TY - JOUR
T1 - OPTIKNEE 2022
T2 - Consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis
AU - Whittaker, Jackie L.
AU - Culvenor, Adam G.
AU - Juhl, Carsten Bogh
AU - Berg, Bjørnar
AU - Bricca, Alessio
AU - Filbay, Stephanie Rose
AU - Holm, Pætur
AU - Macri, Erin
AU - Urhausen, Anouk P.
AU - Ardern, Clare L.
AU - Bruder, Andrea M.
AU - Bullock, Garrett S.
AU - Ezzat, Allison M.
AU - Girdwood, Michael
AU - Haberfield, Melissa
AU - Hughes, Mick
AU - Ingelsrud, Lina Holm
AU - Khan, Karim M.
AU - Le, Christina Y.
AU - Losciale, Justin M.
AU - Lundberg, Matilde
AU - Miciak, Maxi
AU - Øiestad, Britt Elin
AU - Patterson, Brooke
AU - Räisänen, Anu M.
AU - Skou, Søren T.
AU - Thorlund, Jonas Bloch
AU - Toomey, Clodagh
AU - Truong, Linda K.
AU - Meer, Belle L.Van
AU - West, Thomas James
AU - Young, James Justin
AU - Lohmander, L. Stefan
AU - Emery, Carolyn
AU - Risberg, May Arna
AU - Van Middelkoop, Marienke
AU - Roos, Ewa M.
AU - Crossley, Kay M.
N1 - Publisher Copyright:
©
PY - 2022/11/15
Y1 - 2022/11/15
N2 - 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.
AB - 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.
KW - anterior cruciate ligament
KW - meniscus
KW - osteoarthritis
KW - post-traumatic
UR - http://www.scopus.com/inward/record.url?scp=85143198614&partnerID=8YFLogxK
U2 - 10.1136/bjsports-2022-106299
DO - 10.1136/bjsports-2022-106299
M3 - Article
C2 - 36379676
AN - SCOPUS:85143198614
SN - 0306-3674
VL - 56
SP - 1393
EP - 1405
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
IS - 24
ER -