Consenso GEDOS-SECOT sobre el proceso de atención a pacientes con artrosis de rodilla e indicación de artroplastia

Ibán, Miguel Ángel Ruiz; Tejedor, Ana Viana; Garay, E. Gil; Revenga, C.; Hermosa, J.C.; Montfort, Jordi; Peña, M.J.; Millan, Jorge; Matamala, Antonio Montero; Grasa, A. Capa; Navarro, Manuel Jiménez; Gobbo, Massimiliano; Loza, Estíbaliz

doi:10.1016/j.recot.2017.03.006

Cited by 1 publication

(3 citation statements)

References 92 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The large number of education topics included in the final recommendations corresponds with qualitative literature highlighting the importance of comprehensive pre-operative TKR education [15,17]. This study's findings also support and expand those of previous Delphi studies [29][30][31][32][33]. The most relevant previous study is that of Westby et al (2018), a Canadian study that lists quality indicators on preoperative TKR education, exercise and weight management [29].…”

Section: Discussionsupporting

confidence: 78%

“…The aim of the present study was therefore to develop evidence-and consensus-based recommendations on the content and delivery of pre-operative TKR education and prehabilitation. Previous consensus-based studies have addressed TKR care [29][30][31][32][33]. None of these studies focused exclusively on pre-operative TKR education and prehabilitation however, and their findings cannot be directly applied to the UK context [34].…”

Section: Introductionmentioning

confidence: 99%

“…None of these studies focused exclusively on pre-operative TKR education and prehabilitation however, and their findings cannot be directly applied to the UK context [34]. Additionally, patient representation on their expert panels was minimal or absent [29][30][31][32][33], despite the key role of patients in guideline development [35]. The present study sought to overcome these issues by employing a UK-based expert panel with equal numbers of patient and professional panellists.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Consensus on pre-operative total knee replacement education and prehabilitation recommendations: a UK-based modified Delphi study

Anderson

Comer

Smith

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Over 90,000 total knee replacement (TKR) procedures are performed annually in the United Kingdom (UK). Patients awaiting TKR face long delays whilst enduring severe pain and functional limitations. Almost 20% of patients who undergo TKR are not satisfied post-operatively. Optimising pre-operative TKR education and prehabilitation could help improve patient outcomes pre- and post-operatively; however, current pre-operative TKR care varies widely. Definitive evidence on the optimal content and delivery of pre-operative TKR care is lacking. This study aimed to develop evidence- and consensus-based recommendations on pre-operative TKR education and prehabilitation. Methods A UK-based, three-round, online modified Delphi study was conducted with a 60-member expert panel. All panellists had experience of TKR services as patients (n = 30) or professionals (n = 30). Round 1 included initial recommendations developed from a mixed methods rapid review. Panellists rated the importance of each item on a five-point Likert scale. Panellists could also suggest additional items in Round 1. Rounds 2 and 3 included all items from Round 1, new items suggested in Round 1 and charts summarising panellists’ importance ratings from the preceding round. Free-text responses were analysed using content analysis. Quantitative data were analysed descriptively. All items rated as ‘Important’ or ‘Very important’ by at least 70% of all respondents in Round 3 were included in the final set of recommendations. Results Fifty-five panellists (92%) (patients n = 26; professionals n = 29) completed Round 3. Eighty-six recommendation items were included in Round 1. Fifteen new items were added in Round 2. Rounds 2 and 3 therefore included 101 items. Seventy-seven of these reached consensus in Round 3. Six items reached consensus amongst patient or professional panellists only in Round 3. The final set of recommendations comprises 34 education topics, 18 education delivery approaches, 10 exercise types, 13 exercise delivery approaches and two other treatments. Conclusions This modified Delphi study developed a comprehensive set of recommendations that represent a useful resource for guiding decision-making on the content and delivery of pre-operative TKR education and prehabilitation. The recommendations will need to be interpreted and reviewed periodically in light of emerging evidence.

show abstract