1. 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
- Author
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Gerben Hulsegge, A. Carlien Straat, Pieter Coenen, Esther V. A. Bouwsma, Judith A.F. Huirne, Rob P.A. Janssen, Gino M. M. J. Kerkhoffs, Denise J. M. Smit, Tim A.E.J. Boymans, Rutger C. I. van Geenen, Johannes R. Anema, P. Paul F. M. Kuijer, Orthopaedic Biomechanics, Orthopedic Surgery and Sports Medicine, AMS - Amsterdam Movement Sciences, Other Research, Coronel Institute of Occupational Health, APH - Societal Participation & Health, AMS - Sports, APH - Quality of Care, Public and occupational health, Obstetrics and gynaecology, ACS - Atherosclerosis & ischemic syndromes, Amsterdam Reproduction & Development (AR&D), MUMC+: MA Orthopedie (9), and RS: SHE - R1 - Research (OvO)
- Subjects
RETURN ,Delphi Technique ,Health, Toxicology and Mutagenesis ,medicine.medical_treatment ,Delphi method ,Knee replacement ,lcsh:Medicine ,Computer-assisted web interviewing ,SDG 3 – Goede gezondheid en welzijn ,replacement ,0302 clinical medicine ,Multidisciplinary approach ,Activities of Daily Living ,030212 general & internal medicine ,Precision Medicine ,Unicompartmental knee arthroplasty ,ehealth program ,physical-activity ,Arthroplasty, Replacement, Knee ,computer.programming_language ,030222 orthopedics ,Return to sports ,Telemedicine ,Patient-tailored advice ,Algorithm ,Algorithms ,Sports ,Return to work ,gynecological surgery ,united-states ,Article ,03 medical and health sciences ,TOTAL HIP ,SDG 3 - Good Health and Well-being ,medicine ,eHealth ,Humans ,M/eHealth program ,EXPECTATIONS ,EHealth ,business.industry ,lcsh:R ,Public Health, Environmental and Occupational Health ,Arthroplasty ,Return to Sport ,Convalescence recommendations ,consensus ,business ,computer ,Delphi - Abstract
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.
- Published
- 2020