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Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process

OBJECTIVES: To develop a core outcome set for lateral elbow tendinopathy (COS-LET) and to provide guidance for outcome evaluation in future studies. METHODS: We implemented a multi-stage mixed-methods design combining two systematic reviews, domain mapping of outcome measurement instruments to the c...

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Autores principales: Bateman, Marcus, Evans, Jonathan P, Vuvan, Viana, Jones, Val, Watts, Adam C, Phadnis, Joideep, Bisset, Leanne M, Vicenzino, Bill
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9163713/
https://www.ncbi.nlm.nih.gov/pubmed/35135827
http://dx.doi.org/10.1136/bjsports-2021-105044
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author Bateman, Marcus
Evans, Jonathan P
Vuvan, Viana
Jones, Val
Watts, Adam C
Phadnis, Joideep
Bisset, Leanne M
Vicenzino, Bill
author_facet Bateman, Marcus
Evans, Jonathan P
Vuvan, Viana
Jones, Val
Watts, Adam C
Phadnis, Joideep
Bisset, Leanne M
Vicenzino, Bill
author_sort Bateman, Marcus
collection PubMed
description OBJECTIVES: To develop a core outcome set for lateral elbow tendinopathy (COS-LET) and to provide guidance for outcome evaluation in future studies. METHODS: We implemented a multi-stage mixed-methods design combining two systematic reviews, domain mapping of outcome measurement instruments to the core domains of tendinopathy, psychometric analysis of instruments, two patient focus groups and a Delphi study incorporating two surveys and an international consensus meeting. Following the OMERACT guidelines, we used a 70% threshold for consensus. RESULTS: 38 clinicians/researchers and 9 patients participated. 60 instruments were assessed for inclusion. The only instrument that was recommended for the COS-LET was Patient Rated Tennis Elbow Evaluation (PRTEE) for the disability domain. Interim recommendations were made to use: the PRTEE function subscale for the function domain; PRTEE pain subscale items 1, 4 and 5 for the pain over a specified time domain; pain-free grip strength for the physical function capacity domain; a Numerical Rating Scale measuring pain on gripping for the pain on activity/loading domain; and time off work for the participation in life activities domain. No recommendations could be made for the quality-of-life, patient rating of condition and psychological factors domains. CONCLUSIONS: The COS-LET comprises the PRTEE for the disability domain. Interim-use recommendations included PRTEE subscales, time off work, pain-free grip strength and a Numerical Rating Scale measuring pain on gripping. Further work is required to validate these interim measures and develop suitable measures to capture the other domains.
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spelling pubmed-91637132022-06-16 Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process Bateman, Marcus Evans, Jonathan P Vuvan, Viana Jones, Val Watts, Adam C Phadnis, Joideep Bisset, Leanne M Vicenzino, Bill Br J Sports Med Original Research OBJECTIVES: To develop a core outcome set for lateral elbow tendinopathy (COS-LET) and to provide guidance for outcome evaluation in future studies. METHODS: We implemented a multi-stage mixed-methods design combining two systematic reviews, domain mapping of outcome measurement instruments to the core domains of tendinopathy, psychometric analysis of instruments, two patient focus groups and a Delphi study incorporating two surveys and an international consensus meeting. Following the OMERACT guidelines, we used a 70% threshold for consensus. RESULTS: 38 clinicians/researchers and 9 patients participated. 60 instruments were assessed for inclusion. The only instrument that was recommended for the COS-LET was Patient Rated Tennis Elbow Evaluation (PRTEE) for the disability domain. Interim recommendations were made to use: the PRTEE function subscale for the function domain; PRTEE pain subscale items 1, 4 and 5 for the pain over a specified time domain; pain-free grip strength for the physical function capacity domain; a Numerical Rating Scale measuring pain on gripping for the pain on activity/loading domain; and time off work for the participation in life activities domain. No recommendations could be made for the quality-of-life, patient rating of condition and psychological factors domains. CONCLUSIONS: The COS-LET comprises the PRTEE for the disability domain. Interim-use recommendations included PRTEE subscales, time off work, pain-free grip strength and a Numerical Rating Scale measuring pain on gripping. Further work is required to validate these interim measures and develop suitable measures to capture the other domains. BMJ Publishing Group 2022-06 2022-02-08 /pmc/articles/PMC9163713/ /pubmed/35135827 http://dx.doi.org/10.1136/bjsports-2021-105044 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Bateman, Marcus
Evans, Jonathan P
Vuvan, Viana
Jones, Val
Watts, Adam C
Phadnis, Joideep
Bisset, Leanne M
Vicenzino, Bill
Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process
title Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process
title_full Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process
title_fullStr Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process
title_full_unstemmed Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process
title_short Development of a core outcome set for lateral elbow tendinopathy (COS-LET) using best available evidence and an international consensus process
title_sort development of a core outcome set for lateral elbow tendinopathy (cos-let) using best available evidence and an international consensus process
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9163713/
https://www.ncbi.nlm.nih.gov/pubmed/35135827
http://dx.doi.org/10.1136/bjsports-2021-105044
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