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OPTIKNEE 2022 : Consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis

Whittaker, Jackie L. ; Culvenor, Adam G. ; Juhl, Carsten Bogh ; Berg, Bjørnar ; Bricca, Alessio ; Filbay, Stephanie Rose ; Holm, Pætur ; Macri, Erin ; Urhausen, Anouk P. and Ardern, Clare L. , et al. (2022) In British journal of sports medicine 56(24). p.1393-1405
Abstract

The goal of the OPTIKNEE consensus is to improve knee and overall health, to prevent osteoarthritis (OA) after a traumatic knee injury. The consensus followed a seven-step hybrid process. Expert groups conducted 7 systematic reviews to synthesise the current evidence and inform recommendations on the burden of knee injuries; risk factors for post-traumatic knee OA; rehabilitation to prevent post-traumatic knee OA; and patient-reported outcomes, muscle function and functional performance tests to monitor people at risk of post-traumatic knee OA. Draft consensus definitions, and clinical and research recommendations were generated, iteratively refined, and discussed at 6, tri-weekly, 2-hour videoconferencing meetings. After each meeting,... (More)

The goal of the OPTIKNEE consensus is to improve knee and overall health, to prevent osteoarthritis (OA) after a traumatic knee injury. The consensus followed a seven-step hybrid process. Expert groups conducted 7 systematic reviews to synthesise the current evidence and inform recommendations on the burden of knee injuries; risk factors for post-traumatic knee OA; rehabilitation to prevent post-traumatic knee OA; and patient-reported outcomes, muscle function and functional performance tests to monitor people at risk of post-traumatic knee OA. Draft consensus definitions, and clinical and research recommendations were generated, iteratively refined, and discussed at 6, tri-weekly, 2-hour videoconferencing meetings. After each meeting, items were finalised before the expert group (n=36) rated the level of appropriateness for each using a 9-point Likert scale, and recorded dissenting viewpoints through an anonymous online survey. Seven definitions, and 8 clinical recommendations (who to target, what to target and when, rehabilitation approach and interventions, what outcomes to monitor and how) and 6 research recommendations (research priorities, study design considerations, what outcomes to monitor and how) were voted on. All definitions and recommendations were rated appropriate (median appropriateness scores of 7-9) except for two subcomponents of one clinical recommendation, which were rated uncertain (median appropriateness score of 4.5-5.5). Varying levels of evidence supported each recommendation. Clinicians, patients, researchers and other stakeholders may use the definitions and recommendations to advocate for, guide, develop, test and implement person-centred evidence-based rehabilitation programmes following traumatic knee injury, and facilitate data synthesis to reduce the burden of knee post-traumatic knee OA.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
anterior cruciate ligament, meniscus, osteoarthritis, post-traumatic
in
British journal of sports medicine
volume
56
issue
24
pages
13 pages
publisher
BMJ Publishing Group
external identifiers
  • scopus:85143198614
  • pmid:36379676
ISSN
0306-3674
DOI
10.1136/bjsports-2022-106299
language
English
LU publication?
yes
id
b2239cbb-f52a-435d-9c7f-035340d40d5c
date added to LUP
2022-12-23 10:12:41
date last changed
2024-06-13 02:10:48
@article{b2239cbb-f52a-435d-9c7f-035340d40d5c,
  abstract     = {{<p>The goal of the OPTIKNEE consensus is to improve knee and overall health, to prevent osteoarthritis (OA) after a traumatic knee injury. The consensus followed a seven-step hybrid process. Expert groups conducted 7 systematic reviews to synthesise the current evidence and inform recommendations on the burden of knee injuries; risk factors for post-traumatic knee OA; rehabilitation to prevent post-traumatic knee OA; and patient-reported outcomes, muscle function and functional performance tests to monitor people at risk of post-traumatic knee OA. Draft consensus definitions, and clinical and research recommendations were generated, iteratively refined, and discussed at 6, tri-weekly, 2-hour videoconferencing meetings. After each meeting, items were finalised before the expert group (n=36) rated the level of appropriateness for each using a 9-point Likert scale, and recorded dissenting viewpoints through an anonymous online survey. Seven definitions, and 8 clinical recommendations (who to target, what to target and when, rehabilitation approach and interventions, what outcomes to monitor and how) and 6 research recommendations (research priorities, study design considerations, what outcomes to monitor and how) were voted on. All definitions and recommendations were rated appropriate (median appropriateness scores of 7-9) except for two subcomponents of one clinical recommendation, which were rated uncertain (median appropriateness score of 4.5-5.5). Varying levels of evidence supported each recommendation. Clinicians, patients, researchers and other stakeholders may use the definitions and recommendations to advocate for, guide, develop, test and implement person-centred evidence-based rehabilitation programmes following traumatic knee injury, and facilitate data synthesis to reduce the burden of knee post-traumatic knee OA.</p>}},
  author       = {{Whittaker, Jackie L. and Culvenor, Adam G. and Juhl, Carsten Bogh and Berg, Bjørnar and Bricca, Alessio and Filbay, Stephanie Rose and Holm, Pætur and Macri, Erin and Urhausen, Anouk P. and Ardern, Clare L. and Bruder, Andrea M. and Bullock, Garrett S. and Ezzat, Allison M. and Girdwood, Michael and Haberfield, Melissa and Hughes, Mick and Ingelsrud, Lina Holm and Khan, Karim M. and Le, Christina Y. and Losciale, Justin M. and Lundberg, Matilde and Miciak, Maxi and Øiestad, Britt Elin and Patterson, Brooke and Räisänen, Anu M. and Skou, Søren T. and Thorlund, Jonas Bloch and Toomey, Clodagh and Truong, Linda K. and Meer, Belle L.Van and West, Thomas James and Young, James Justin and Lohmander, L. Stefan and Emery, Carolyn and Risberg, May Arna and Van Middelkoop, Marienke and Roos, Ewa M. and Crossley, Kay M.}},
  issn         = {{0306-3674}},
  keywords     = {{anterior cruciate ligament; meniscus; osteoarthritis; post-traumatic}},
  language     = {{eng}},
  number       = {{24}},
  pages        = {{1393--1405}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{British journal of sports medicine}},
  title        = {{OPTIKNEE 2022 : Consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis}},
  url          = {{http://dx.doi.org/10.1136/bjsports-2022-106299}},
  doi          = {{10.1136/bjsports-2022-106299}},
  volume       = {{56}},
  year         = {{2022}},
}