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Article

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

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Department of Public and Occupational Health, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands
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Coronel Institute of Occupational Health, Amsterdam UMC, Academic Medical Center, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands
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The Netherlands Organization for Applied Scientific Research, TNO, Schipholweg 77-89, 2316 ZL Leiden, The Netherlands
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Department of Obstetrics and Gynaecology, Amsterdam UMC, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
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Department of Orthopaedic Surgery, Amphia Hospital, Foundation FORCE (Foundation for Orthopaedic Research Care and Education), 4818 CK Breda, The Netherlands
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Department of Orthopaedic Surgery and Traumatology, Maxima Medical Center, 5631 BM Veldhoven, The Netherlands
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Chair Value-Based Health Care, Faculty of Paramedical Sciences, Fontys University of Applied Sciences, 5612 AR Eindhoven, The Netherlands
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Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, 5612 AZ Eindhoven, The Netherlands
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Department of Orthopaedics, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands
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Department of Orthopaedic Surgery, Amsterdam UMC, Academic Medical Center, 1105 AZ Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(14), 4952; https://doi.org/10.3390/ijerph17144952
Received: 29 May 2020 / Revised: 30 June 2020 / Accepted: 6 July 2020 / Published: 9 July 2020
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. View Full-Text
Keywords: knee replacement; convalescence recommendations; patient-tailored advice; return to work; return to sports; eHealth; m/eHealth program knee replacement; convalescence recommendations; patient-tailored advice; return to work; return to sports; eHealth; m/eHealth program
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MDPI and ACS Style

Straat, A.C.; Coenen, P.; Smit, D.J.M.; Hulsegge, G.; Bouwsma, E.V.A.; Huirne, J.A.F.; van Geenen, R.C.; Janssen, R.P.A.; Boymans, T.A.E.J.; Kerkhoffs, G.M.M.J.; Anema, J.R.; Kuijer, P.P.F.M. 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. Int. J. Environ. Res. Public Health 2020, 17, 4952. https://doi.org/10.3390/ijerph17144952

AMA Style

Straat AC, Coenen P, Smit DJM, Hulsegge G, Bouwsma EVA, Huirne JAF, van Geenen RC, Janssen RPA, Boymans TAEJ, Kerkhoffs GMMJ, Anema JR, Kuijer PPFM. 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. International Journal of Environmental Research and Public Health. 2020; 17(14):4952. https://doi.org/10.3390/ijerph17144952

Chicago/Turabian Style

Straat, A. C., 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. P.F.M. Kuijer 2020. "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" International Journal of Environmental Research and Public Health 17, no. 14: 4952. https://doi.org/10.3390/ijerph17144952

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