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Dutch multidisciplinary guideline on Achilles tendinopathy
British Journal of Sports Medicine ( IF 18.4 ) Pub Date : 2021-10-01 , DOI: 10.1136/bjsports-2020-103867
Robert-Jan de Vos 1 , Arco C van der Vlist 2 , Johannes Zwerver 3, 4 , Duncan Edward Meuffels 2 , Frank Smithuis 5 , Ronald van Ingen 6 , Florus van der Giesen 7 , Edwin Visser 8 , Astrid Balemans 9 , Margreet Pols 9 , Natasja Veen 9 , Mirre den Ouden 9 , Adam Weir 2, 10, 11
Affiliation  

Objective To provide a comprehensive, evidence-based overview of the risk factors, prevention, diagnosis, imaging, treatment and prognosis for Achilles tendinopathy. To make clinical recommendations for healthcare practitioners and patients. Design Comprehensive multidisciplinary guideline process funded by the Quality Foundation of the Dutch Federation of Medical Specialists. This process included a development, commentary and authorisation phase. Patients participated in every phase. Data sources Multiple databases and existing guidelines were searched up to May 2019. Information from patients, healthcare providers and other stakeholders were obtained using a digital questionnaire, focus group interview and invitational conference. Study eligibility criteria Studies on both insertional and/or midportion Achilles tendinopathy were eligible. Specific eligibility criteria were described per module. Data extraction and synthesis To appraise the certainty of evidence, reviewers extracted data, assessed risk of bias and used the Grading of Recommendations Assessment, Development and Evaluation method, where applicable. Important considerations were: patient values and preferences, costs, acceptability of other stakeholders and feasibility of implementation. Recommendations were made based on the results of the evidence from the literature and the considerations. Primary outcome measure The primary and secondary outcome measures were defined per module and defined based on the input of patients obtained in collaboration with the Netherlands Patient Federation and healthcare providers from different professions. Results Six specific modules were completed: risk factors and primary prevention, diagnosis, imaging, treatment prognosis and secondary prevention for Achilles tendinopathy. Summary/conclusion Our Dutch multidisciplinary guideline on Achilles tendinopathy provides six modules developed according to the standards of the Dutch Federation of Medical Specialists. Evidence-based recommendations for clinical practice are given for risk factors, prevention, diagnosis, imaging, treatment and prognosis. This guideline can assist healthcare providers and patients in clinical practice.

中文翻译:

荷兰跟腱病多学科指南

目的对跟腱病的危险因素、预防、诊断、影像学、治疗和预后进行全面、循证的概述。为医疗保健从业者和患者提供临床建议。设计由荷兰医学专家联合会质量基金会资助的综合多学科指南流程。这个过程包括开发、评论和授权阶段。患者参与了每个阶段。数据来源 搜索了截至 2019 年 5 月的多个数据库和现有指南。使用数字问卷、焦点小组访谈和邀请会议获得了来自患者、医疗保健提供者和其他利益相关者的信息。研究资格标准 对插入性和/或中部跟腱病的研究均符合资格。每个模块描述了具体的资格标准。数据提取和综合 为了评估证据的确定性,审稿人提取数据,评估偏倚风险,并在适用的情况下使用推荐分级评估、制定和评估方法。重要的考虑因素是:患者的价值观和偏好、成本、其他利益相关者的可接受性和实施的可行性。建议是根据文献证据的结果和考虑因素提出的。主要结果测量 主要和次要结果测量按模块定义,并根据与荷兰患者联合会和来自不同专业的医疗保健提供者合作获得的患者输入进行定义。结果 完成了六个特定模块:跟腱病的危险因素和一级预防、诊断、影像学、治疗预后和二级预防。总结/结论 我们的荷兰跟腱病多学科指南提供了根据荷兰医学专家联合会标准开发的六个模块。针对危险因素、预防、诊断、影像学、治疗和预后给出了临床实践的循证建议。该指南可以帮助医疗保健提供者和患者进行临床实践。针对危险因素、预防、诊断、影像学、治疗和预后给出了临床实践的循证建议。该指南可以帮助医疗保健提供者和患者进行临床实践。针对危险因素、预防、诊断、影像学、治疗和预后给出了临床实践的循证建议。该指南可以帮助医疗保健提供者和患者进行临床实践。
更新日期:2021-09-30
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