Journal Article

AQUILA: assessment of quality in lower limb arthroplasty. An expert Delphi consensus for total knee and total hip arthroplasty

Van der Linden-Van der Zwaag, Henrica MJ, Nelissen, Rob GHH, Pijls, Bart G, Dekkers, Olaf M, Valstar, Edward R, van der Heide, Huub JL, Middeldorp, Saskia

2011

Overview

Background In the light of both the importance and large numbers of case series and cohort studies (observational studies) in orthopaedic literature, it is remarkable that there is currently no validated measurement tool to appraise their quality. A Delphi approach was used to develop a checklist for reporting quality, methodological quality and generalizability of case series and cohorts in total hip and total knee arthroplasty with a focus on aseptic loosening. Methods A web-based Delphi was conducted consisting of two internal rounds and three external rounds in order to achieve expert consensus on items considered relevant for reporting quality, methodological quality and generalizability. Results The internal rounds were used to construct a master list. The first external round was completed by 44 experts, 35 of them completed the second external round and 33 of them completed the third external round. Consensus was reached on an 8-item reporting quality checklist, a 6-item methodological checklist and a 22-item generalizability checklist. Conclusions Checklist for reporting quality, methodological quality and generalizability for case series and cohorts in total hip and total knee arthroplasty were successfully created through this Delphi. These checklists should improve the accuracy, completeness and quality of case series and cohorts regarding total hip and total knee arthroplasty.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Arthroplasty (knee) / Arthroplasty, Replacement, Hip - adverse effects / Arthroplasty, Replacement, Hip - standards / Arthroplasty, Replacement, Knee - adverse effects / Arthroplasty, Replacement, Knee - standards / Bone implants / Case-Control Studies / Check lists / Cohort Studies / Delphi Technique / Epidemiology / Experts / Generalizability / Hip / Hip Joint - surgery / Humans / Internal Medicine / Internet / Joint surgery / Knee / Knee Joint - surgery / Medicine / Medicine & Public Health / Methodological Quality / Orthopedics / Orthopedics and biomechanics / Postoperative Complications - epidemiology / Postoperative Complications - etiology / Prostheses / Prosthesis Failure - adverse effects / Prosthesis Failure - etiology / Prosthesis Failure - trends / Quality / Quality Assurance, Health Care - methods / Rehabilitation / Reporting Quality / Research Article / Research methodology / Rheumatology / Sports Medicine / Surgeons / Survival analysis / Systematic review / Total Hip Arthroplasty / Total Knee Arthroplasty / Validity / Working groups