RT Journal Article
SR Electronic
T1 OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP 1393
OP 1405
DO 10.1136/bjsports-2022-106299
VO 56
IS 24
A1 Whittaker, Jackie L
A1 Culvenor, Adam G
A1 Juhl, Carsten Bogh
A1 Berg, Bjørnar
A1 Bricca, Alessio
A1 Filbay, Stephanie Rose
A1 Holm, Pætur
A1 Macri, Erin
A1 Urhausen, Anouk P
A1 Ardern, Clare L
A1 Bruder, Andrea M
A1 Bullock, Garrett S
A1 Ezzat, Allison M
A1 Girdwood, Michael
A1 Haberfield, Melissa
A1 Hughes, Mick
A1 Ingelsrud, Lina Holm
A1 Khan, Karim M
A1 Le, Christina Y
A1 Losciale, Justin M
A1 Lundberg, Matilde
A1 Miciak, Maxi
A1 Øiestad, Britt Elin
A1 Patterson, Brooke
A1 Räisänen, Anu M
A1 Skou, Søren T
A1 Thorlund, Jonas Bloch
A1 Toomey, Clodagh
A1 Truong, Linda K
A1 Meer, Belle L. van
A1 West, Thomas James
A1 Young, James Justin
A1 Lohmander, L Stefan
A1 Emery, Carolyn
A1 Risberg, May Arna
A1 van Middelkoop, Marienke
A1 Roos, Ewa M
A1 Crossley, Kay M
YR 2022
UL http://bjsm.bmj.com/content/56/24/1393.abstract
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.