PDF(Pubmed)
Abstract：
BACKGROUND: The Osteoarthritis Action Alliance formed a secondary prevention task group to develop a consensus on secondary prevention recommendations to reduce the risk of osteoarthritis after a knee injury.
UNASSIGNED: Our goal was to provide clinicians with secondary prevention recommendations that are intended to reduce the risk of osteoarthritis after a person has sustained an anterior cruciate ligament injury. Specifically, this manuscript describes our methods, literature reviews, and dissenting opinions to elaborate on the rationale for our recommendations and to identify critical gaps.
METHODS: Consensus process.
METHODS: Virtual video conference calls and online voting.
METHODS: The Secondary Prevention Task Group consisted of 29 members from various clinical backgrounds.
METHODS: The group initially convened online in August 2020 to discuss the target population, goals, and key topics. After a second call, the task group divided into 9 subgroups to draft the recommendations and supportive text for crucial content areas. Twenty-one members completed 2 rounds of voting and revising the recommendations and supportive text between February and April 2021. A virtual meeting was held to review the wording of the recommendations and obtain final votes. We defined consensus as >80% of voting members supporting a proposed recommendation.
RESULTS: The group achieved consensus on 15 of 16 recommendations. The recommendations address patient education, exercise and rehabilitation, psychological skills training, graded-exposure therapy, cognitive-behavioral counseling (lacked consensus), outcomes to monitor, secondary injury prevention, system-level social support, leveraging technology, and coordinated care models.
CONCLUSIONS: This consensus statement reflects information synthesized from an interdisciplinary group of experts based on the best available evidence from the literature or personal experience. We hope this document raises awareness among clinicians and researchers to take steps to mitigate the risk of osteoarthritis after an anterior cruciate ligament injury.
UNASSIGNED: Our goal was to provide clinicians with secondary prevention recommendations that are intended to reduce the risk of osteoarthritis after a person has sustained an anterior cruciate ligament injury. Specifically, this manuscript describes our methods, literature reviews, and dissenting opinions to elaborate on the rationale for our recommendations and to identify critical gaps.
METHODS: Consensus process.
METHODS: Virtual video conference calls and online voting.
METHODS: The Secondary Prevention Task Group consisted of 29 members from various clinical backgrounds.
METHODS: The group initially convened online in August 2020 to discuss the target population, goals, and key topics. After a second call, the task group divided into 9 subgroups to draft the recommendations and supportive text for crucial content areas. Twenty-one members completed 2 rounds of voting and revising the recommendations and supportive text between February and April 2021. A virtual meeting was held to review the wording of the recommendations and obtain final votes. We defined consensus as >80% of voting members supporting a proposed recommendation.
RESULTS: The group achieved consensus on 15 of 16 recommendations. The recommendations address patient education, exercise and rehabilitation, psychological skills training, graded-exposure therapy, cognitive-behavioral counseling (lacked consensus), outcomes to monitor, secondary injury prevention, system-level social support, leveraging technology, and coordinated care models.
CONCLUSIONS: This consensus statement reflects information synthesized from an interdisciplinary group of experts based on the best available evidence from the literature or personal experience. We hope this document raises awareness among clinicians and researchers to take steps to mitigate the risk of osteoarthritis after an anterior cruciate ligament injury.
摘要：
背景：骨关节炎行动联盟成立了二级预防工作组，就二级预防建议达成共识，以降低膝关节损伤后骨关节炎的风险。
■我们的目标是为临床医生提供二级预防建议，旨在降低患者前交叉韧带损伤后骨关节炎的风险。具体来说,这份手稿描述了我们的方法，文献综述，和不同意见，以阐述我们建议的理由，并找出关键差距。
方法：共识过程。
方法：虚拟视频电话会议和在线投票。
方法：二级预防工作组由29名来自不同临床背景的成员组成。
方法：该小组最初于2020年8月在线召集，讨论目标人群，目标,和关键主题。第二次通话后，工作组分为9个小组，为关键内容领域起草建议和支持性案文。21名成员在2021年2月至4月期间完成了两轮投票，并修订了建议和支持文本。举行了一次虚拟会议，以审查建议的措词并获得最终表决。我们将共识定义为>80%的投票成员支持拟议的建议。
结果：该小组就16项建议中的15项达成了共识。这些建议涉及患者教育，锻炼和康复，心理技能训练,分级暴露疗法，认知行为咨询（缺乏共识），监测结果，二次伤害预防,系统层面的社会支持，利用技术，和协调的护理模式。
结论：这一共识声明反映了跨学科专家组根据文献或个人经验中的最佳证据综合的信息。我们希望这份文件能提高临床医生和研究人员的认识，采取措施减轻前交叉韧带损伤后骨关节炎的风险。
■我们的目标是为临床医生提供二级预防建议，旨在降低患者前交叉韧带损伤后骨关节炎的风险。具体来说,这份手稿描述了我们的方法，文献综述，和不同意见，以阐述我们建议的理由，并找出关键差距。
方法：共识过程。
方法：虚拟视频电话会议和在线投票。
方法：二级预防工作组由29名来自不同临床背景的成员组成。
方法：该小组最初于2020年8月在线召集，讨论目标人群，目标,和关键主题。第二次通话后，工作组分为9个小组，为关键内容领域起草建议和支持性案文。21名成员在2021年2月至4月期间完成了两轮投票，并修订了建议和支持文本。举行了一次虚拟会议，以审查建议的措词并获得最终表决。我们将共识定义为>80%的投票成员支持拟议的建议。
结果：该小组就16项建议中的15项达成了共识。这些建议涉及患者教育，锻炼和康复，心理技能训练,分级暴露疗法，认知行为咨询（缺乏共识），监测结果，二次伤害预防,系统层面的社会支持，利用技术，和协调的护理模式。
结论：这一共识声明反映了跨学科专家组根据文献或个人经验中的最佳证据综合的信息。我们希望这份文件能提高临床医生和研究人员的认识，采取措施减轻前交叉韧带损伤后骨关节炎的风险。
