Osteoarthritis

Multi-centre modified Delphi exercise to identify candidate items for classifying early-stage symptomatic knee osteoarthritis

Osteoarthritis CartilagePublished Modified Delphi consensus study

An erratum to this article was published (Osteoarthritis Cartilage, Apr 2025 ↗)

Authors' conclusion

We identified 77 items that OA experts consider potentially useful for EsSKOA classification. The results highlight experts' uncertainty around item usefulness.

Study context

Population
Osteoarthritis (OA) clinicians and researchers ("OA experts")113 (88%) completed all rounds
Participants
128 clinicians
Outcome
Candidate items retained (median usefulness score >5 and ≥33.3% rating the item useful [7 to 9]) for Early-stage Symptomatic Knee Osteoarthritis (EsSKOA) classification
Follow-up
After Round 3
Methodological detailsthree-round, online, international, multicentre
  • Three-round
  • Online
  • International
  • Multicentre

Recommendations

As reported in the abstract

Items retained for EsSKOA classification
Items retained, spanning demographics, symptoms, physical exam, performance-based measures, imaging, laboratory investigations, gross inspection/arthroscopy
77
Prior knee joint injury, median usefulness score
8
Diagnosis of OA in a different joint, median usefulness score
7
Activity-related knee pain, median usefulness score
7
Most frequent IQR
3

Original publication

Multi-centre modified Delphi exercise to identify candidate items for classifying early-stage symptomatic knee osteoarthritis. Osteoarthritis Cartilage. Published 8 November 2024. doi:10.1016/j.joca.2024.10.016

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