Marie Westby|Deborah A. Marshall|Chelsea Jones
Development of quality indicators for hip and knee arthroplasty rehabilitation
Vancouver Coastal Health|Vancouver Coastal Health Research Institute|University of Calgary|University of Alberta
objectiveto develop quality indicators qis reflecting minimum acceptable standard rehabilitation care elective total hip arthroplasty tha total knee arthroplasty tka osteoarthritis oamethodsinformed high quality evidence using modified randucla delphi approach 18member canadian panel clinicians researchers patients considered 81 proposed qis 40 tha 42 tka addressing rehabilitation elective tha tka panelists rated qis importance validity 9point likert scale two rounds online rating interspersed moderated anonymous online discussion forum qis median ratings 7 importance validity disagreement based interpercentile range adjusted symmetry included final setsresultsfifteen panelists seven provinces varied practice settings completed delphi process 81 plus one additional qis total 82 67 82 rated important valid 31 tha 36 tka tha 14 preop six acute eight postacute qis accepted tka 16 preop 10 acute eight postacute indicators accepted two three acrosscontinuum qis rated appropriate proceduresconclusionthis work represents first qis measure report benchmark quality care patients receiving rehabilitation thatka surgery qis tested reliability feasibility widely disseminated clinical settings used assess care gaps