Lewis Thomas L, See Abbas, Thomas Martin, Houchen-Wolloff Linzy, Angadji Arash, McDaid Catriona, O'Neill Seth, Nester Chris, Mangwani Jitendra, Abbasian Ali, Angadji Arash, Berger Ann, Breach Jodie, Clayton Robert, Hariharan Kartik, Hossain Natasha, Lewis Thomas, Mangwani Jitendra, McDaid Catriona, Nester Chris, O'Neill Seth, Ramasamy Arul, Ray Robbie, Sandford Carrie, See Abbas, Sott Andrea, Thomas Martin, Tiruveedhula Madhu, Withey Christopher
King's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London, UK.
Nottingham Biomedical Research Centre, University of Nottingham, Nottingham, UK.
Bone Jt Open. 2025 Apr 14;6(4):432-439. doi: 10.1302/2633-1462.64.BJO-2024-0212.R1.
Hallux valgus (also known as a bunion) is a common forefoot deformity impacting pain, function, quality of life, and mobility, with higher prevalence in females and increasing incidence with age. The high prevalence and rates of surgical treatment potentially have a major impact on the healthcare system. The aim of this stakeholder consultation was to identify current issues with provision of hallux valgus treatment, as well as identify achievable goals to improve understanding of hallux valgus and guide future assessment, treatment pathways, and research directions with the aim of improving clinical outcomes for patients.
Scoping searches were undertaken to inform and identify relevant outcome sets and existing evidence relating to hallux valgus. A one-day think tank conference was held on 21 June 2024, involving stakeholders from various sectors, including patients, primary and secondary care professionals, researchers, and representatives of national societies. Key themes and issues related to hallux valgus were identified and used to develop structured action development plans.
Major issues identified include the absence of national policy recommendations, variability in treatment pathways, and gaps in research and patient education. Patient experiences highlighted the significant impact on quality of life and the need for standardized information and care pathways. Key priorities for research include developing a core outcome set and understanding the patient's lived experience, while policy priorities focus on creating national guidelines and raising awareness of the condition's socioeconomic and functional impacts.
The inaugural UK National Hallux Valgus Think Tank identified critical issues in the management of hallux valgus and developed strategies to improve clinical outcomes through research and policy development. Establishing a working group and prioritizing both research and policy initiatives will be essential to advancing the understanding and treatment of hallux valgus.
拇外翻（也称为拇囊炎）是一种常见的前足畸形，会影响疼痛、功能、生活质量和活动能力，女性患病率更高，且发病率随年龄增长而增加。高患病率和手术治疗率可能会对医疗保健系统产生重大影响。本次利益相关者咨询的目的是确定当前拇外翻治疗中存在的问题，并确定可实现的目标，以增进对拇外翻的了解，指导未来的评估、治疗途径和研究方向，从而改善患者的临床结局。
进行了范围界定检索，以了解和确定与拇外翻相关的相关结局集和现有证据。2024年6月21日举行了为期一天的智囊团会议，与会者来自各个部门，包括患者、初级和二级医疗保健专业人员、研究人员以及国家学会的代表。确定了与拇外翻相关的关键主题和问题，并用于制定结构化的行动发展计划。
确定的主要问题包括缺乏国家政策建议、治疗途径的变异性以及研究和患者教育方面的差距。患者的经历凸显了对生活质量的重大影响以及对标准化信息和护理途径的需求。研究的关键优先事项包括制定核心结局集和了解患者的生活经历，而政策优先事项则侧重于制定国家指南并提高对该疾病社会经济和功能影响的认识。
首届英国国家拇外翻智囊团确定了拇外翻管理中的关键问题，并制定了通过研究和政策制定来改善临床结局的策略。成立一个工作组并优先考虑研究和政策倡议对于推进对拇外翻的理解和治疗至关重要。
Zotero 插件
