학술논문
A modified Delphi study to identify which items should be evaluated in shoulder instability research: a first step in developing a core outcome set
Document Type
article
Author
Lukas P.E. Verweij, MD; Inger N. Sierevelt, MSc; David N. Baden, MD; Robert Jan Derksen, MD, PhD; Henk-Jan van der Woude, MD, PhD; Karin M.C. Hekman, MSc; Michel P.J. van den Bekerom, MD, PhD; M. van den Borne; J.A. van der Linde; D.F.P. van Deurzen; O.A.J. van der Meijden; T.D.W. Alta; B. Muller; S. Floor; R.N. Wessel; A. van Noort; B.W. Kooistra; T. Gosens; Y.V. Kleinlugtenbelt; T.D. Berendes; H.C. van der Veen; C. Visser; C.L. van den Brand; A.M.L. Wildevuur-Houthoff; A. Wei; R. Verbeek; D.G. Barten; R.J.C.G. Verdonschot; T. Boeije; F. Roodheuvel; M.A. Huis in ’t Veld; E. Röttger; M. Versteegen; D. Douma; K. Azijli – Abdellaoui; L. Walraven; R. Boden; N. Sluijter; M.L. van Gastel; W. van den Berg; P. Jansen-Oskam; I.S. Haas; H. Nes; G. Koel; B. Hessel; D. Heijblok; I.M. Husen; M. Numan; F. Boon
Source
JSES International, Vol 7, Iss 6, Pp 2304-2310 (2023)
Subject
Language
English
ISSN
2666-6383
Abstract
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.