Evidence map›Paper›PMID 32659989›Full record

ArticleInternational journal of environmental research and public health2020

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: A Multidisciplinary Delphi Study.

A Carlien Straat, Pieter Coenen, Denise J M Smit, Gerben Hulsegge, Esther V A Bouwsma, Judith A F Huirne, Rutger C van Geenen, Rob P A Janssen, Tim A E J Boymans, Gino M M J Kerkhoffs and 2 more

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Twenty-one sports activities are recommended by the European Knee Associates (EKA) six months after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

A Carlien StraatDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands.
Pieter CoenenDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands.ORCID 0000-0002-4034-7063
Denise J M SmitDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands.
Gerben HulseggeDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands.
Esther V A BouwsmaDepartment of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0002-9010-6743
Judith A F HuirneDepartment of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0002-8248-2677
Rutger C van GeenenDepartment of Orthopaedic Surgery, Amphia Hospital, Foundation FORCE (Foundation for Orthopaedic Research Care and Education), 4818 CK Breda, The Netherlands.
Rob P A JanssenDepartment of Orthopaedic Surgery and Traumatology, Maxima Medical Center, 5631 BM Veldhoven, The Netherlands.
Tim A E J BoymansDepartment of Orthopaedics, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Gino M M J KerkhoffsDepartment of Orthopaedic Surgery, Amsterdam UMC, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands.
Johannes R AnemaDepartment of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands.
P Paul F M KuijerCoronel Institute of Occupational Health, Amsterdam UMC, Academic Medical Center, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0002-8277-3730

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

AlgorithmsArthroplasty, Replacement, KneeReturn to SportSportsTelemedicineActivities of Daily LivingDelphi TechniqueHumansPrecision Medicineconvalescence recommendationseHealthknee replacementm/eHealth programpatient-tailored advicereturn to sportsreturn to work

Identifiers

PMID32659989
PMCPMC7400285

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.