ICON 2020—International Scientific Tendinopathy Symposium Consensus: the development of a core outcome set for gluteal tendinopathy

Fearon, AM; Grimaldi, A; Mellor, R; Nasser, AM; Fitzpatrick, J; Ladurner, A; Vicenzino, B

ICON 2020—International Scientific Tendinopathy Symposium Consensus: the development of a core outcome set for gluteal tendinopathy

Fearon, AM Grimaldi, A Mellor, R Nasser, AM Fitzpatrick, J Ladurner, A Vicenzino, B

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: British Journal of Sports Medicine

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Field	Value	Language
dc.contributor.author	Fearon, AM
dc.contributor.author	Grimaldi, A
dc.contributor.author	Mellor, R
dc.contributor.author	Nasser, AM
dc.contributor.author	Fitzpatrick, J
dc.contributor.author	Ladurner, A
dc.contributor.author	Vicenzino, B
dc.date.accessioned	2024-01-13T21:13:50Z
dc.date.available	2024-01-13T21:13:50Z
dc.identifier.citation	British Journal of Sports Medicine
dc.identifier.issn	0306-3674
dc.identifier.issn	1473-0480
dc.identifier.uri	http://hdl.handle.net/10453/174400
dc.description.abstract	<jats:p>Gluteal tendinopathy (GT) is common and can be debilitating and challenging to manage. A lack of condition specific and appropriate outcome measures compromise evidence synthesis for treatment and limits clinical guideline development. Our objective was to develop a core outcome measurement set for GT (COS-GT). Participants were patients with GT and expert health professionals (HPs). A scoping review identified measures used in GT research, which were mapped to the nine International Scientific Tendinopathy Symposium Consensus core domains, and included in two surveys of HPs. The first survey identified the feasible and true measures for each domain. The second survey refined the list which a patient focus group then considered. Meeting online, HPs reached consensus (agreement ≥70%) on the most appropriate COS-GT measures. 34 HPs and seven patients were recruited. 57 measures were mapped to the nine core domains. Six measures did not proceed past survey one. Of those that progressed, none had adequate clinimetric properties for a COS-GT. Thus, participants decided on interim measures: the global rating of change, pain at night, time to pain onset with single limb stance, pain with stair walking, pain self-efficacy and hip abduction strength. HP participants additionally recommended that pain over the last week, the European Quality of Life-5 dimensions-5 levels and the Victorian Institute of Sport Assessment-Gluteal be considered in clinical trials, as they currently provide best easures of the relevant tendinopathy domains. In conclusion this interim COS-GT should guide outcome measure selection in clinical practice and future research trials in patients with GT.</jats:p>
dc.language	en
dc.publisher	BMJ
dc.relation.ispartof	British Journal of Sports Medicine
dc.relation.isbasedon	10.1136/bjsports-2023-107150
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	09 Engineering, 11 Medical and Health Sciences, 13 Education
dc.subject.classification	Sport Sciences
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4207 Sports science and exercise
dc.subject.classification	5201 Applied and developmental psychology
dc.title	ICON 2020—International Scientific Tendinopathy Symposium Consensus: the development of a core outcome set for gluteal tendinopathy
dc.type	Journal Article
utslib.for	09 Engineering
utslib.for	11 Medical and Health Sciences
utslib.for	13 Education
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
utslib.copyright.status	closed_access	*
dc.date.updated	2024-01-13T21:13:48Z
pubs.publication-status	Published online

Abstract:

Gluteal tendinopathy (GT) is common and can be debilitating and challenging to manage. A lack of condition specific and appropriate outcome measures compromise evidence synthesis for treatment and limits clinical guideline development. Our objective was to develop a core outcome measurement set for GT (COS-GT). Participants were patients with GT and expert health professionals (HPs). A scoping review identified measures used in GT research, which were mapped to the nine International Scientific Tendinopathy Symposium Consensus core domains, and included in two surveys of HPs. The first survey identified the feasible and true measures for each domain. The second survey refined the list which a patient focus group then considered. Meeting online, HPs reached consensus (agreement ≥70%) on the most appropriate COS-GT measures. 34 HPs and seven patients were recruited. 57 measures were mapped to the nine core domains. Six measures did not proceed past survey one. Of those that progressed, none had adequate clinimetric properties for a COS-GT. Thus, participants decided on interim measures: the global rating of change, pain at night, time to pain onset with single limb stance, pain with stair walking, pain self-efficacy and hip abduction strength. HP participants additionally recommended that pain over the last week, the European Quality of Life-5 dimensions-5 levels and the Victorian Institute of Sport Assessment-Gluteal be considered in clinical trials, as they currently provide best easures of the relevant tendinopathy domains. In conclusion this interim COS-GT should guide outcome measure selection in clinical practice and future research trials in patients with GT.

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http://hdl.handle.net/10453/174400