Journal article
ICON 2023: International Scientific Tendinopathy Symposium Consensus – the core outcome set for Achilles tendinopathy (COS-AT) using a systematic review and a Delphi study of professional participants and patients
British journal of sports medicine, Vol.58(20)
10/2024
DOI: 10.1136/bjsports-2024-108263
PMID: 39271248
Abstract
To develop a core outcome set for Achilles tendinopathy (COS-AT) for use in clinical trials we performed a five-step process including (1) a systematic review of available outcome measurement instruments, (2) an online survey on truth and feasibility of the available measurement instruments, (3) an assessment of the methodological quality of the selected outcome measurement instruments, (4) an online survey on the outcome measurement instruments as COS and (5) a consensus in-person meeting. Both surveys were completed by healthcare professionals and patients. The Outcome Measures in Rheumatology guidelines with a 70% threshold for consensus were followed. We identified 233 different outcome measurement instruments from 307 included studies; 177 were mapped within the International Scientific Tendinopathy Symposium Consensus core domains. 31 participants (12 patients) completed the first online survey (response rate 94%). 22/177 (12%) outcome measurement instruments were deemed truthful and feasible and their measurement properties were evaluated. 29 participants (12 patients) completed the second online survey (response rate 88%) and three outcome measurement instruments were endorsed: the Victorian Institute of Sports Assessment-Achilles questionnaire, the single-leg heel rise test and evaluating pain after activity using a Visual Analogue Scale (VAS, 0–10). 12 participants (1 patient) attended the final consensus meeting, and 1 additional outcome measurement instrument was endorsed: evaluating pain during activity/loading using a VAS (0–10). It is recommended that the identified COS-AT will be used in future clinical trials evaluating the effectiveness of an intervention. This will facilitate comparing outcomes of intervention strategies, data pooling and further progression of knowledge about AT. As COS-AT is implemented, further evidence on measurement properties of included measures and new outcome measurement instruments should lead to its review and refinement.
Details
- Title: Subtitle
- ICON 2023: International Scientific Tendinopathy Symposium Consensus – the core outcome set for Achilles tendinopathy (COS-AT) using a systematic review and a Delphi study of professional participants and patients
- Creators
- Robert-Jan de Vos - Erasmus MCKarin Gravare Silbernagel - University of DelawarePeter Malliaras - Monash UniversityTjerk Sleeswijk Visser - Medisch Centrum HaaglandenHakan Alfredson - Umeå UniversityInge van den Akker-Scheek - University Medical Center GroningenMathijs van Ark - Hanze University of Applied SciencesAnnelie Brorsson - University of GothenburgRuth Chimenti - University of IowaSean Docking - Monash UniversityPernilla Eliasson - University of GothenburgKenneth Farnqvist - Karolinska InstitutetZubair Haleem - Queen Mary University of LondonShawn L Hanlon - California State University, FullertonJean-Francois Kaux - FIMS Collaborative Centre of Sports Medicine, FIFA Medical Centre of Excellence, Dubai, UAERebecca Samantha Kearney - University of BristolPaul D Kirwan - Trinity College DublinKornelia Kulig - University of Southern CaliforniaBhavesh Kumar - Fortius ClinicTrevor Lewis - Aintree University Hospitals NHS Foundation TrustUmile Giuseppe Longo - Campus Bio Medico University HospitalTun Hing Lui - North District HospitalNicola Maffulli - Sapienza University of RomeAdrian James Mallows - University of EssexLorenzo Masci - English Institute of SportDennis McGonagle - NIHR Leeds Musculoskeletal Biomedical Research UnitDylan Morrissey - Barts Health NHS TrustMyles Calder Murphy - Edith Cowan UniversityRichard Newsham-West - Australian Physiotherapy AssociationKatarina Maria Nilsson-Helander - Sahlgrenska University HospitalRichard Norris - Aintree University Hospitals NHS Foundation TrustFrancesco Oliva - Sapienza University of RomeSeth O’Neill - University of LeicesterKoen Peers - KU LeuvenEbonie Kendra Rio - La Trobe UniversityIgor Sancho - Universidad de DeustoAlex Scott - University of British ColumbiaKayla D Seymore - University of DelawareSze-Ee Soh - Monash UniversityPatrick Vallance - Monash UniversityJan A N Verhaar - Erasmus MCArco C van der Vlist - Erasmus MCAdam Weir - Qatar Orthopaedic and Sports Medicine HospitalJennifer Ann Zellers - Washington University in St. LouisBill Vicenzino - The University of Queensland
- Resource Type
- Journal article
- Publication Details
- British journal of sports medicine, Vol.58(20)
- DOI
- 10.1136/bjsports-2024-108263
- PMID
- 39271248
- NLM abbreviation
- Br J Sports Med
- ISSN
- 0306-3674
- eISSN
- 1473-0480
- Publisher
- BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
- Grant note
- National Institute for Health Research Barts Biomedical Research Centre: NIHR203330
The authors from the steering group (R- JdV, KGS, PM and BV) have not declared a specific grant for this research from any funding agency in the public, commercial or not- for- profit sectors. Within this 5- year project, multiple authors have been supported by specific research fellowships and/or grants that were not directly related to the COS-AT development. One author (DM) mentioned indirect support by the National Institute for Health Research Barts Biomedical Research Centre (NIHR203330).
- Language
- English
- Electronic publication date
- 09/13/2024
- Date published
- 10/2024
- Academic Unit
- Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984704829302771
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