, adverse effects and economic impact.Conclusion Nine core domains for tendon research should guide reporting of outcomes in clinical trials.Further research should determine the best outcome measures for each specific tendinopathy (ie, core outcome sets
AB - Background:
The absence of any agreed-upon tendon health-related domains hampers advances in clinical tendinopathy research. This void means that researchers report a very wide range of outcome measures in consistently. As a result, substantial synthesis/meta analysis of tendon research findings is almost futile despite researchers publishing busily. We aimed to determine options for, and then define, core health related domains for tendinopathy. Methods We conducted a Delphi study of healthcare professionals (HCP) and patients in a three-stage process. In stage 1, we extracted candidate domains from clinical trial reports and developed an online survey.Survey items took the form: ’The ’candidate domain’is important enough to be included as a core health related domain of tendinopathy’; response options were:agree, disagree, or unsure. In stage 2, we administered the online survey and reported the findings. Stage 3 consisted of discussions of the findings of the survey at the ICON (International Scientific Tendinopathy Symposium Consensus) meeting. We set 70% participant agreement as the level required for a domain to be considered ’core’; similarly, 70% agreement was required for a domain to be relegated to ’not core’ (see Results next).Results Twenty-eight HCP (92% of whom had >10 years of tendinopathy experience, 71% consulted >10 cases per month) and 32 patients completed the online survey. Fifteen HCP and two patients attended the consensus meeting. Of an original set of 24 candidate domains, the ICON group deemed nine domains to be core. These were: (1) patient rating of condition, (2)participation in life activities (day to day, work, sport), (3)pain on activity/loading, (4) function, (5) psychological factors, (6) physical function capacity, (7) disability, (8)quality of life and (9) pain over a specified time. Two of these (2, 6) were an amalgamation of five candidate domains. We agreed that seven other candidate domains were not core domains: range of motion, pain on clinician applied test, clinical examination, palpation,drop out, sensory modality pain and pain with out other specification. We were undecided on the other five candidate domains of physical activity, structure,medication use, adverse effects and economic impact.Conclusion Nine core domains for tendon research should guide reporting of outcomes in clinical trials.Further research should determine the best outcome measures for each specific tendinopathy (ie, core outcome sets
KW - Consensus
KW - Evidence based
KW - Measurement
KW - Tendinopathy
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=85074466074&partnerID=8YFLogxK
U2 - 10.1136/bjsports-2019-100894
DO - 10.1136/bjsports-2019-100894
M3 - Article
SN - 0306-3674
SP - 1
EP - 8
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
ER -