Description of a Process and Workshop to Set Research Priorities in Hip and Knee Replacement for Osteoarthritis

JLA PSP final report (2014) full text summary PDF

For which topic were research priorities identified?

hip and knee replacement for osteoarthritis

In which location was the research priority setting conducted?

Europe - United Kingdom

Why was it conducted at all?

Every year, about 150,000 hip and knee replacements are carried out in the UK because of osteoarthritis. But we still do not know enough about which patients with osteoarthritis benefit most, when is the best time for surgery, and how to ensure that patients recover quickly and well.

What was the objective?

to help focus future research funding on the questions that matter to people experiencing hip and knee replacement for osteoarthritis and those that treat and care for them

What was the outcome?

a ranking list of 10 research questions

How long did the research prioritization take?

No information provided.

Which methods were used to identify research priorities?

JLA method

How were the priorities for research identified exactly?

Step 1: setting up PSP: steering group established, stakeholders and partner organizations identified. Step 2: gathering research questions: via group discussions, survey, and interviews, additionally existing research and guidelines searched for unanswered research questions. Step 3: data processing: research questions allocated to themes, similar questions identified, merged and reworded, resulting in 123 questions. Step 4: interim ranking: steering group members asked to undertake interim ranking exercise, individual voting and group discussion resulted in final 30 questions. Step 5: final prioritization: workshop: small group discussions and small group rankings, plenary discussion and plenary ranking

Which stakeholders took part?

Patients, carers and healthcare professionals. Workshop: 15 patients and carers (including people who had experienced successful and not so successful hip or knee replacements, those waiting for an operation and some for whom a replacement wasn't suitable treatment), 15 health professional (surgeons, nurses, physiotherapists, anaesthetist, GP, rheumatologist public health and acupuncture specialist).

How were stakeholders recruited?

No information provided.

Were stakeholders actively involved or did they just participate?

Stakeholders not only participated but were also actively involved in the research prioritization process: They were part of a steering group. The steering group consisted of patient and carer representatives, surgeons, physiotherapists, 1 nurse, 1 rheumatologist and 1 anesthetist. The members were involved in the interim ranking and the workshop.