Gelfer, Y, Leo, DG, Russell, A, Bridgens, A, Perry, DC 
ORCID: 0000-0001-8420-8252 and Eastwood, DM
(2022)
The outcomes of idiopathic congenital talipes equinovarus A CORE OUTCOME SET FOR RESEARCH AND TREATMENT
BONE & JOINT OPEN, 3 (1).
pp. 98-106.
ISSN 2633-1462, 2633-1462
Abstract
Aims To identify the minimum set of outcomes that should be collected in clinical practice and reported in research related to the care of children with idiopathic congenital talipes equinovarus (CTEV). Methods A list of outcome measurement tools (OMTs) was obtained from the literature through a systematic review. Further outcomes were collected from patients and families through a questionnaire and interview process. The combined list, as well as the appropriate followup timepoint, was rated for importance in a two-round Delphi process that included an international group of orthopaedic surgeons, physiotherapists, nurse practitioners, patients, and families. Outcomes that reached no consensus during the Delphi process were further discussed and scored for inclusion/exclusion in a final consensus meeting involving international stakeholder representatives of practitioners, families, and patient charities. Results In total, 39 OMTs were included from the systematic review. Two additional OMTs were identified from the interviews and questionnaires, and four were added after round one Delphi. Overall, 22 OMTs reached ‘consensus in' during the Delphi and two reached ‘consensus out'; 21 OMTs reached ‘no consensus' and were included in the final consensus meeting. In all, 21 participants attended the consensus meeting, including a wide diversity of clubfoot practitioners, parent/patient representative, and an independent chair. A total of 21 outcomes were discussed and voted upon; six were voted ‘in' and 15 were voted ‘out'. The final COS document includes nine OMTs and two existing outcome scores with a total of 31 outcome parameters to be collected after a minimum follow-up of five years. It incorporates static and dynamic clinical findings, patient-reported outcome measures, and a definition of CTEV relapse.Conclusion We have defined a minimum set of outcomes to draw comparisons between centres and studies in the treatment of CTEV. With the use of these outcomes, we hope to allow more meaningful research and a better clinical management of CTEV.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | clubfoot, congenital talipes equinovarus, core outcome set Ponseti |
| Divisions: | Faculty of Health & Life Sciences Faculty of Health & Life Sciences > Inst. Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 08 Sep 2022 07:49 |
| Last Modified: | 16 Jun 2026 09:21 |
| DOI: | 10.1302/2633-1462.31.BJO-2021-0192.R1 |
| Open Access URL: | https://doi.org/10.1302/2633-1462.31.BJO-2021-0192... |
| Related Websites: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3163843 |
| Disclaimer: | The University of Liverpool is not responsible for content contained on other websites from links within repository metadata. Please contact us if you notice anything that appears incorrect or inappropriate. |
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