PDF(Pubmed)
Abstract：
BACKGROUND: Primary cam morphology is highly prevalent in many athlete populations, causing debilitating hip osteoarthritis in some. Existing research is mired in confusion partly because stakeholders have not agreed on key primary cam morphology elements or a prioritised research agenda. We aimed to inform a more rigorous, inclusive and evidence-based approach to research on primary cam morphology and its natural history by working towards agreement on a set of research priorities for conditions affecting the young person\'s hip.
METHODS: An international expert panel-the Young Athlete\'s Hip Research (YAHiR) Collaborative-rated research priority statements through an online two-round Delphi exercise and met online to explore areas of tension and dissent. Panellists ranked the prioritised research statements according to the Essential National Health Research (ENHR) ranking strategy. Reporting of results followed REPRISE (REporting guideline for PRIority SEtting of health).
RESULTS: A diverse Delphi panel (n=65, Delphi rounds 1 and 2; three ENHR strategy surveys: n=49; n=44; n=42) from 18 countries representing six stakeholder groups, prioritised and ranked 18 of 38 research priority statements. The prioritised statements outlined seven research domains: (1) best practice physiotherapy, (2) rehabilitation progression and return to sport, (3) exercise intervention and load management, (4) primary cam morphology prognosis and aetiology, (5) femoroacetabular impingement syndrome prognosis and aetiology, (6) diagnostic criteria, and (7) screening. The panel recommended areas of tension and dissent for the research community to focus on immediately.
CONCLUSIONS: While informing more rigorous, inclusive and evidence-based research, this consensus is a roadmap for researchers, policy-makers and funders to implement research dedicated to reducing the cost and burden of hip disease related to primary cam morphology.
METHODS: An international expert panel-the Young Athlete\'s Hip Research (YAHiR) Collaborative-rated research priority statements through an online two-round Delphi exercise and met online to explore areas of tension and dissent. Panellists ranked the prioritised research statements according to the Essential National Health Research (ENHR) ranking strategy. Reporting of results followed REPRISE (REporting guideline for PRIority SEtting of health).
RESULTS: A diverse Delphi panel (n=65, Delphi rounds 1 and 2; three ENHR strategy surveys: n=49; n=44; n=42) from 18 countries representing six stakeholder groups, prioritised and ranked 18 of 38 research priority statements. The prioritised statements outlined seven research domains: (1) best practice physiotherapy, (2) rehabilitation progression and return to sport, (3) exercise intervention and load management, (4) primary cam morphology prognosis and aetiology, (5) femoroacetabular impingement syndrome prognosis and aetiology, (6) diagnostic criteria, and (7) screening. The panel recommended areas of tension and dissent for the research community to focus on immediately.
CONCLUSIONS: While informing more rigorous, inclusive and evidence-based research, this consensus is a roadmap for researchers, policy-makers and funders to implement research dedicated to reducing the cost and burden of hip disease related to primary cam morphology.
摘要：
背景：初级凸轮形态在许多运动员群体中非常普遍，导致某些人衰弱的髋关节骨关节炎。现有研究陷入混乱，部分原因是利益相关者尚未就关键的主要凸轮形态元素或优先研究议程达成共识。我们的目标是通知一个更严格的，包容性和基于证据的方法来研究主要凸轮形态及其自然历史，通过就影响年轻人髋关节的一系列研究重点达成一致。
方法：国际专家小组-青年运动员髋关节研究（YAHiR）通过在线两轮Delphi练习进行合作评估的研究优先陈述，并在线开会以探索紧张和异议的领域。小组成员根据基本国家健康研究（ENHR）排名策略对优先研究声明进行排名。结果报告遵循REPRISE（健康优先排序指南）。
结果：来自代表六个利益相关者团体的18个国家的不同的Delphi小组（n=65，Delphi第1和第2轮；三个ENHR战略调查：n=49；n=44；n=42），在38项研究优先陈述中排名18。优先陈述概述了七个研究领域：（1）最佳实践物理治疗，（2）康复进展和恢复运动，(3)运动干预和负荷管理,(4)主要凸轮形态预后和病因，（5）股骨髋臼撞击综合征的预后和病因，（6）诊断标准，（7）筛选。小组建议研究界立即关注紧张和异议的领域。
结论：虽然通知更严格，包容性和循证研究，这种共识是研究人员的路线图，政策制定者和资助者实施致力于减少与初级凸轮形态学相关的髋部疾病的成本和负担的研究。
方法：国际专家小组-青年运动员髋关节研究（YAHiR）通过在线两轮Delphi练习进行合作评估的研究优先陈述，并在线开会以探索紧张和异议的领域。小组成员根据基本国家健康研究（ENHR）排名策略对优先研究声明进行排名。结果报告遵循REPRISE（健康优先排序指南）。
结果：来自代表六个利益相关者团体的18个国家的不同的Delphi小组（n=65，Delphi第1和第2轮；三个ENHR战略调查：n=49；n=44；n=42），在38项研究优先陈述中排名18。优先陈述概述了七个研究领域：（1）最佳实践物理治疗，（2）康复进展和恢复运动，(3)运动干预和负荷管理,(4)主要凸轮形态预后和病因，（5）股骨髋臼撞击综合征的预后和病因，（6）诊断标准，（7）筛选。小组建议研究界立即关注紧张和异议的领域。
结论：虽然通知更严格，包容性和循证研究，这种共识是研究人员的路线图，政策制定者和资助者实施致力于减少与初级凸轮形态学相关的髋部疾病的成本和负担的研究。
