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Evidence‐based guidelines for intra‐articular injection in knee osteoarthritis: Formulating and evaluating research questions
Author(s) -
Xing Dan,
Wang Qi,
Yang Ziyi,
Hou Yunfei,
Zhang Wei,
Chen Yaolong,
Lin Jianhao
Publication year - 2018
Publication title -
international journal of rheumatic diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.795
H-Index - 41
eISSN - 1756-185X
pISSN - 1756-1841
DOI - 10.1111/1756-185x.13367
Subject(s) - medicine , guideline , framing (construction) , clinical practice , medical physics , alternative medicine , physical therapy , medical education , management science , pathology , structural engineering , engineering , economics
Objective To formulate and evaluate clinical questions about intra‐articular injection for knee osteoarthritis in developing clinical practice guidelines and to introduce a new methodology for framing relevant questions. Methods We framed the clinical questions and evaluated the importance of these questions according to the following four steps: (a) first round questionnaire survey intended to get the clinical questions from doctors; (b) evaluating importance of questions via second round questionnaire survey intended to summarize and rank the clinical questions; (c) consensus conference was conducted by clinical and methodological experts; and (d) confirm the important clinical questions according to PICO (Patients, Intervention, Comparison and Outcomes) principles. Results After the first round questionnaire survey, the number of clinical questions was 26. Thirteen of these 26 questions were regarded as important questions by the second questionnaire survey. Ultimately, the 13 important clinical questions were determined in a consensus conference. All included questions were deconstructed by clinical experts and methodologists based on the PICO principles. Conclusion The present study describes an approach about the selection of clinical questions and importance evaluation. Relevant important clinical questions about intra‐articular injection for knee osteoarthritis are determined according to the methodology. It could help other guideline developers to utilize this method to frame clinical questions.