Publication

ICON 2019-International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients

Vicenzino, B., de Vos, R-J., Alfredson, H., Bahr, R., Cook, J. L., Coombes, B. K., Fu, S. N., Gravare Silbernagel, K., Grimaldi, A., Lewis, J. S., Maffulli, N., Magnusson, S. P., Malliaras, P., Mc Auliffe, S., Oei, E. H. G., Purdam, C., Rees, J. D., Rio, E. K., Scott, A., Speed, C., Akker-Scheek, I. V. D., Weir, A., Wolf, J. M. & Zwerver, J., Apr-2020, In : British Journal of Sports Medicine. 54, 8, p. 444-451 8 p.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Vicenzino, B., de Vos, R-J., Alfredson, H., Bahr, R., Cook, J. L., Coombes, B. K., Fu, S. N., Gravare Silbernagel, K., Grimaldi, A., Lewis, J. S., Maffulli, N., Magnusson, S. P., Malliaras, P., Mc Auliffe, S., Oei, E. H. G., Purdam, C., Rees, J. D., Rio, E. K., Scott, A., ... Zwerver, J. (2020). ICON 2019-International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients. British Journal of Sports Medicine, 54(8), 444-451. https://doi.org/10.1136/bjsports-2019-100894

Author

Vicenzino, Bill ; de Vos, Robert-Jan ; Alfredson, Hakan ; Bahr, Roald ; Cook, Jill L ; Coombes, Brooke K ; Fu, Siu Ngor ; Gravare Silbernagel, Karin ; Grimaldi, Alison ; Lewis, Jeremy S ; Maffulli, Nicola ; Magnusson, S P ; Malliaras, Peter ; Mc Auliffe, Sean ; Oei, Edwin H G ; Purdam, Craig ; Rees, Jonathan D ; Rio, Ebonie Kendra ; Scott, Alex ; Speed, Cathy ; Akker-Scheek, Inge van den ; Weir, Adam ; Wolf, Jennifer Moriatis ; Zwerver, Johannes. / ICON 2019-International Scientific Tendinopathy Symposium Consensus : There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients. In: British Journal of Sports Medicine. 2020 ; Vol. 54, No. 8. pp. 444-451.

Harvard

Vicenzino, B, de Vos, R-J, Alfredson, H, Bahr, R, Cook, JL, Coombes, BK, Fu, SN, Gravare Silbernagel, K, Grimaldi, A, Lewis, JS, Maffulli, N, Magnusson, SP, Malliaras, P, Mc Auliffe, S, Oei, EHG, Purdam, C, Rees, JD, Rio, EK, Scott, A, Speed, C, Akker-Scheek, IVD, Weir, A, Wolf, JM & Zwerver, J 2020, 'ICON 2019-International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients', British Journal of Sports Medicine, vol. 54, no. 8, pp. 444-451. https://doi.org/10.1136/bjsports-2019-100894

Standard

ICON 2019-International Scientific Tendinopathy Symposium Consensus : There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients. / Vicenzino, Bill; de Vos, Robert-Jan; Alfredson, Hakan; Bahr, Roald; Cook, Jill L; Coombes, Brooke K; Fu, Siu Ngor; Gravare Silbernagel, Karin; Grimaldi, Alison; Lewis, Jeremy S; Maffulli, Nicola; Magnusson, S P; Malliaras, Peter; Mc Auliffe, Sean; Oei, Edwin H G; Purdam, Craig; Rees, Jonathan D; Rio, Ebonie Kendra; Scott, Alex; Speed, Cathy; Akker-Scheek, Inge van den; Weir, Adam; Wolf, Jennifer Moriatis; Zwerver, Johannes.

In: British Journal of Sports Medicine, Vol. 54, No. 8, 04.2020, p. 444-451.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Vicenzino B, de Vos R-J, Alfredson H, Bahr R, Cook JL, Coombes BK et al. ICON 2019-International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients. British Journal of Sports Medicine. 2020 Apr;54(8):444-451. https://doi.org/10.1136/bjsports-2019-100894


BibTeX

@article{85f85902f9fc4520be7b01df6f86150c,
title = "ICON 2019-International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients",
abstract = "BACKGROUND: The absence of any agreed-upon tendon health-related domains hampers advances in clinical tendinopathy research. This void means that researchers report a very wide range of outcome measures inconsistently. As a result, substantial synthesis/meta-analysis of tendon research findings is almost futile despite researchers publishing busily. We aimed to determine options for, and then define, core health-related domains for tendinopathy.METHODS: We conducted a Delphi study of healthcare professionals (HCP) and patients in a three-stage process. In stage 1, we extracted candidate domains from clinical trial reports and developed an online survey. Survey items took the form: 'The 'candidate domain' is important enough to be included as a core health-related domain of tendinopathy'; response options were: agree, disagree, or unsure. In stage 2, we administered the online survey and reported the findings. Stage 3 consisted of discussions of the findings of the survey at the ICON (International Scientific Tendinopathy Symposium Consensus) meeting. We set 70% participant agreement as the level required for a domain to be considered 'core'; similarly, 70% agreement was required for a domain to be relegated to 'not core' (see Results next).RESULTS: Twenty-eight HCP (92% of whom had >10 years of tendinopathy experience, 71% consulted >10 cases per month) and 32 patients completed the online survey. Fifteen HCP and two patients attended the consensus meeting. Of an original set of 24 candidate domains, the ICON group deemed nine domains to be core. These were: (1) patient rating of condition, (2) participation in life activities (day to day, work, sport), (3) pain on activity/loading, (4) function, (5) psychological factors, (6) physical function capacity, (7) disability, (8) quality of life and (9) pain over a specified time. Two of these (2, 6) were an amalgamation of five candidate domains. We agreed that seven other candidate domains were not core domains: range of motion, pain on clinician applied test, clinical examination, palpation, drop out, sensory modality pain and pain without other specification. We were undecided on the other five candidate domains of physical activity, structure, medication use, adverse effects and economic impact.CONCLUSION: Nine core domains for tendon research should guide reporting of outcomes in clinical trials. Further research should determine the best outcome measures for each specific tendinopathy (ie, core outcome sets).",
keywords = "ACHILLES TENDINOPATHY, PATELLAR TENDINOPATHY, LATERAL EPICONDYLALGIA, CLINICAL-TRIALS, PAIN, SEASON",
author = "Bill Vicenzino and {de Vos}, Robert-Jan and Hakan Alfredson and Roald Bahr and Cook, {Jill L} and Coombes, {Brooke K} and Fu, {Siu Ngor} and {Gravare Silbernagel}, Karin and Alison Grimaldi and Lewis, {Jeremy S} and Nicola Maffulli and Magnusson, {S P} and Peter Malliaras and {Mc Auliffe}, Sean and Oei, {Edwin H G} and Craig Purdam and Rees, {Jonathan D} and Rio, {Ebonie Kendra} and Alex Scott and Cathy Speed and Akker-Scheek, {Inge van den} and Adam Weir and Wolf, {Jennifer Moriatis} and Johannes Zwerver",
note = "{\textcopyright} Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2020",
month = apr,
doi = "10.1136/bjsports-2019-100894",
language = "English",
volume = "54",
pages = "444--451",
journal = "British Journal of Sports Medicine",
issn = "0306-3674",
publisher = "BMJ PUBLISHING GROUP",
number = "8",

}

RIS

TY - JOUR

T1 - ICON 2019-International Scientific Tendinopathy Symposium Consensus

T2 - There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients

AU - Vicenzino, Bill

AU - de Vos, Robert-Jan

AU - Alfredson, Hakan

AU - Bahr, Roald

AU - Cook, Jill L

AU - Coombes, Brooke K

AU - Fu, Siu Ngor

AU - Gravare Silbernagel, Karin

AU - Grimaldi, Alison

AU - Lewis, Jeremy S

AU - Maffulli, Nicola

AU - Magnusson, S P

AU - Malliaras, Peter

AU - Mc Auliffe, Sean

AU - Oei, Edwin H G

AU - Purdam, Craig

AU - Rees, Jonathan D

AU - Rio, Ebonie Kendra

AU - Scott, Alex

AU - Speed, Cathy

AU - Akker-Scheek, Inge van den

AU - Weir, Adam

AU - Wolf, Jennifer Moriatis

AU - Zwerver, Johannes

N1 - © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2020/4

Y1 - 2020/4

N2 - BACKGROUND: The absence of any agreed-upon tendon health-related domains hampers advances in clinical tendinopathy research. This void means that researchers report a very wide range of outcome measures inconsistently. As a result, substantial synthesis/meta-analysis of tendon research findings is almost futile despite researchers publishing busily. We aimed to determine options for, and then define, core health-related domains for tendinopathy.METHODS: We conducted a Delphi study of healthcare professionals (HCP) and patients in a three-stage process. In stage 1, we extracted candidate domains from clinical trial reports and developed an online survey. Survey items took the form: 'The 'candidate domain' is important enough to be included as a core health-related domain of tendinopathy'; response options were: agree, disagree, or unsure. In stage 2, we administered the online survey and reported the findings. Stage 3 consisted of discussions of the findings of the survey at the ICON (International Scientific Tendinopathy Symposium Consensus) meeting. We set 70% participant agreement as the level required for a domain to be considered 'core'; similarly, 70% agreement was required for a domain to be relegated to 'not core' (see Results next).RESULTS: Twenty-eight HCP (92% of whom had >10 years of tendinopathy experience, 71% consulted >10 cases per month) and 32 patients completed the online survey. Fifteen HCP and two patients attended the consensus meeting. Of an original set of 24 candidate domains, the ICON group deemed nine domains to be core. These were: (1) patient rating of condition, (2) participation in life activities (day to day, work, sport), (3) pain on activity/loading, (4) function, (5) psychological factors, (6) physical function capacity, (7) disability, (8) quality of life and (9) pain over a specified time. Two of these (2, 6) were an amalgamation of five candidate domains. We agreed that seven other candidate domains were not core domains: range of motion, pain on clinician applied test, clinical examination, palpation, drop out, sensory modality pain and pain without other specification. We were undecided on the other five candidate domains of physical activity, structure, medication use, adverse effects and economic impact.CONCLUSION: Nine core domains for tendon research should guide reporting of outcomes in clinical trials. Further research should determine the best outcome measures for each specific tendinopathy (ie, core outcome sets).

AB - BACKGROUND: The absence of any agreed-upon tendon health-related domains hampers advances in clinical tendinopathy research. This void means that researchers report a very wide range of outcome measures inconsistently. As a result, substantial synthesis/meta-analysis of tendon research findings is almost futile despite researchers publishing busily. We aimed to determine options for, and then define, core health-related domains for tendinopathy.METHODS: We conducted a Delphi study of healthcare professionals (HCP) and patients in a three-stage process. In stage 1, we extracted candidate domains from clinical trial reports and developed an online survey. Survey items took the form: 'The 'candidate domain' is important enough to be included as a core health-related domain of tendinopathy'; response options were: agree, disagree, or unsure. In stage 2, we administered the online survey and reported the findings. Stage 3 consisted of discussions of the findings of the survey at the ICON (International Scientific Tendinopathy Symposium Consensus) meeting. We set 70% participant agreement as the level required for a domain to be considered 'core'; similarly, 70% agreement was required for a domain to be relegated to 'not core' (see Results next).RESULTS: Twenty-eight HCP (92% of whom had >10 years of tendinopathy experience, 71% consulted >10 cases per month) and 32 patients completed the online survey. Fifteen HCP and two patients attended the consensus meeting. Of an original set of 24 candidate domains, the ICON group deemed nine domains to be core. These were: (1) patient rating of condition, (2) participation in life activities (day to day, work, sport), (3) pain on activity/loading, (4) function, (5) psychological factors, (6) physical function capacity, (7) disability, (8) quality of life and (9) pain over a specified time. Two of these (2, 6) were an amalgamation of five candidate domains. We agreed that seven other candidate domains were not core domains: range of motion, pain on clinician applied test, clinical examination, palpation, drop out, sensory modality pain and pain without other specification. We were undecided on the other five candidate domains of physical activity, structure, medication use, adverse effects and economic impact.CONCLUSION: Nine core domains for tendon research should guide reporting of outcomes in clinical trials. Further research should determine the best outcome measures for each specific tendinopathy (ie, core outcome sets).

KW - ACHILLES TENDINOPATHY

KW - PATELLAR TENDINOPATHY

KW - LATERAL EPICONDYLALGIA

KW - CLINICAL-TRIALS

KW - PAIN

KW - SEASON

U2 - 10.1136/bjsports-2019-100894

DO - 10.1136/bjsports-2019-100894

M3 - Article

C2 - 31685525

VL - 54

SP - 444

EP - 451

JO - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

SN - 0306-3674

IS - 8

ER -

ID: 101827627