Aims A review of the literature on elbow replacement found no consistency in the clinical outcome measures which are used to assess the effectiveness of interventions. The aim of this study was to define core outcome domains for elbow replacement. Methods A real-time Delphi survey was conducted over four weeks using outcomes from a scoping review of 362 studies on elbow replacement published between January 1990 and February 2021. A total of 583 outcome descriptors were rationalized to 139 unique outcomes. The survey consisted of 139 outcomes divided into 18 domains. The readability and clarity of the survey was determined by an advisory group including a patient representative. Participants were able to view aggregated responses from other participants in real time and to revisit their responses as many times as they wished during the study period. Participants were able to propose additional items for inclusion. A Patient and Public Inclusion and Engagement (PPIE) panel considered the consensus findings. Results A total of 45 respondents completed the survey. Nine core mandatory domains were identified: 'return to work or normal daily role'; delivery of care was measured in the domains 'patient satisfaction with the outcome of surgery' and 'would the patient have the same operation again'; 'pain'; 'revision'; 'elbow function'; 'independence in activities of daily living'; 'health-related quality of life'; and 'adverse events'. 'Elbow range of motion' was identified as important by consensus but was felt to be less relevant by the PPIE panel. The PPIE panel unanimously stated that pain should be used as the primary outcome domain. Conclusion This study defined core domains for the clinical outcomes of elbow replacement obtained by consensus from patients, carers, and healthcare professionals. Pain may be used as the primary outcome in future studies, where appropriate. Further work is required to define the instruments that should be used.

中文翻译：

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肘关节置换术的核心结果域 （CODER）。


目的 对肘关节置换术文献的回顾发现，用于评估干预措施有效性的临床结局指标没有一致性。本研究的目的是定义肘关节置换术的核心结果域。方法 使用 1990 年 1 月至 2021 年 2 月期间发表的 362 项肘关节置换研究的范围审查的结果，进行了为期 4 周的实时 Delphi 调查。共有 583 个结局描述符被合理化为 139 个独特的结局。该调查包括 139 个结果，分为 18 个领域。调查的可读性和清晰度由包括患者代表在内的咨询小组确定。参与者能够实时查看其他参与者的汇总回答，并在研究期间根据需要多次重新访问他们的回答。参与者能够提出其他项目以供纳入。患者和公众包容与参与 （PPIE） 小组考虑了共识结果。结果 共有 45 名受访者完成了调查。确定了九个核心强制性领域：“重返工作岗位或正常的日常工作”;在“患者对手术结果的满意度”和“患者是否会再次接受相同的手术”方面衡量护理的提供;“痛苦”;'修订版';'肘部功能';“日常生活活动的独立性”;“与健康相关的生活质量”;和“不良事件”。“肘部活动范围”被一致认为很重要，但 PPIE 小组认为相关性较低。PPIE 小组一致指出，疼痛应作为主要结果领域。 结论 本研究确定了通过患者、护理人员和医疗保健专业人员的共识获得的肘关节置换临床结果的核心领域。在适当的情况下，疼痛可能用作未来研究的主要结局。需要进一步的工作来确定应该使用的工具。