Development of a Personalized m/eHealth Algorithm for the Resumption of Activities of Daily Life Including Work and Sport after Total and Unicompartmental Knee Arthroplasty: A Multidisciplinary Delphi Study

A. Carlien Straat, Pieter Coenen, Denise J. M. Smit, Gerben Hulsegge, Esther V. A. Bouwsma, Judith A. F. Huirne, Rutger C. van Geenen, Rob P. A. Janssen, Tim A. E. J. Boymans, Gino M. M. J. Kerkhoffs, Johannes R. Anema and P. Paul F. M. Kuijer
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A. Carlien Straat: Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands
Pieter Coenen: Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands
Denise J. M. Smit: Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands
Gerben Hulsegge: Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands
Esther V. A. Bouwsma: Department of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
Judith A. F. Huirne: Department of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
Rutger C. van Geenen: Department of Orthopaedic Surgery, Amphia Hospital, Foundation FORCE (Foundation for Orthopaedic Research Care and Education), 4818 CK Breda, The Netherlands
Rob P. A. Janssen: Department of Orthopaedic Surgery and Traumatology, Maxima Medical Center, 5631 BM Veldhoven, The Netherlands
Tim A. E. J. Boymans: Department of Orthopaedics, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands
Gino M. M. J. Kerkhoffs: Department of Orthopaedic Surgery, Amsterdam UMC, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands
Johannes R. Anema: Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands
P. Paul F. M. Kuijer: Coronel Institute of Occupational Health, Amsterdam UMC, Academic Medical Center, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands

IJERPH, 2020, vol. 17, issue 14, 1-15

Abstract: Evidence for recommendations concerning the resumption of activities of daily life, including work and sport, after knee arthroplasty is lacking. Therefore, recommendations vary considerably between hospitals and healthcare professionals. We aimed to obtain multidisciplinary consensus for such recommendations. Using a Delphi procedure, we strived to reach consensus among a multidisciplinary expert panel of six orthopaedic surgeons, three physical therapists, five occupational physicians and one physician assistant on recommendations regarding the resumption of 27 activities of daily life. The Delphi procedure involved three online questionnaire rounds and one face-to-face consensus meeting. In each of these four rounds, experts independently decided at what time daily life activities could feasibly and safely be resumed after knee arthroplasty. We distinguished patients with a fast, average and slow recovery. After four Delphi rounds, the expert panel reached consensus for all 27 activities. For example, experts agreed that total knee arthroplasty patients with a fast recovery could resume cycling six weeks after the surgery, while those with an average and slow recovery could resume this activity after nine and twelve weeks, respectively. The consensus recommendations will subsequently be integrated into an algorithm of a personalized m/eHealth portal to enhance recovery among knee arthroplasty patients.

Keywords: knee replacement; convalescence recommendations; patient-tailored advice; return to work; return to sports; eHealth; m/eHealth program (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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