The use of technology in the subcategorisation of osteoarthritis: a Delphi study approach.
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Published version
Author(s)
Type
Journal Article
Abstract
OBJECTIVE: This UK-wide OATech Network + consensus study utilised a Delphi approach to discern levels of awareness across an expert panel regarding the role of existing and novel technologies in osteoarthritis research. To direct future cross-disciplinary research it aimed to identify which could be adopted to subcategorise patients with osteoarthritis (OA). DESIGN: An online questionnaire was formulated based on technologies which might aid OA research and subcategorisation. During a two-day face-to-face meeting concordance of expert opinion was established with surveys (23 questions) before, during and at the end of the meeting (Rounds 1, 2 and 3, respectively). Experts spoke on current evidence for imaging, genomics, epigenomics, proteomics, metabolomics, biomarkers, activity monitoring, clinical engineering and machine learning relating to subcategorisation. For each round of voting, ≥80% votes led to consensus and ≤20% to exclusion of a statement. RESULTS: Panel members were unanimous that a combination of novel technological advances have potential to improve OA diagnostics and treatment through subcategorisation, agreeing in Rounds 1 and 2 that epigenetics, genetics, MRI, proteomics, wet biomarkers and machine learning could aid subcategorisation. Expert presentations changed participants' opinions on the value of metabolomics, activity monitoring and clinical engineering, all reaching consensus in Round 2. X-rays lost consensus between Rounds 1 and 2; clinical X-rays reached consensus in Round 3. CONCLUSION: Consensus identified that 9 of the 11 technologies should be targeted towards OA subcategorisation to address existing OA research technology and knowledge gaps. These novel, rapidly evolving technologies are recommended as a focus for emergent, cross-disciplinary osteoarthritis research programmes.
Date Issued
2020-09
Date Acceptance
2020-05-28
Citation
Osteoarthritis and Cartilage Open, 2020, 2 (3), pp.1-8
ISSN
2665-9131
Publisher
Elsevier
Start Page
1
End Page
8
Journal / Book Title
Osteoarthritis and Cartilage Open
Volume
2
Issue
3
Copyright Statement
© 2020 The Authors. Published by Elsevier Ltd on behalf of Osteoarthritis Research Society International (OARSI). This is an open access article under the
CC BY license (http://creativecommons.org/licenses/by/4.0/).
CC BY license (http://creativecommons.org/licenses/by/4.0/).
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/36474678
PII: S2665-9131(20)30072-8
Subjects
Biomarkers
Omics
Osteoarthritis
Phenotype
Stratification
Technology
Publication Status
Published online
Coverage Spatial
England
Date Publish Online
2020-06-09