Diagnosing, managing, and supporting return to work of adults with rotator cuff disorders: Clinical practice guideline methods

Auteurs

• Joseph-Omer Dyer, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Groupe Interdisciplinaire de Recherche sur la Cognition et le Raisonnement Professionnel, Faculty of Medicine, Université de Montréal, Montreal, QC, CanadaFollow
• Patrick Doiron-Cadrin, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, CanadaFollow
• Simon Lafrance, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada
• Jean-Sébastien Roy, Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, QC, Canada, Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC, Canada
• Pierre Frémont, Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, QC, Canada
• Clermont E. Dionne, Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, Quebec City, QC, Canada, Centre de Recherche du CHU, Québec-Université Laval, Quebec City, QC, Canada
• Joy C. MacDermid, School of Physical Therapy, Western University, London, ON, Canada
• Michel Tousignant, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada, Research Centre on Aging, CIUSSS de l'Estrie, CHUS, Sherbrooke, QC, CanadaFollow
• Annie Rochette, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Center for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada
• Véronique Lowry, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada
• Marie Saulnier, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, CanadaFollow
• Tatiana Vukobrat, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, CanadaFollow
• François Desmeules, School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal Affiliated Research Center, Montreal, QC, Canada

Type de document

Études primaires

Année de publication

2022

Langue

Anglais

Titre de la revue

Journal of Orthopaedic and Sports Physical Therapy

Première page

665

Dernière page

674

Résumé

OBJECTIVES: To present the methods used to develop a clinical practice guideline (CPG) with recommendations endorsed by key stakeholders for assessing, managing, and supporting return to work for adults with rotator cuff disorders.

DESIGN: Clinical practice guideline development.

METHODS: A steering committee composed of the research team of this project led the development of this CPG in 5 phases, which followed the standards of the NICE and AGREE II collaborations. During the preparation phase (I), a multidisciplinary working committee of experts in managing rotator cuff disorders (n = 20) determined the scope and objectives of the CPG. The recommendations development phase (II) included initial knowledge synthesis, development of preliminary recommendations, systematic consultations with a multidisciplinary panel of key stakeholders (n = 51) using a modified three-round Delphi approach and drafting of the original CPG. In the external evaluation phase (III), an external committee of experts evaluated the original CPG using the AGREE II tool. In the dissemination phase (IV), the strategy for disseminating the CPG was developed and implemented. During the update phase (V), the CPG was revised based on an update of the initial knowledge synthesis.

RESULTS: Seventy-three preliminary recommendations were developed from the initial knowledge synthesis. During the Delphi consultation, all of these recommendations were endorsed, and one new recommendation was proposed by panelists. The original CPG received an overall AGREE II score of 83% from the external evaluators. In 2021, an update of the initial 2017 knowledge synthesis was conducted and 13 recommendations were revised.

CONCLUSION: The 5-phase consensus methods approach guided the development of a high-quality CPG on assessing, managing, and supporting return to work for adults with rotator cuff disorders.

Mots-clés

Maintien en emploi, Job maintenance, Épaule, Shoulder, Réadaptation physique, Physical rehabilitation, Centre de réadaptation physique, Physical rehabilitation centre, Ténopathie, Tendon disease, Méthodologie, Methodology

Numéro de projet IRSST

2016-0029

Citation recommandée

Dyer, J. O., Doiron-Cadrin, P., Lafrance, S., Roy J. S., Frémont, P., Dionne, C. E. . . . Desmeules, F. (2022). Diagnosing, managing, and supporting return to work of adults with rotator cuff disorders: Clinical practice guideline methods. Journal of Orthopaedic and Sports Physical Therapy, 52(10), 665-674. https://doi.org/10.2519/jospt.2022.11307