{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T23:31:59Z","timestamp":1793748719144,"version":"4.6.1"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T00:00:00Z","timestamp":1704412800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The literature presents a wide range of success rates for a single surgical intervention of bacterial\u2010septic\u2010arthritis, and there is a lack of clear criteria for identifying treatment failure and making decisions about reintervention. This Delphi study aims to establish a consensus among an international panel of experts regarding the definition of treatment failure and the criteria for reintervention in case of bacterial arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The conducting and reporting Delphi studies (CREDES) criteria were used. Data from a systematic review was provided as the basis for the study. A list of 100 potential experts were identified. The study was designed and conducted as follows: (I) identification and invitation of an expert panel, (II) informing the participating expert panel on the research question and subject, and (III) conducting two or three Delphi rounds to reach consensus on explicit research items. Potential criteria were rated on a five\u2010point Likert scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty orthopaedic experts from nine countries participated in this Delphi study, with 55 completing all three rounds. The mean experience as an orthopaedic surgeon was 15 years (SD\u2009\u00b1\u20099). Strong (96%) consensus was reached on the definition of treatment failure: the persistence of physical signs of arthritis (e.g., pain and swelling) and\/or systemic inflammation (e.g., fever and no improvement in CRP) despite surgical and antibiotic treatment. Furthermore, consensus (&gt;80%) was reached on six criteria influencing the decision for reintervention; pain (81%), sepsis (98%), fever (88%), serum CRP (93%), blood culture (82%), and synovial fluid culture (84%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The definition of treatment failure for bacterial arthritis after a single surgical intervention was established through a three\u2010round Delphi study. Additionally, consensus was reached on six criteria that are helpful for determining the need for reintervention. This definition and these criteria may help in the development of clinical guidelines, and will empower physicians to make more precise and consistent decisions regarding reintervention for patients, ultimately aiming to reduce over\u2010 and undertreatment and improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level V.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12027","type":"journal-article","created":{"date-parts":[[2024,1,5]],"date-time":"2024-01-05T03:50:08Z","timestamp":1704426608000},"page":"235-242","source":"Crossref","is-referenced-by-count":6,"title":["Consensus on the definition and criteria for failure of surgical treatment in bacterial arthritis of a native joint: An international Delphi study"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9441-632X","authenticated-orcid":false,"given":"Alex B.","family":"Walinga","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam UMC location University of Amsterdam Amsterdam The Netherlands"},{"name":"Amsterdam Movement Sciences, Musculoskeletal Health, Sport Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health &amp; Safety in Sports (ACHSS) IOC Research Center Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stein J.","family":"Janssen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam UMC location University of Amsterdam Amsterdam The Netherlands"},{"name":"Amsterdam Movement Sciences, Musculoskeletal Health, Sport Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health &amp; Safety in Sports (ACHSS) IOC Research Center Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur J.","family":"Kievit","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam UMC location University of Amsterdam Amsterdam The Netherlands"},{"name":"Amsterdam Movement Sciences, Musculoskeletal Health, Sport Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health &amp; Safety in Sports (ACHSS) IOC Research Center Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The International Panel of Clinical Experts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corianne A. J. M.","family":"de Borgie","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Data Science Amsterdam UMC location University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M. M. J.","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Medicine Amsterdam UMC location University of Amsterdam Amsterdam The Netherlands"},{"name":"Amsterdam Movement Sciences, Musculoskeletal Health, Sport Amsterdam The Netherlands"},{"name":"Academic Center for Evidence\u2010Based Sports Medicine (ACES) Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health &amp; Safety in Sports (ACHSS) IOC Research Center Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.5194\/jbji-8-29-2023"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-023-04958-z"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.12.002"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317690685"},{"key":"e_1_2_11_6_1","first-page":"1","article-title":"The Delphi technique: making sense of consensus","volume":"12","author":"Hsu C.","year":"2007","journal-title":"Practical Assessment, Research, and Evaluation"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.103B12.BJJ-2021-0114.R1"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(19)30419-0"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.11.032"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.13.1478"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-00017-03565-00264"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0287"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61815-7"},{"key":"e_1_2_11_14_1","article-title":"C\u2010reactive protein is a diagnostic tool for postoperative infection in orthopaedics","volume":"14","author":"Shetty S.","year":"2022","journal-title":"Cureus"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.18-2-150"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.12027","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:53:46Z","timestamp":1789401226000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,5]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1002\/ksa.12027"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12027","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,5]]}}}