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Core set of unfavorable events of shoulder arthroplasty: an international Delphi consensus process

Audigé, Laurent, Schwyzer, Hans-Kaspar, Durchholz, Holger, Shoulder Arthroplasty Core Event Set (SA CES) Consensus Panel and Page, Richard 2019, Core set of unfavorable events of shoulder arthroplasty: an international Delphi consensus process, Journal of shoulder and elbow surgery, vol. 28, no. 11, pp. 2061-2071, doi: 10.1016/j.jse.2019.07.021.

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Title Core set of unfavorable events of shoulder arthroplasty: an international Delphi consensus process
Author(s) Audigé, Laurent
Schwyzer, Hans-Kaspar
Durchholz, Holger
Shoulder Arthroplasty Core Event Set (SA CES) Consensus Panel
Page, RichardORCID iD for Page, Richard orcid.org/0000-0002-2225-7144
Journal name Journal of shoulder and elbow surgery
Volume number 28
Issue number 11
Start page 2061
End page 2071
Total pages 11
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2019-11
ISSN 1058-2746
1532-6500
Summary © 2019 Background: Shoulder arthroplasty (SA) complications require standardization of definitions and are not limited to events leading to revision operations. We aimed to define an international consensus core set of clinically relevant unfavorable events of SA to be documented in clinical routine practice and studies. Methods: A Delphi exercise was implemented with an international panel of experienced shoulder surgeons selected by nomination through professional societies. On the basis of a systematic review of terms and definitions and previous experience in establishing an arthroscopic rotator cuff repair core set, an organized list of SA events was developed and reviewed by panel members. After each survey, all comments and suggestions were considered to revise the proposed core set including local event groups, along with definitions, specifications, and timing of occurrence. Consensus was reached with at least two-thirds agreement. Results: Two online surveys were required to reach consensus within a panel involving 96 surgeons. Between 88% and 100% agreement was achieved separately for local event groups including 3 intraoperative (device, osteochondral, and soft tissue) and 9 postoperative event groups. Experts agreed on a documentation period that ranged from 3 to 24 months after SA for 4 event groups (peripheral neurologic, vascular, surgical-site infection, and superficial soft tissue) and that was lifelong until implant revision for other groups (device, osteochondral, shoulder instability, pain, late hematogenous infection, and deep soft tissue). Conclusion: A structured core set of local unfavorable events of SA was developed by international consensus to support the standardization of SA safety reporting. Clinical application and scientific evaluation are needed.
Language eng
DOI 10.1016/j.jse.2019.07.021
Indigenous content off
Field of Research 1103 Clinical Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30130150

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.