Journal article
Complications associated with arthroscopic rotator cuff tear repair: definition of a core event set by Delphi consensus process.
- Audigé L Research and Development Department, Schulthess Clinic, Zürich, Switzerland; Upper Extremities Department, Schulthess Clinic, Zürich, Switzerland. Electronic address: laurent.audige@kws.ch.
- Flury M Upper Extremities Department, Schulthess Clinic, Zürich, Switzerland.
- Müller AM Research and Development Department, Schulthess Clinic, Zürich, Switzerland; Department of Orthopaedic Surgery and Traumatology, University Hospital of Basel, Basel, Switzerland.
- Durchholz H
- 2016-08-07
Published in:
- Journal of shoulder and elbow surgery. - 2016
Delphi process
Shoulder
complications
core event set
rotator cuff
standardization
Arthroscopy
Delphi Technique
Documentation
Humans
Intraoperative Complications
Postoperative Complications
Rotator Cuff
Rotator Cuff Injuries
English
BACKGROUND
The literature does not consistently report on complications associated with arthroscopic rotator cuff repair (ARCR). Valid comparison of the occurrence of complications between ARCR interventions requires standardization. This project was implemented to define a core set of negative (untoward) events associated with ARCR along with their terms and definitions, which should be systematically documented and reported in routine care and clinical research.
MATERIALS AND METHODS
A Delphi consensus process was applied. An international panel of experienced shoulder surgeons was nominated through professional societies and personal contacts. On the basis of a systematic review of terms and definitions, an organized list of relevant events associated with ARCR was developed and reviewed by panel members. Between each survey, all comments and suggestions were considered to revise the proposed core set, including local event groups along with definitions, specifications, and timing of occurrence. Consensus was defined as at least two-thirds agreement.
RESULTS
Three successive online surveys were implemented involving 84 surgeons. Consensus with over 86% agreement was reached for a core list of local events including 3 intraoperative event groups (device, osteochondral, and soft tissue) and 9 postoperative event groups (device, osteochondral, pain, rotator cuff, surgical-site infection, peripheral neurologic, vascular, superficial soft tissue, and deep soft tissue). Experts agreed on a period for documentation of each event or group of events ranging from 3 to 24 months after ARCR.
CONCLUSION
A structured core set of local events associated with ARCR has been developed by international consensus. Further evaluation and validation in the context of clinical studies are required.
The literature does not consistently report on complications associated with arthroscopic rotator cuff repair (ARCR). Valid comparison of the occurrence of complications between ARCR interventions requires standardization. This project was implemented to define a core set of negative (untoward) events associated with ARCR along with their terms and definitions, which should be systematically documented and reported in routine care and clinical research.
MATERIALS AND METHODS
A Delphi consensus process was applied. An international panel of experienced shoulder surgeons was nominated through professional societies and personal contacts. On the basis of a systematic review of terms and definitions, an organized list of relevant events associated with ARCR was developed and reviewed by panel members. Between each survey, all comments and suggestions were considered to revise the proposed core set, including local event groups along with definitions, specifications, and timing of occurrence. Consensus was defined as at least two-thirds agreement.
RESULTS
Three successive online surveys were implemented involving 84 surgeons. Consensus with over 86% agreement was reached for a core list of local events including 3 intraoperative event groups (device, osteochondral, and soft tissue) and 9 postoperative event groups (device, osteochondral, pain, rotator cuff, surgical-site infection, peripheral neurologic, vascular, superficial soft tissue, and deep soft tissue). Experts agreed on a period for documentation of each event or group of events ranging from 3 to 24 months after ARCR.
CONCLUSION
A structured core set of local events associated with ARCR has been developed by international consensus. Further evaluation and validation in the context of clinical studies are required.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.jse.2016.04.036
- PMID 27496354
- Persistent URL
- https://folia.unifr.ch/global/documents/149928
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