TY - JOUR
T1 - Development of a personalized m/ehealth algorithm for the resumption of activities of daily life including work and sport after total and unicompartmental knee arthroplasty
T2 - A multidisciplinary Delphi study
AU - Straat, A. Carlien
AU - Coenen, Pieter
AU - Smit, Denise J.M.
AU - Hulsegge, Gerben
AU - Bouwsma, Esther V.A.
AU - Huirne, Judith A.F.
AU - van Geenen, Rutger C.
AU - Janssen, Rob P.A.
AU - Boymans, Tim A.E.J.
AU - Kerkhoffs, Gino M.M.J.
AU - Anema, Johannes R.
AU - Kuijer, P. Paul F.M.
PY - 2020/7/2
Y1 - 2020/7/2
N2 - Evidence for recommendations concerning the resumption of activities of daily life, including work and sport, after knee arthroplasty is lacking. Therefore, recommendations vary considerably between hospitals and healthcare professionals. We aimed to obtain multidisciplinary consensus for such recommendations. Using a Delphi procedure, we strived to reach consensus among a multidisciplinary expert panel of six orthopaedic surgeons, three physical therapists, five occupational physicians and one physician assistant on recommendations regarding the resumption of 27 activities of daily life. The Delphi procedure involved three online questionnaire rounds and one face-to-face consensus meeting. In each of these four rounds, experts independently decided at what time daily life activities could feasibly and safely be resumed after knee arthroplasty. We distinguished patients with a fast, average and slow recovery. After four Delphi rounds, the expert panel reached consensus for all 27 activities. For example, experts agreed that total knee arthroplasty patients with a fast recovery could resume cycling six weeks after the surgery, while those with an average and slow recovery could resume this activity after nine and twelve weeks, respectively. The consensus recommendations will subsequently be integrated into an algorithm of a personalized m/eHealth portal to enhance recovery among knee arthroplasty patients.
AB - Evidence for recommendations concerning the resumption of activities of daily life, including work and sport, after knee arthroplasty is lacking. Therefore, recommendations vary considerably between hospitals and healthcare professionals. We aimed to obtain multidisciplinary consensus for such recommendations. Using a Delphi procedure, we strived to reach consensus among a multidisciplinary expert panel of six orthopaedic surgeons, three physical therapists, five occupational physicians and one physician assistant on recommendations regarding the resumption of 27 activities of daily life. The Delphi procedure involved three online questionnaire rounds and one face-to-face consensus meeting. In each of these four rounds, experts independently decided at what time daily life activities could feasibly and safely be resumed after knee arthroplasty. We distinguished patients with a fast, average and slow recovery. After four Delphi rounds, the expert panel reached consensus for all 27 activities. For example, experts agreed that total knee arthroplasty patients with a fast recovery could resume cycling six weeks after the surgery, while those with an average and slow recovery could resume this activity after nine and twelve weeks, respectively. The consensus recommendations will subsequently be integrated into an algorithm of a personalized m/eHealth portal to enhance recovery among knee arthroplasty patients.
KW - Convalescence recommendations
KW - EHealth
KW - Knee replacement
KW - M/eHealth program
KW - Patient-tailored advice
KW - Return to sports
KW - Return to work
UR - http://www.scopus.com/inward/record.url?scp=85087636092&partnerID=8YFLogxK
U2 - https://doi.org/10.3390/ijerph17144952
DO - https://doi.org/10.3390/ijerph17144952
M3 - Article
C2 - 32659989
SN - 1661-7827
VL - 17
SP - 1
EP - 15
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 14
M1 - 4952
ER -