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Permanent Scientific Committee (PSC)

Permanent Scientific Committee (PSC)

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Permanent Scientific Committee (PSC)

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  1. Permanent Scientific Committee (PSC) Update June 2009

  2. PSC Meeting October 23rd Rotterdam Ragnhild Cederlund (Sweden) Firdevs Kul (Turkey) Jean-Claude Rouzand (France) Ursula Wendling-Hosch (Switzerland) Turid Aasheim (Norway) Ton Schreuders (the Netherlands)

  3. EFSHT congresses Lausanne meeting 2009 Oslo meeting 2011 • EUROPEAN HAND THERAPY GUIDELINES update project Hand Guide Project • International developments ICF core set upper extremity ( WHO) ASHT plans OK?

  4. 269 participants 28 countries 118 abstracts accepted -77 presentations -17 posters Reviewing process -amount of topics -workshops

  5. Delphi round in Mallet finger for EFHST consensus 25 experts, appointed by their national hand therapy federation (members of EFSHT) were involved in this Delphi survey on Mallet finger.

  6. Eurohand 2011 Oslo 26 -28 May

  7. EUROPEAN HAND THERAPY GUIDELINES • update project Hand Guide Project Reviews Experts Cooperation hand surgeons and Rehab drs

  8. Clinical practice guidelines (CPGs) systematically developed statements to assist practitioners and patients on healthcare decisions provide recommendations for the average patient, which should take into account individual clinical judgment and the patient’s values and expectations Lopez-Olivo MA, Suarez-Almazor ME. Developing guidelines in musculoskeletal disorders. Clinical and experimental rheumatology. 2007 Nov-Dec;25(6 Suppl 47):28-36.

  9. Clinical practice guidelines (CPGs) WHO Criteria • CPGs should be produced under the auspices of medical specialty associations; relevant professional societies (eg EFSHT), public or private organizations, government agencies at the federal, state, or local level; or healthcare organizations or plans. • During guideline development, a systematic literature search and/or review of the existing scientific evidence published in peer-reviewed journals should be performed. • The full text guideline should be available upon request in print or electronic format in the English language. • Evidence that the guideline was developed, reviewed, or revised and updated should be documented.

  10. existing scientific evidence 4 levels of evidence A1 systematic reviews A2 randomised controled trials (RCT) B trials of poor quality or small groups (cohort, patientgroups) D expert opinion

  11. EUROPEAN HAND THERAPY GUIDELINES Ms Bionka Huisstede, ErasmusMC • PT, PhD in 2007 on Complaints of the Arm, Neck and/or Shoulder (CANS) • funding 3 years • Reviews on CTS, Guyon canal syndrome, De Quervain, Trigger Finger and Dupuytren

  12. Proposal start with CPGs on: • tendinitis • De Quervain • Trigger Finger • Dupuytren • entrapments • Carpal tunnel syndrome • Guyon canal syndrome OK?

  13. Proposal cooperation with: • EFSHT - The European Federation of Societies for Hand Therapy • FESSH - Federation of European Societies for Surgery of the Hand • ESPRM - European Society of Physical and Rehabilitation Medicine OK?

  14. existing scientific evidence 4 levels of evidence A1 systematic reviews A2 randomised controled trials (RCT) B trials of poor quality or small groups (cohort, patientgroups) D expert opinion

  15. Expert opinion by Delphi roundsSelection of experts Requirements expert panel: An expert should be • a medical or paramedical healthcare professionals with significant experience (xx years) in treating patients with the non-traumatic hand disorders (e.g. Dupuytren’s disease) • considered to be key persons in the field of non-traumatic hand disorders by their own professional discipline • have basic knowledge on evidence based practice. • each country can be represented by a maximum of xx member(s). OK?

  16. AGREE Appraisal of Guidelines Research & Evaluation Instrument to judge guidelines The AGREE Research Trust www.agreetrust.org

  17. Proposal • Start finding reviewers for traumatic conditions • Nerve • Fractures • Tendon • Joints (capsule, ligament) • RA OK?

  18. EFSHT congresses Lausanne meeting 2009 Oslo meeting 2011 • EUROPEAN HAND THERAPY GUIDELINES update project Hand Guide Project • International developments ICF core set upper extremity ( WHO) ASHT plans

  19. ICF Core Set Developmentfor Clinical PracticeICF Research BranchWHO Collaborating Center for the Family of Classifications Germany (DIMDI) at the University of MunichWHOCAS Classification, Assessment Surveys

  20. define what should be measured and not how to measure

  21. ICF a framework which uses unifying terminology for the classification of diseases and their effect on • body structure /functioning • activities • participation

  22. Development of ICF Core Sets for Hand Conditions • Approval of the International Classification of Functioning, Disability, and Health (ICF) by WHO • universally accepted framework to classify and describe functioning, disability and health in individuals with conditions of the hand • Objective: development of ICF Core Sets for Hand Conditions.

  23. ICF Consensus Conference May 2009 in collaboration with WHO, Nottwil, Switzerland. Aim: decide on the first version of ICF Core Sets for Hand Conditions. The group of experts was an International, multi-disciplinary and multi-cultural company of 23 participants. There were 5 Occupational Therapists, 6 Physical Therapists, 6 physicians, 3 psychologists, 1 social worker and 2 nurses. • Following a strict procedure and method with several working groups, discussions, plenary sessions and by voting the first Core Set for Hand Conditions is accomplished. • Now a validation study will be conducted by the research group

  24. ASHT new President of the ASHT Joy MacDermid update of the Clinical Recommendation on Assessment of the Hand MacDermid JC. The quality of clinical practice guidelines in hand therapy. J Hand Ther. 2004 Apr-Jun;17(2):200-9.

  25. ASHT plans instruments International C. Jerosh-Herold L. van de Ven-Stevens* W. Brandsma/Schreuders * Lucelle van de Ven-Stevens (OT, MSc) from the Radboud University Nijmegen Medical Centre, the Netherlands. -article in the British Journal of Hand Therapy (Spring 2007) on the subject: Assessment of Activities in Patients with Hand Injury: A Review of Instruments in Use. -clinimetric review of 23 selected instruments for the assessment of activities in hand injury, using the quality criteria-list for instrument properties