Bullock Garrett S, Fallowfield Joanne L, de la Motte Sarah J, Arden Nigel, Fisher Ben, Dooley Adam, Forrest Neil, Fraser John J, Gourlay Alysia, Hando Ben R, Harrison Katherine, Hayhurst Debra, Molloy Joseph M, Newman Phillip M, Robitaille Eric, Teyhen Deydre S, Tiede Jeffrey M, Williams Emma, Williams Sandra, Van Tiggelen Damien, VanWyngaarden Joshua J, Westrick Richard B, Emery Carolyn A, Collins Gary S, Rhon Daniel I
Institute of Naval Medicine, Directorate of People and Training, Royal Navy, Hampshire, UNITED KINGDOM.
Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD.
Med Sci Sports Exerc. 2025 Apr 23. doi: 10.1249/MSS.0000000000003737.
A systematic approach to collecting and reporting injury data in military settings is necessary to maximize the impact of musculoskeletal injury-related research. An international consensus on recommended core data set of elements to capture and report is necessary. The purpose was to summarize the process and results from an international consensus study to establish recommended common minimum data elements for surveillance and Reporting Of Musculoskeletal injuries in the MILitary (ROMMIL).
A ten-step hybrid consensus process was performed. Knowledge users were embedded in the process for co-creation of pertinent questions, data elements, and voting. Evidence synthesis included a scoping review on the barriers and facilitators to implementing injury prevention programs, followed by a knowledge user survey. A sequential three round Delphi study refined and validated the final elements in the recommendation checklist. Consensus recommendations were presented to an international audience of stakeholders. Participants voted on each statement with 0 representing no importance, 5 somewhat important, and 10 maximum importance.
The consensus recommendation includes one data principle of keeping continuous data continuous and 33 minimum data elements. Data elements include demographics, lifestyle, service branch, musculoskeletal/surgical history, exposure, and injury characteristics. The data principle endorsed by knowledge users recommends that continuous variables (e.g. age, weight, exposure) remain continuous and not categorized into groups. Dissenting viewpoints are detailed to provide fair and balanced consensus recommendations.
The ROMMIL checklist could be leveraged by clinicians, researchers and knowledge users working in miliary settings when comparing and harmonizing data across studies, service branches, and countries. The ROMMIL checklist will support improved data synthesis to better inform evidence-based practice in military medicine, and the ability to generate more useful prognostic models to quantify injury risk.
在军事环境中采用系统的方法收集和报告损伤数据，对于最大限度地发挥肌肉骨骼损伤相关研究的影响至关重要。有必要就推荐的核心数据集要素达成国际共识，以便进行收集和报告。本文旨在总结一项国际共识研究的过程和结果，以确定军事环境中肌肉骨骼损伤监测与报告（ROMMIL）的推荐通用最小数据要素。
开展了一个十步骤的混合共识过程。知识使用者参与该过程，共同创建相关问题、数据要素并进行投票。证据综合包括对实施损伤预防计划的障碍和促进因素进行范围审查，随后进行知识使用者调查。通过三轮德尔菲研究对推荐清单中的最终要素进行完善和验证。向国际利益相关者群体介绍了共识建议。参与者对每项陈述进行投票，0表示不重要，5表示有点重要，10表示最重要。
共识建议包括一条数据原则，即保持连续数据的连续性，以及33个最小数据要素。数据要素包括人口统计学、生活方式、军种、肌肉骨骼/手术史、暴露情况和损伤特征。知识使用者认可的数据原则建议，连续变量（如年龄、体重、暴露情况）应保持连续，不应进行分组。详细列出了不同意见，以提供公平和平衡的共识建议。
在跨研究、军种和国家比较与协调数据时，军事环境中的临床医生、研究人员和知识使用者可以利用ROMMIL清单。ROMMIL清单将有助于改进数据综合，以便更好地为军事医学中的循证实践提供信息，并有助于生成更有用的预后模型来量化损伤风险。
