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Co-design of a Treatment Algorithm for People With Large to Massive Rotator Cuff Tendon Tears: The CALMeR Cuff
Summary
A new treatment algorithm, the CALMeR Cuff pathway, was co-designed with patients and clinicians to improve care for large rotator cuff tears in primary care settings.
Area of Science:
- Orthopedics
- Primary Health Care
- Patient Co-Design
Background:
- Large to massive rotator cuff tears present significant challenges in primary care.
- Existing assessment and treatment pathways may lack consistency and patient involvement.
Purpose of the Study:
- To co-design a treatment algorithm using an experience-based co-design (EBCD) approach.
- To enhance the assessment, diagnosis, and treatment of rotator cuff tears in primary care.
Main Methods:
- A mixed-methods study utilizing EBCD.
- Three workshops involving patients with rotator cuff tears and clinicians.
- Data analysis, summarization, and refinement to reach group consensus.
Main Results:
- Eleven patients and 12 clinicians participated.
- Ten clinical action points were identified for managing rotator cuff tears.
- Development of the CALMeR Cuff pathway, a shoulder pain care pathway.
Conclusions:
- The co-designed CALMeR Cuff pathway ensures consistent, evidence-based care.
- Patient involvement in the co-design process enhances the pathway's applicability.
- The pathway aims to improve management of large to massive rotator cuff tears.
