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dc.contributor.authorVicenzino, B
dc.contributor.authorDe Vos, RJ
dc.contributor.authorAlfredson, H
dc.contributor.authorBahr, R
dc.contributor.authorCook, JL
dc.contributor.authorCoombes, BK
dc.contributor.authorFu, SN
dc.contributor.authorGravare Silbernagel, K
dc.contributor.authorGrimaldi, A
dc.contributor.authorLewis, JS
dc.contributor.authorMaffulli, N
dc.contributor.authorMagnusson, SP
dc.contributor.authorMalliaras, P
dc.contributor.authorMc Auliffe, S
dc.contributor.authoret al.
dc.date.accessioned2020-01-31T03:14:13Z
dc.date.available2020-01-31T03:14:13Z
dc.date.issued2019
dc.identifier.issn0306-3674en_US
dc.identifier.doi10.1136/bjsports-2019-100894en_US
dc.identifier.urihttp://hdl.handle.net/10072/391035
dc.description.abstractBackground: The absence of any agreed-upon tendon health-related domains hampers advances in clinical tendinopathy research. This void means that researchers report a very wide range of outcome measures inconsistently. As a result, substantial synthesis/meta-analysis of tendon research findings is almost futile despite researchers publishing busily. We aimed to determine options for, and then define, core health-related domains for tendinopathy. Methods: We conducted a Delphi study of healthcare professionals (HCP) and patients in a three-stage process. In stage 1, we extracted candidate domains from clinical trial reports and developed an online survey. Survey items took the form: € The € candidate domain' is important enough to be included as a core health-related domain of tendinopathy'; response options were: agree, disagree, or unsure. In stage 2, we administered the online survey and reported the findings. Stage 3 consisted of discussions of the findings of the survey at the ICON (International Scientific Tendinopathy Symposium Consensus) meeting. We set 70% participant agreement as the level required for a domain to be considered € core'; similarly, 70% agreement was required for a domain to be relegated to € not core' (see Results next). Results: Twenty-eight HCP (92% of whom had >10 years of tendinopathy experience, 71% consulted >10 cases per month) and 32 patients completed the online survey. Fifteen HCP and two patients attended the consensus meeting. Of an original set of 24 candidate domains, the ICON group deemed nine domains to be core. These were: (1) patient rating of condition, (2) participation in life activities (day to day, work, sport), (3) pain on activity/loading, (4) function, (5) psychological factors, (6) physical function capacity, (7) disability, (8) quality of life and (9) pain over a specified time. Two of these (2, 6) were an amalgamation of five candidate domains. We agreed that seven other candidate domains were not core domains: range of motion, pain on clinician applied test, clinical examination, palpation, drop out, sensory modality pain and pain without other specification. We were undecided on the other five candidate domains of physical activity, structure, medication use, adverse effects and economic impact. Conclusion: Nine core domains for tendon research should guide reporting of outcomes in clinical trials. Further research should determine the best outcome measures for each specific tendinopathy (ie, core outcome sets).en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherBMJ Publishing Group Ltden_US
dc.publisher.placeUnited Kingdom
dc.relation.ispartofjournalBritish Journal of Sports Medicineen_US
dc.subject.fieldofresearchClinical Sciencesen_US
dc.subject.fieldofresearchMedical and Health Sciencesen_US
dc.subject.fieldofresearchEngineeringen_US
dc.subject.fieldofresearchEducationen_US
dc.subject.fieldofresearchcode1103en_US
dc.subject.fieldofresearchcode11en_US
dc.subject.fieldofresearchcode09en_US
dc.subject.fieldofresearchcode13en_US
dc.subject.keywordsConsensusen_US
dc.subject.keywordsEvidence baseden_US
dc.subject.keywordsMeasurementen_US
dc.subject.keywordsTendinopathyen_US
dc.subject.keywordsTreatmenten_US
dc.titleICON 2019 - International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patientsen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationVicenzino, B; De Vos, RJ; Alfredson, H; Bahr, R; Cook, JL; Coombes, BK; Fu, SN; Gravare Silbernagel, K; Grimaldi, A; Lewis, JS; Maffulli, N; Magnusson, SP; Malliaras, P; Mc Auliffe, S; Oei, EHG; Purdam, C; Rees, JD; Rio, EK; Scott, A; Speed, C; Akker-Scheek, IVD; Weir, A; Wolf, JM; Zwerver, J, ICON 2019 - International Scientific Tendinopathy Symposium Consensus: There are nine core health-related domains for tendinopathy (CORE DOMAINS): Delphi study of healthcare professionals and patients, British Journal of Sports Medicine, 2019en_US
dcterms.dateAccepted2019-09-15
dc.date.updated2020-01-30T22:24:50Z
dc.description.versionPost-printen_US
gro.description.notepublic© The Author(s) 2019. This is the author-manuscript version of this paper. It is posted here with permission of the copyright owner(s) for your personal use only. No further distribution permitted. For information about this journal please refer to the publisher’s website or contact the author(s).en_US
gro.hasfulltextFull Text
gro.griffith.authorCoombes, Brooke K.


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