Outcome measurement in articular cartilage repair: exploring the patient perspective
type: CreativeWork
description: This critical appraisal provides an overview of five published research papers that collectively make an original and significant contribution to the patients' perspective of outcome measurement after articular cartilage repair (ACR) of the knee. The work represents the evolution and development of the author's coherent research programme in this field over a period of 8 years. In 2003 the author conducted a comparative analysis of rehabilitative guidelines of 11 international ACR centres that identified large variations in practice. This work was significant as it resulted in the publication of the first evaluation of the evidence base for postoperative care after autologous chondrocyte implantation. The evidence base for postoperative care that was elucidated in this work served to uphold the biomedical model as being the dominant paradigm. Concurrently, the concept of patient-centred medicine was being actively promoted within primary care in the UK and patient-reported outcomes (PRO) were being adopted as primary endpoints in new ACR clinical trials across Europe and in the USA. This gap between PRO evidence and practice prompted this researcher to evaluate patient's and orthopaedic surgeon's perspectives of the rehabilitation process using a mixed methods approach incorporating grounded theory and content analysis. These inductive pilot works were noteworthy as they indicated that not only were ACR service users willing to allow their views to be captured for research purposes but they were prepared to do so using web-based tools. Two key research questions emerged: what are the symptoms and disabilities most important to ACR patients and are current PRO measures capturing this information? To explore these questions, two commonly used knee-specific PRO measures were evaluated for item importance to ACRpatients from an online health community (OHC) using a clinical impact methodology. The emergent pattern was one of function in sports and recreation activities …
abstract: This critical appraisal provides an overview of five published research papers that collectively make an original and significant contribution to the patients' perspective of outcome measurement after articular cartilage repair (ACR) of the knee. The work represents the evolution and development of the author's coherent research programme in this field over a period of 8 years. In 2003 the author conducted a comparative analysis of rehabilitative guidelines of 11 international ACR centres that identified large variations in practice. This work was significant as it resulted in the publication of the first evaluation of the evidence base for postoperative care after autologous chondrocyte implantation. The evidence base for postoperative care that was elucidated in this work served to uphold the biomedical model as being the dominant paradigm. Concurrently, the concept of patient-centred medicine was being actively promoted within primary care in the UK and patient-reported outcomes (PRO) were being adopted as primary endpoints in new ACR clinical trials across Europe and in the USA. This gap between PRO evidence and practice prompted this researcher to evaluate patient's and orthopaedic surgeon's perspectives of the rehabilitation process using a mixed methods approach incorporating grounded theory and content analysis. These inductive pilot works were noteworthy as they indicated that not only were ACR service users willing to allow their views to be captured for research purposes but they were prepared to do so using web-based tools. Two key research questions emerged: what are the symptoms and disabilities most important to ACR patients and are current PRO measures capturing this information? To explore these questions, two commonly used knee-specific PRO measures were evaluated for item importance to ACRpatients from an online health community (OHC) using a clinical impact methodology. The emergent pattern was one of function in sports and recreation activities …
author: Hambly, Karen
keywords: 610 Medicine & health
date published: 2011
date modified: 2026-07-24T02:54:41Z
provider: London Metropolitan University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: London Metropolitan University