Identifying Research Priorities in Limb Reconstruction Surgery in the United Kingdom

被引：0

作者：

Graham, Simon Matthew ^{[1
,2
]}

Trompeter, Alex ^{[3
,4
]}

Shields, David ^{[5
]}

Sharma, Hemant ^{[6
]}

Lahoti, Om ^{[7
]}

Simpson, Hamish ^{[8
]}

Dartnell, Jo ^{[9
]}

Wood, Edward ^{[10
]}

Harwood, Paul John ^{[11
,12
]}

Neo, Chryssa ^{[8
]}

Day, Stephanie Laura ^{[13
]}

Ferreira, Nando ^{[14
]}

Khattak, Mohammed ^{[15
,16
]}

Giotakis, Nikolaos ^{[17
]}

Lockey, Dawn ^{[18
]}

Kelly, Gerard ^{[19
]}

Khunda, Aiman ^{[20
]}

Wade, Anna ^{[21
]}

Narayan, Badri ^{[22
]}

Fischer, Ben ^{[22
]}

Peterson, Nick ^{[22
]}

Friend, Stephen ^{[23
]}

Barry, Matthew ^{[24
]}

Monsell, Fergal ^{[25
]}

Royston, Simon ^{[26
]}

Giles, Stephen N. ^{[27
]}

Rolfing, Jan Duedal ^{[28
]}

Wright, Jonathan ^{[29
]}

Johnson, Hayley ^{[30
]}

Kold, Soren ^{[31
]}

Phillips, Sarah ^{[32
]}

McWilliam, David ^{[32
]}

Solomin, Leonid ^{[33
]}

Taylor, David Martin ^{[34
]}

Sprott, Dominic ^{[35
]}

Johnson-Lynn, Sarah ^{[36
]}

Philpott, Matthew ^{[37
]}

Norrish, Alan R. ^{[38
]}

Ferguson, Jamie ^{[39
]}

Elmeligy, Mohamed ^{[40
]}

Elmeligy, Mohamed Fouad ^{[40
]}

Perry, Daniel Christoper ^{[15
,41
]}

Mifsud, Maximillian ^{[42
]}

Harrison, William D. ^{[43
]}

Easwaran, Parameswaran ^{[44
]}

Goodier, William David ^{[45
]}

Daglish, Fiona ^{[46
]}

McNally, Martin ^{[47
]}

Turita, Rex ^{[48
]}

Round, Joanne ^{[49
]}

机构：

[1] Univ Oxford, Oxford Trauma & Emergency Care, Nuffield Dept Orthopaed Rheumatol & Musculoskelet, Oxford, England

[2] Liverpool Univ Hosp NHS Fdn Trust, Liverpool Orthopaed & Trauma Serv, Liverpool, Merseyside, England

[3] St Georges Univ Hosp NHS Fdn Trust, London, England

[4] St Georges Univ London, London, England

[5] NHS Greater Glasgow & Clyde, Glasgow, Lanark, Scotland

[6] Hull Limb Reconstruct & Bone Infect Unit, Kingston Upon Hull, N Humberside, England

[7] Kings Coll Hosp London, Kings Limb Reconstruct Unit, London, England

[8] Royal Infirm Edinburgh NHS Trust, Edinburgh, Midlothian, Scotland

[9] Maidstone & Tunbridge Wells NHS Trust, Maidstone, Kent, England

[10] Countess Chester Hosp NHS FT, Dept Trauma & Orthopaed, Chester, Cheshire, England

[11] Leeds Teaching Hosp NHS Trust, Dept Trauma & Orthopaed, Leeds, W Yorkshire, England

[12] Univ Leeds, Sch Med, Leeds, W Yorkshire, England

[13] Leeds Teaching Hosp Trust, Leeds Plast Surg & Major Trauma Serv, Leeds, W Yorkshire, England

[14] Stellenbosch Univ, Div Orthopaed Surg, Dept Surg Sci, Fac Med & Hlth Sci, Stellenbosch, South Africa

[15] Univ Liverpool, Liverpool, Merseyside, England

[16] Liverpool Univ Teaching Hosp Trust, Liverpool Orthopaed & Trauma Serv, Liverpool, Merseyside, England

[17] Liverpool Univ Hosp NHS FT, Liverpool, Merseyside, England

[18] South Tyneside & Sunderland NHS Fdn Trust, South Tyneside, England

[19] Belfast Hlth & Social Care Trust, Belfast Limb Reconstruct Serv, Belfast, Antrim, North Ireland

[20] Salford Royal Hosp, Salford, Lancs, England

[21] Natl Orthopaed Hosp Cappagh, Dublin, Ireland

[22] Liverpool Univ Hosp NHS Fdn Trust, Liverpool, Merseyside, England

[23] St George Hosp, Major Trauma Dept, London, England

[24] Univ Hosp Southampton, Southampton, Hants, England

[25] Bristol Childrens Hosp, Bristol, Avon, England

[26] Sheffield Teaching Hosp, Sheffield, S Yorkshire, England

[27] Sheffield Childrens Hosp, Dept Orthopaed Trauma & Spinal Surg, Sheffield, S Yorkshire, England

[28] Aarhus Univ Hosp, Childrens Orthopaed & Reconstruct, Aarhus, Denmark

[29] Royal Natl Orthopaed Hosp, Stanmore, Middx, England

[30] Alder Hey Childrens NHS Trust, Liverpool, Merseyside, England

[31] Aalborg Univ Hosp, Dept Orthopaed, Aalborg, Denmark

[32] Alder Hey Childrens NHS Fdn Trust, Alder Hey Childrens Hosp, Liverpool, Merseyside, England

[33] Vreden Natl Med Res Ctr Traumatol & Orthoped, St Petersburg, Russia

[34] Leeds Gen Infirm, Leeds, W Yorkshire, England

[35] Salford Royal Fdn Trust, Trauma & Orthopaed Dept, Limb Reconstruct & Bone Infect Unit, Salford, Lancs, England

[36] Univ Hosp North Tees, Stockton On Tees, England

[37] Univ Hosp North Midlands, Stockton On Tees, England

[38] Univ Nottingham, Dept Acad Orthopaed, Queens Med Ctr, Nottingham, England

[39] Nuffield Orthopaed Ctr, Bone Infect Unit, Oxford, England

[40] Chesterfield Royal Hosp NHS Fdn Trust, Chesterfield, England

[41] Alder Hey Hosp, Liverpool, Merseyside, England

[42] Oxford Univ Hosp HS Fdn Trust, Dept Paediat Orthopaed, Oxford, England

[43] Liverpool Univ Hosp Fdn Trust, Liverpool, Merseyside, England

[44] Royal Cornwall Hosp NHS Trust, Trauma & Orthopaed, Truro, England

[45] Royal Natl Orthopaed Hosp, Stanmore, Middx, England

[46] Liverpool Univ Teaching Hosp Trust, Liverpool Limb Reconstruct Serv, Liverpool, Merseyside, England

[47] Oxford Univ Hosp, Oxford Bone Infect Unit, Oxford, England

[48] Manchester Univ NHS Fdn Trust, Manchester Adult Lower Limb Reconstruct Serv, Manchester, Lancs, England

[49] Univ Hosp Southampton, Southampton, Hants, England

[50] Univ Hosp Birmingham, Birmingham, W Midlands, England

来源：

STRATEGIES IN TRAUMA AND LIMB RECONSTRUCTION | 2024年 / 19卷 / 01期

关键词：

Deformity; Delphi; Limb reconstruction; Musculoskeletal infection; Non-union research priorities; Trauma;

D O I：

10.5005/jp-journals-10080-1598

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: Limb reconstruction surgery (LRS) has a wide range of clinical applications within orthopaedic and trauma surgery. We sought a consensus view from limb reconstruction healthcare practitioners across the United Kingdom to help guide research priorities within LRS. Our aim is to guide future clinical research in LRS, and assist healthcare practitioners, clinical academics, and funding bodies in identifying key research priorities to improve patient care. Materials and methods: A modified Delphi approach was used; it involved an initial scoping survey and a 2-round Delphi process to identify the consensus research priorities in both adult and paediatric LRS. Participants were asked to rank approved submitted questions according to perceived importance on a 5-point Likert scale, where 1 represented lowest importance and 5 indicated highest importance. Mean scores were calculated to identify a consensus of the top ten research priorities for adult and paediatric LRS. Results: One hundred and fifteen participants primarily from across the United Kingdom working in LRS contributed to the modified Delphi process. Participants ranked and then re-ranked the presented research topics in terms of perceived importance. This led to the identification of a top ten research priorities in both adult and paediatric LRS, respectively, based on the collective responses of LRS practitioners. The highest-ranked questions in both adult and paediatric practice related to how to best assess and record patient-reported outcome measures (PROMs) in LRS patients. Other priorities included the effectiveness of specialist physiotherapy, the use of patient-focused psychological support, and the use of various operative management strategies for infection and limb length discrepancies. Conclusion: We present a consensus-driven research priority study that outlines the key research topics and themes determined by healthcare professionals within LRS in the United Kingdom. Clinical significance: These questions will assist funding bodies in prioritising where research funding may be best utilised and help drive future improvement in patient care.

引用

页码：1 / 8

页数：8

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