Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort Initiative.
Evaluating Osteoarthritis Management Programs: outcome domain recommendations from the OARSI Joint Effort Initiative.
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DOI：
10.1016/j.joca.2023.02.078
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发表时间：
2023-07
影响因子：
7
通讯作者：
Hinman, R. S.
中科院分区：
文献类型：
--
作者：
Allen, K. D.;Huffman, K.;Cleveland, R. J.;van der Esch, M.;Abbott, J. H.;Abbott, A.;Bennell, K.;Bowden, J. L.;Eyles, J.;Healey, E. L.;Holden, M. A.;Jayakumar, P.;Koenig, K.;Lo, G.;Losina, E.;Miller, K.;Osteras, N.;Pratt, C.;Quicke, J. G.;Sharma, S.;Skou, S. T.;Tveter, A. T.;Woolf, A.;Yu, S. P.;Hinman, R. S.
开发一组核心和可选推荐领域，用于描述和评估骨关节炎管理计划 (OAMP)，重点关注髋关节和膝关节骨关节炎 (OA)。我们进行了 3 轮改良德尔菲调查，涉及一组由研究人员、卫生专业人员、卫生管理人员和 OA 患者组成的国际小组。在第一轮中，参与者将 75 个结果和描述性领域的重要性分为五个类别：患者影响、实施结果以及 OAMP 及其参与者和临床医生的特征。被 ≥80% 的参与者评为“重要”或“必要”的域被保留，并且参与者可以建议其他域。在第 2 轮中，参与者对每个领域对于评估 OAMP 至关重要的同意程度进行了评分：0 = 非常不同意，10 = 非常同意。如果 ≥80% 的评级≥6，则保留域。在第 3 轮中，参与者使用与第 2 轮相同的尺度对剩余域进行评分；如果 ≥80% 的参与者将其评为 ≥9，则该域被推荐为“核心”；如果 ≥80% 的参与者将其评为 ≥7，则建议该域为“可选”。共有来自26个国家的178人参加； 85 人完成了所有调查轮次。只有一个领域“参与日常活动的能力”符合核心领域的标准； 25 个领域满足可选建议的标准：8 个患者影响、5 个实施结果、5 个参与者特征、3 个 OAMP 特征和 4 个临床医生特征。应在所有 OAMP 中评估 OA 患者参与日常活动的能力。评估 OAMP 的团队应考虑包括可选推荐集中的领域，其中包含所有五个类别的代表，并基于当地环境中利益相关者的优先事项。
To develop sets of core and optional recommended domains for describing and evaluating Osteoarthritis Management Programs (OAMPs), with a focus on hip and knee Osteoarthritis (OA). We conducted a 3-round modified Delphi survey involving an international group of researchers, health professionals, health administrators and people with OA. In Round 1, participants ranked the importance of 75 outcome and descriptive domains in five categories: patient impacts, implementation outcomes, and characteristics of the OAMP and its participants and clinicians. Domains ranked as “important” or “essential” by ≥80% of participants were retained, and participants could suggest additional domains. In Round 2, participants rated their level of agreement that each domain was essential for evaluating OAMPs: 0 = strongly disagree to 10 = strongly agree. A domain was retained if ≥80% rated it ≥6. In Round 3, participants rated remaining domains using same scale as in Round 2; a domain was recommended as “core” if ≥80% of participants rated it ≥9 and as “optional” if ≥80% rated it ≥7. A total of 178 individuals from 26 countries participated; 85 completed all survey rounds. Only one domain, “ability to participate in daily activities”, met criteria for a core domain; 25 domains met criteria for an optional recommendation: 8 Patient Impacts, 5 Implementation Outcomes, 5 Participant Characteristics, 3 OAMP Characteristics and 4 Clinician Characteristics. The ability of patients with OA to participate in daily activities should be evaluated in all OAMPs. Teams evaluating OAMPs should consider including domains from the optional recommended set, with representation from all five categories and based on stakeholder priorities in their local context.
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影响因子：
2.3
作者：
Skou ST;Roos EM
通讯作者：
Roos EM
影响因子：
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作者：
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Østerås N;Jordan KP;Clausen B;Cordeiro C;Dziedzic K;Edwards J;Grønhaug G;Higginbottom A;Lund H;Pacheco G;Pais S;Hagen KB
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Hagen KB
影响因子：
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作者：
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通讯作者：
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