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A modified Delphi study to identify which items should be evaluated in shoulder instability research: a first step in
Lukas P E Verweij1,2,3, Inger N Sierevelt4,5, David N Baden6
1Amsterdam UMC, Location AMC, University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, The Netherlands.
JSES International
|November 16, 2023
Summary
Healthcare providers and patients identified 11 key items for shoulder instability research questionnaires. This consensus will aid in developing a core outcome set for clinical trials and cohort studies.
Area of Science:
- Orthopedics
- Clinical Research Methodology
- Patient-Reported Outcomes
Background:
- Shoulder instability research requires standardized outcome measures.
- Current questionnaires may not fully capture patient and provider priorities.
- A consensus-based approach is needed to develop relevant research instruments.
Purpose of the Study:
- To identify essential items for questionnaires in shoulder instability clinical trials and cohort studies.
- To establish a foundation for a core outcome set in shoulder instability research.
Main Methods:
- A modified Delphi consensus study involving healthcare providers and patients.
- Three rounds of item identification and importance rating using a 9-point Likert scale.
- Consensus defined as ≥80% agreement with a score of 7 or higher.
Main Results:
- A panel of 44 healthcare providers and 30 patients completed the study.
- Consensus was reached on 11 critical items for shoulder instability questionnaires.
- Key items include re-dislocation, shoulder instability sensation, sports limitations, patient satisfaction, and fear of re-dislocation.
Conclusions:
- Healthcare providers and patients agree on 11 core items for shoulder instability research.
- These consensus items will improve the design of future clinical trials.
- The identified items provide a basis for developing a standardized core outcome set.
