Research priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind Alliance
<p><strong>Objective:</strong> To determine research priorities in fragility fractures of the lower limb and pelvis, which represent the shared priorities of patients, their friends and families, carers, and healthcare professionals.</p> <p><strong>Design/Setting:...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Journal article |
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BMJ Journals
2018
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| _version_ | 1826260308857978880 |
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| author | Fernandez, M Arnel, L Gould, J McGibbon, A Grant, R Bell, P White, S Baxter, M Griffin, X Chesser, T Keene, D Kearney, R White, C Costa, M |
| author_facet | Fernandez, M Arnel, L Gould, J McGibbon, A Grant, R Bell, P White, S Baxter, M Griffin, X Chesser, T Keene, D Kearney, R White, C Costa, M |
| author_sort | Fernandez, M |
| collection | OXFORD |
| description | <p><strong>Objective:</strong> To determine research priorities in fragility fractures of the lower limb and pelvis, which represent the shared priorities of patients, their friends and families, carers, and healthcare professionals.</p> <p><strong>Design/Setting:</strong> A national (UK) research Priority Setting Partnership. Participants: Patients: over 60 years of age who have experienced a fragility fracture of the lower limb or pelvis; carers involved in their care (both in and out of hospital); family and friends of patients; healthcare professionals involved in the treatment of these patients including but not limited to surgeons, anaesthetists, paramedics, nurses, general practitioners, physicians, physiotherapists, and occupational therapists.</p> <p><strong>Methods:</strong> Using a multi-phase methodology in partnership with the James Lind Alliance over 18-months (August 2016 - January 2018), a national scoping survey asked respondents to submit their research uncertainties. These were amalgamated into a smaller number of research questions. The existing evidence was searched to ensure that the questions had not been answered. A second national survey asked respondents to prioritise the research questions. A final shortlist of 25 questions was taken to a multi-stakeholder workshop where a consensus was reached on the top 10 priorities.</p> <p><strong>Results:</strong> There were 963 original uncertainties submitted by 365 respondents to the first survey. These original uncertainties were refined into 88 research questions of which 76 were judged to be true uncertainties following a review of the research evidence. Healthcare professionals and other stakeholders (patients, carers, friends and families) were represented equally in the responses. The top ten represent uncertainties in rehabilitation, pain management, anaesthesia, and surgery.</p> <p><strong>Conclusions:</strong> We report the top 10 UK research priorities in patients with fragility fractures of the lower limb and pelvis. The priorities highlight uncertainties in rehabilitation, postoperative physiotherapy, pain, weight bearing, infection, and thromboprophylaxis. The challenge now is to refine and deliver answers to these research priorities.</p> |
| first_indexed | 2024-03-06T19:03:34Z |
| format | Journal article |
| id | oxford-uuid:145e4cd6-3d89-40d6-88cc-b6c35bda583d |
| institution | University of Oxford |
| last_indexed | 2024-03-06T19:03:34Z |
| publishDate | 2018 |
| publisher | BMJ Journals |
| record_format | dspace |
| spelling | oxford-uuid:145e4cd6-3d89-40d6-88cc-b6c35bda583d2022-03-26T10:19:24ZResearch priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind AllianceJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:145e4cd6-3d89-40d6-88cc-b6c35bda583dSymplectic Elements at OxfordBMJ Journals2018Fernandez, MArnel, LGould, JMcGibbon, AGrant, RBell, PWhite, SBaxter, MGriffin, XChesser, TKeene, DKearney, RWhite, CCosta, M<p><strong>Objective:</strong> To determine research priorities in fragility fractures of the lower limb and pelvis, which represent the shared priorities of patients, their friends and families, carers, and healthcare professionals.</p> <p><strong>Design/Setting:</strong> A national (UK) research Priority Setting Partnership. Participants: Patients: over 60 years of age who have experienced a fragility fracture of the lower limb or pelvis; carers involved in their care (both in and out of hospital); family and friends of patients; healthcare professionals involved in the treatment of these patients including but not limited to surgeons, anaesthetists, paramedics, nurses, general practitioners, physicians, physiotherapists, and occupational therapists.</p> <p><strong>Methods:</strong> Using a multi-phase methodology in partnership with the James Lind Alliance over 18-months (August 2016 - January 2018), a national scoping survey asked respondents to submit their research uncertainties. These were amalgamated into a smaller number of research questions. The existing evidence was searched to ensure that the questions had not been answered. A second national survey asked respondents to prioritise the research questions. A final shortlist of 25 questions was taken to a multi-stakeholder workshop where a consensus was reached on the top 10 priorities.</p> <p><strong>Results:</strong> There were 963 original uncertainties submitted by 365 respondents to the first survey. These original uncertainties were refined into 88 research questions of which 76 were judged to be true uncertainties following a review of the research evidence. Healthcare professionals and other stakeholders (patients, carers, friends and families) were represented equally in the responses. The top ten represent uncertainties in rehabilitation, pain management, anaesthesia, and surgery.</p> <p><strong>Conclusions:</strong> We report the top 10 UK research priorities in patients with fragility fractures of the lower limb and pelvis. The priorities highlight uncertainties in rehabilitation, postoperative physiotherapy, pain, weight bearing, infection, and thromboprophylaxis. The challenge now is to refine and deliver answers to these research priorities.</p> |
| spellingShingle | Fernandez, M Arnel, L Gould, J McGibbon, A Grant, R Bell, P White, S Baxter, M Griffin, X Chesser, T Keene, D Kearney, R White, C Costa, M Research priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind Alliance |
| title | Research priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind Alliance |
| title_full | Research priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind Alliance |
| title_fullStr | Research priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind Alliance |
| title_full_unstemmed | Research priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind Alliance |
| title_short | Research priorities in fragility fractures of the lower limb and pelvis: A UK priority setting partnership with the James Lind Alliance |
| title_sort | research priorities in fragility fractures of the lower limb and pelvis a uk priority setting partnership with the james lind alliance |
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