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Dutch multidisciplinary guideline on Achilles tendinopathy.
de Vos, Robert-Jan; van der Vlist, Arco C; Zwerver, Johannes; Meuffels, Duncan Edward; Smithuis, Frank; van Ingen, Ronald; van der Giesen, Florus; Visser, Edwin; Balemans, Astrid; Pols, Margreet; Veen, Natasja; den Ouden, Mirre; Weir, Adam.
Afiliação
  • de Vos RJ; Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, Rotterdam, The Netherlands r.devos@erasmusmc.nl.
  • van der Vlist AC; Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.
  • Zwerver J; Center for Human Movement Sciences, University Medical Center Groningen, Groningen, The Netherlands.
  • Meuffels DE; Sports Valley, Sports Medicine, Gelderse Vallei Hospital, Ede, The Netherlands.
  • Smithuis F; Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, Rotterdam, The Netherlands.
  • van Ingen R; Department of Radiology & Nuclear Medicine, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
  • van der Giesen F; General Practice Van Ingen -Breugem, Apeldoorn, The Netherlands.
  • Visser E; Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
  • Balemans A; Sportgeneeskunde Rotterdam, Rotterdam, The Netherlands.
  • Pols M; Knowledge Institute of the Federation of Medical Specialists, Utrecht, The Netherlands.
  • Veen N; Knowledge Institute of the Federation of Medical Specialists, Utrecht, The Netherlands.
  • den Ouden M; Knowledge Institute of the Federation of Medical Specialists, Utrecht, The Netherlands.
  • Weir A; Knowledge Institute of the Federation of Medical Specialists, Utrecht, The Netherlands.
Br J Sports Med ; 55(20): 1125-1134, 2021 Oct.
Article em En | MEDLINE | ID: mdl-34187784
OBJECTIVE: To provide a comprehensive, evidence-based overview of the risk factors, prevention, diagnosis, imaging, treatment and prognosis for Achilles tendinopathy. To make clinical recommendations for healthcare practitioners and patients. DESIGN: Comprehensive multidisciplinary guideline process funded by the Quality Foundation of the Dutch Federation of Medical Specialists. This process included a development, commentary and authorisation phase. Patients participated in every phase. DATA SOURCES: Multiple databases and existing guidelines were searched up to May 2019. Information from patients, healthcare providers and other stakeholders were obtained using a digital questionnaire, focus group interview and invitational conference. STUDY ELIGIBILITY CRITERIA: Studies on both insertional and/or midportion Achilles tendinopathy were eligible. Specific eligibility criteria were described per module. DATA EXTRACTION AND SYNTHESIS: To appraise the certainty of evidence, reviewers extracted data, assessed risk of bias and used the Grading of Recommendations Assessment, Development and Evaluation method, where applicable. Important considerations were: patient values and preferences, costs, acceptability of other stakeholders and feasibility of implementation. Recommendations were made based on the results of the evidence from the literature and the considerations. PRIMARY OUTCOME MEASURE: The primary and secondary outcome measures were defined per module and defined based on the input of patients obtained in collaboration with the Netherlands Patient Federation and healthcare providers from different professions. RESULTS: Six specific modules were completed: risk factors and primary prevention, diagnosis, imaging, treatment prognosis and secondary prevention for Achilles tendinopathy. SUMMARY/CONCLUSION: Our Dutch multidisciplinary guideline on Achilles tendinopathy provides six modules developed according to the standards of the Dutch Federation of Medical Specialists. Evidence-based recommendations for clinical practice are given for risk factors, prevention, diagnosis, imaging, treatment and prognosis. This guideline can assist healthcare providers and patients in clinical practice.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tendão do Calcâneo / Guias de Prática Clínica como Assunto / Tendinopatia Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Humans País como assunto: Europa Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Tendão do Calcâneo / Guias de Prática Clínica como Assunto / Tendinopatia Tipo de estudo: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Humans País como assunto: Europa Idioma: En Ano de publicação: 2021 Tipo de documento: Article