JSES International (Nov 2023)
A modified Delphi study to identify which items should be evaluated in shoulder instability research: a first step in developing a core outcome set
- 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
Affiliations
- Lukas P.E. Verweij, MD
- Amsterdam UMC, Location AMC, University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Musculoskeletal Health Program, Amsterdam, The Netherlands; Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands; Corresponding author: Lukas P.E. Verweij, MD, Amsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
- Inger N. Sierevelt, MSc
- Xpert Clinics, Department of Orthopedic Surgery, Amsterdam, The Netherlands; Spaarnegasthuis Academy, Orthopedic Department, Hoofddorp, The Netherlands
- David N. Baden, MD
- Emergency Department, Diakonessenhuis, Utrecht, The Netherlands
- Robert Jan Derksen, MD, PhD
- Department of Trauma Surgery, Zaandam Medical Center, Zaandam, The Netherlands
- Henk-Jan van der Woude, MD, PhD
- Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands; Department of Radiology, OLVG, Amsterdam, The Netherlands
- Karin M.C. Hekman, MSc
- Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands; Shoulder Center IBC Amstelland, Amstelveen, The Netherlands; Department of Orthopedic Surgery, Medical Center Jan van Goyen, Amsterdam, The Netherlands
- Michel P.J. van den Bekerom, MD, PhD
- Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, The Netherlands; Department of Orthopedic Surgery, Medical Center Jan van Goyen, Amsterdam, The Netherlands; Shoulder and Elbow Unit, Joint Research, Department of Orthopedic Surgery, OLVG, Amsterdam, The Netherlands; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- 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
- Journal volume & issue
-
Vol. 7,
no. 6
pp. 2304 – 2310
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.
