학술논문
OPTIKNEE 2022 : Consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis
Document Type
Author
Whittaker, Jackie L.; Culvenor, Adam G.; Juhl, Carsten Bogh; Berg, Bjørnar; Bricca, Alessio; Filbay, Stephanie Rose; Holm, Pætur; Macri, Erin; Urhausen, Anouk P.; Ardern, Clare L.; Bruder, Andrea M.; Bullock, Garrett S.; Ezzat, Allison M.; Girdwood, Michael; Haberfield, Melissa; Hughes, Mick; Ingelsrud, Lina Holm; Khan, Karim M.; Le, Christina Y.; Losciale, Justin M.; Lundberg, Matilde; Miciak, Maxi; Øiestad, Britt Elin; Patterson, Brooke; Räisänen, Anu M.; Skou, Søren T.; Thorlund, Jonas Bloch; Toomey, Clodagh; Truong, Linda K.; Meer, Belle L.Van; West, Thomas James; Young, James Justin; Lohmander, L. Stefan; Emery, Carolyn; Risberg, May Arna; Van Middelkoop, Marienke; Roos, Ewa M.; Crossley, Kay M.
Source
British journal of sports medicine EpiHealth: Epidemiology for Health. 56(24):1393-1405
Subject
Language
English
ISSN
0306-3674
Abstract
The goal of the OPTIKNEE consensus is to improve knee and overall health, to prevent osteoarthritis (OA) after a traumatic knee injury. The consensus followed a seven-step hybrid process. Expert groups conducted 7 systematic reviews to synthesise the current evidence and inform recommendations on the burden of knee injuries; risk factors for post-traumatic knee OA; rehabilitation to prevent post-traumatic knee OA; and patient-reported outcomes, muscle function and functional performance tests to monitor people at risk of post-traumatic knee OA. Draft consensus definitions, and clinical and research recommendations were generated, iteratively refined, and discussed at 6, tri-weekly, 2-hour videoconferencing meetings. After each meeting, items were finalised before the expert group (n=36) rated the level of appropriateness for each using a 9-point Likert scale, and recorded dissenting viewpoints through an anonymous online survey. Seven definitions, and 8 clinical recommendations (who to target, what to target and when, rehabilitation approach and interventions, what outcomes to monitor and how) and 6 research recommendations (research priorities, study design considerations, what outcomes to monitor and how) were voted on. All definitions and recommendations were rated appropriate (median appropriateness scores of 7-9) except for two subcomponents of one clinical recommendation, which were rated uncertain (median appropriateness score of 4.5-5.5). Varying levels of evidence supported each recommendation. Clinicians, patients, researchers and other stakeholders may use the definitions and recommendations to advocate for, guide, develop, test and implement person-centred evidence-based rehabilitation programmes following traumatic knee injury, and facilitate data synthesis to reduce the burden of knee post-traumatic knee OA.