Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip

H Paul Dijkstra; Sean Mc Auliffe; Clare L Ardern; Joanne L Kemp; Andrea Britt Mosler; Amy Price; Paul Blazey; Dawn Richards; Abdulaziz Farooq; Andreas Serner; Eugene McNally; Vasco Mascarenhas; Richard W Willy; Jason L Oke; Karim M Khan; Sion Glyn-Jones; Mike Clarke; Trisha Greenhalgh; Young Athlete’s Hip Research (YAHiR) Collaborative

doi:10.1136/bjsports-2022-106092

Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip

H Paul Dijkstra, Sean Mc Auliffe, Clare L Ardern, Joanne L Kemp, Andrea Britt Mosler, Amy Price, Paul Blazey, Dawn Richards, Abdulaziz Farooq, Andreas Serner, Eugene McNally, Vasco Mascarenhas, Richard W Willy, Jason L Oke, Karim M Khan, Sion Glyn-Jones, Mike Clarke, Trisha Greenhalgh, Young Athlete’s Hip Research (YAHiR) Collaborative

School of Medicine, Dentistry and Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

9 Citations (Scopus)

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Abstract

Primary cam morphology is highly prevalent in many athlete populations, causing debilitating hip osteoarthritis in some. Existing research is mired in confusion partly because stakeholders have not agreed on key primary cam morphology elements or a prioritised research agenda. We aimed to inform a more rigorous, inclusive and evidence-based approach to research on primary cam morphology and its natural history by working towards agreement on a set of research priorities for conditions affecting the young person's hip. An international expert panel-the Young Athlete's Hip Research (YAHiR) Collaborative-rated research priority statements through an online two-round Delphi exercise and met online to explore areas of tension and dissent. Panellists ranked the prioritised research statements according to the Essential National Health Research (ENHR) ranking strategy. Reporting of results followed REPRISE (REporting guideline for PRIority SEtting of health). A diverse Delphi panel (n=65, Delphi rounds 1 and 2; three ENHR strategy surveys: n=49; n=44; n=42) from 18 countries representing six stakeholder groups, prioritised and ranked 18 of 38 research priority statements. The prioritised statements outlined seven research domains: (1) best practice physiotherapy, (2) rehabilitation progression and return to sport, (3) exercise intervention and load management, (4) primary cam morphology prognosis and aetiology, (5) femoroacetabular impingement syndrome prognosis and aetiology, (6) diagnostic criteria, and (7) screening. The panel recommended areas of tension and dissent for the research community to focus on immediately. While informing more rigorous, inclusive and evidence-based research, this consensus is a roadmap for researchers, policy-makers and funders to implement research dedicated to reducing the cost and burden of hip disease related to primary cam morphology.

Original language	English
Pages (from-to)	342-358
Journal	British Journal of Sports Medicine
Volume	57
Issue number	6
Early online date	06 Dec 2022
DOIs	https://doi.org/10.1136/bjsports-2022-106092
Publication status	Published - 02 Mar 2023

Keywords

consensus
research
groin
hip
osteoarthritis

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Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip
Copyright 2023 the authors. This is an open access Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits use, distribution and reproduction for non-commercial purposes, provided the author and source are cited
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Cite this

Dijkstra, H. P., Mc Auliffe, S., Ardern, C. L., Kemp, J. L., Mosler, A. B., Price, A., Blazey, P., Richards, D., Farooq, A., Serner, A., McNally, E., Mascarenhas, V., Willy, R. W., Oke, J. L., Khan, K. M., Glyn-Jones, S., Clarke, M., Greenhalgh, T., & Young Athlete’s Hip Research (YAHiR) Collaborative (2023). Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip. British Journal of Sports Medicine, 57(6), 342-358. https://doi.org/10.1136/bjsports-2022-106092

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title = "Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip",

abstract = "Primary cam morphology is highly prevalent in many athlete populations, causing debilitating hip osteoarthritis in some. Existing research is mired in confusion partly because stakeholders have not agreed on key primary cam morphology elements or a prioritised research agenda. We aimed to inform a more rigorous, inclusive and evidence-based approach to research on primary cam morphology and its natural history by working towards agreement on a set of research priorities for conditions affecting the young person's hip. An international expert panel-the Young Athlete's Hip Research (YAHiR) Collaborative-rated research priority statements through an online two-round Delphi exercise and met online to explore areas of tension and dissent. Panellists ranked the prioritised research statements according to the Essential National Health Research (ENHR) ranking strategy. Reporting of results followed REPRISE (REporting guideline for PRIority SEtting of health). A diverse Delphi panel (n=65, Delphi rounds 1 and 2; three ENHR strategy surveys: n=49; n=44; n=42) from 18 countries representing six stakeholder groups, prioritised and ranked 18 of 38 research priority statements. The prioritised statements outlined seven research domains: (1) best practice physiotherapy, (2) rehabilitation progression and return to sport, (3) exercise intervention and load management, (4) primary cam morphology prognosis and aetiology, (5) femoroacetabular impingement syndrome prognosis and aetiology, (6) diagnostic criteria, and (7) screening. The panel recommended areas of tension and dissent for the research community to focus on immediately. While informing more rigorous, inclusive and evidence-based research, this consensus is a roadmap for researchers, policy-makers and funders to implement research dedicated to reducing the cost and burden of hip disease related to primary cam morphology. ",

keywords = "consensus, research, groin, hip, osteoarthritis",

author = "Dijkstra, {H Paul} and {Mc Auliffe}, Sean and Ardern, {Clare L} and Kemp, {Joanne L} and Mosler, {Andrea Britt} and Amy Price and Paul Blazey and Dawn Richards and Abdulaziz Farooq and Andreas Serner and Eugene McNally and Vasco Mascarenhas and Willy, {Richard W} and Oke, {Jason L} and Khan, {Karim M} and Sion Glyn-Jones and Mike Clarke and Trisha Greenhalgh and {Young Athlete{\textquoteright}s Hip Research (YAHiR) Collaborative}",

year = "2023",

month = mar,

day = "2",

doi = "10.1136/bjsports-2022-106092",

language = "English",

volume = "57",

pages = "342--358",

journal = "British Journal of Sports Medicine",

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Dijkstra, HP, Mc Auliffe, S, Ardern, CL, Kemp, JL, Mosler, AB, Price, A, Blazey, P, Richards, D, Farooq, A, Serner, A, McNally, E, Mascarenhas, V, Willy, RW, Oke, JL, Khan, KM, Glyn-Jones, S, Clarke, M, Greenhalgh, T & Young Athlete’s Hip Research (YAHiR) Collaborative 2023, 'Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip', British Journal of Sports Medicine, vol. 57, no. 6, pp. 342-358. https://doi.org/10.1136/bjsports-2022-106092

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T1 - Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip

AU - Dijkstra, H Paul

AU - Mc Auliffe, Sean

AU - Ardern, Clare L

AU - Kemp, Joanne L

AU - Mosler, Andrea Britt

AU - Price, Amy

AU - Blazey, Paul

AU - Richards, Dawn

AU - Farooq, Abdulaziz

AU - Serner, Andreas

AU - McNally, Eugene

AU - Mascarenhas, Vasco

AU - Willy, Richard W

AU - Oke, Jason L

AU - Khan, Karim M

AU - Glyn-Jones, Sion

AU - Clarke, Mike

AU - Greenhalgh, Trisha

AU - Young Athlete’s Hip Research (YAHiR) Collaborative

PY - 2023/3/2

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N2 - Primary cam morphology is highly prevalent in many athlete populations, causing debilitating hip osteoarthritis in some. Existing research is mired in confusion partly because stakeholders have not agreed on key primary cam morphology elements or a prioritised research agenda. We aimed to inform a more rigorous, inclusive and evidence-based approach to research on primary cam morphology and its natural history by working towards agreement on a set of research priorities for conditions affecting the young person's hip. An international expert panel-the Young Athlete's Hip Research (YAHiR) Collaborative-rated research priority statements through an online two-round Delphi exercise and met online to explore areas of tension and dissent. Panellists ranked the prioritised research statements according to the Essential National Health Research (ENHR) ranking strategy. Reporting of results followed REPRISE (REporting guideline for PRIority SEtting of health). A diverse Delphi panel (n=65, Delphi rounds 1 and 2; three ENHR strategy surveys: n=49; n=44; n=42) from 18 countries representing six stakeholder groups, prioritised and ranked 18 of 38 research priority statements. The prioritised statements outlined seven research domains: (1) best practice physiotherapy, (2) rehabilitation progression and return to sport, (3) exercise intervention and load management, (4) primary cam morphology prognosis and aetiology, (5) femoroacetabular impingement syndrome prognosis and aetiology, (6) diagnostic criteria, and (7) screening. The panel recommended areas of tension and dissent for the research community to focus on immediately. While informing more rigorous, inclusive and evidence-based research, this consensus is a roadmap for researchers, policy-makers and funders to implement research dedicated to reducing the cost and burden of hip disease related to primary cam morphology.

AB - Primary cam morphology is highly prevalent in many athlete populations, causing debilitating hip osteoarthritis in some. Existing research is mired in confusion partly because stakeholders have not agreed on key primary cam morphology elements or a prioritised research agenda. We aimed to inform a more rigorous, inclusive and evidence-based approach to research on primary cam morphology and its natural history by working towards agreement on a set of research priorities for conditions affecting the young person's hip. An international expert panel-the Young Athlete's Hip Research (YAHiR) Collaborative-rated research priority statements through an online two-round Delphi exercise and met online to explore areas of tension and dissent. Panellists ranked the prioritised research statements according to the Essential National Health Research (ENHR) ranking strategy. Reporting of results followed REPRISE (REporting guideline for PRIority SEtting of health). A diverse Delphi panel (n=65, Delphi rounds 1 and 2; three ENHR strategy surveys: n=49; n=44; n=42) from 18 countries representing six stakeholder groups, prioritised and ranked 18 of 38 research priority statements. The prioritised statements outlined seven research domains: (1) best practice physiotherapy, (2) rehabilitation progression and return to sport, (3) exercise intervention and load management, (4) primary cam morphology prognosis and aetiology, (5) femoroacetabular impingement syndrome prognosis and aetiology, (6) diagnostic criteria, and (7) screening. The panel recommended areas of tension and dissent for the research community to focus on immediately. While informing more rigorous, inclusive and evidence-based research, this consensus is a roadmap for researchers, policy-makers and funders to implement research dedicated to reducing the cost and burden of hip disease related to primary cam morphology.

KW - consensus

KW - research

KW - groin

KW - hip

KW - osteoarthritis

U2 - 10.1136/bjsports-2022-106092

DO - 10.1136/bjsports-2022-106092

M3 - Article

C2 - 36588402

SN - 0306-3674

VL - 57

SP - 342

EP - 358

JO - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

IS - 6

ER -

Oxford consensus on primary cam morphology and femoroacetabular impingement syndrome: part 2-research priorities on conditions affecting the young person's hip

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