TY - JOUR
T1 - A Delphi survey and international e-survey evaluating the Doha agreement meeting classification system in groin pain
T2 - Where are we 5 years later?
AU - Heijboer, Willem M P
AU - Weir, Adam
AU - Delahunt, Eamonn
AU - Hölmich, Per
AU - Schache, Anthony G
AU - Tol, Johannes L
AU - de Vos, Robert-Jan
AU - Vuckovic, Zarko
AU - Serner, Andreas
N1 - Copyright © 2021 Elsevier Ltd. All rights reserved.
PY - 2022/1
Y1 - 2022/1
N2 - OBJECTIVES: To evaluate the adoption of and opinions on the Doha agreement meeting classification in groin pain in athletes.DESIGN: Delphi survey and e-survey.METHODS: A 2-round Delphi survey among the Doha agreement meeting expert group, and a separate international e-survey among clinicians who regularly assess athletes with groin pain. Clinical cases were presented, and participants provided their preferred terms for the diagnoses. All participants reported if they had adopted the Doha agreement meeting classification system in their practice. The Doha agreement meeting experts also shared opinions on amendments to the classification system, and reported their level of agreement with suggested statements.RESULTS: In the Delphi survey, the Doha agreement meeting experts (n = 21) reported 8-11 different terms for their primary diagnosis of each presented case. The Doha agreement meeting terminology was used by 50-67% of these experts. In the international e-survey (n = 51), 12-15 different diagnostic terms were reported in each clinical case, and 43-55% of clinicians used the Doha agreement meeting terminology. Adoption of the Doha agreement classification system in practice was reported by 73-82% of the Doha agreement meeting experts and 57-69% of the clinicians in the international e-survey. The experts suggested 49 statements regarding amendments to the classification system. Seven of these reached >75% agreement or disagreement.CONCLUSIONS: Five years after publication, the majority of the Doha agreement expert group and independent international clinicians report adopting the Doha agreement meeting classification system. There is still considerable heterogeneity in diagnostic terminology when clinical cases are presented, and disagreement on statements related to amendments of the current classification system.
AB - OBJECTIVES: To evaluate the adoption of and opinions on the Doha agreement meeting classification in groin pain in athletes.DESIGN: Delphi survey and e-survey.METHODS: A 2-round Delphi survey among the Doha agreement meeting expert group, and a separate international e-survey among clinicians who regularly assess athletes with groin pain. Clinical cases were presented, and participants provided their preferred terms for the diagnoses. All participants reported if they had adopted the Doha agreement meeting classification system in their practice. The Doha agreement meeting experts also shared opinions on amendments to the classification system, and reported their level of agreement with suggested statements.RESULTS: In the Delphi survey, the Doha agreement meeting experts (n = 21) reported 8-11 different terms for their primary diagnosis of each presented case. The Doha agreement meeting terminology was used by 50-67% of these experts. In the international e-survey (n = 51), 12-15 different diagnostic terms were reported in each clinical case, and 43-55% of clinicians used the Doha agreement meeting terminology. Adoption of the Doha agreement classification system in practice was reported by 73-82% of the Doha agreement meeting experts and 57-69% of the clinicians in the international e-survey. The experts suggested 49 statements regarding amendments to the classification system. Seven of these reached >75% agreement or disagreement.CONCLUSIONS: Five years after publication, the majority of the Doha agreement expert group and independent international clinicians report adopting the Doha agreement meeting classification system. There is still considerable heterogeneity in diagnostic terminology when clinical cases are presented, and disagreement on statements related to amendments of the current classification system.
KW - Classification
KW - Consensus
KW - Diagnosis
KW - Groin
KW - Physical examination
KW - Soft tissue injuries
UR - http://www.scopus.com/inward/record.url?scp=85111343620&partnerID=8YFLogxK
U2 - 10.1016/j.jsams.2021.06.014
DO - 10.1016/j.jsams.2021.06.014
M3 - Journal article
C2 - 34312067
VL - 25
SP - 3
EP - 8
JO - Journal of Science and Medicine in Sport
JF - Journal of Science and Medicine in Sport
SN - 1440-2440
IS - 1
ER -