Jennifer Foster, Olivia Negris, Olivia Abraham, Christina Kraus, Alicia J Little, Avni Patel, Olushola L Akinshemoyin Vaughn, Melissa M Mauskar
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引用次数: 0
Abstract
Objective: Vulvar health conditions such as lichen sclerosus and vulvodynia are often misdiagnosed or delayed in diagnosis, leading to worsened clinical outcomes. A standardized intake questionnaire for the initial patient visit could improve early detection and management of these complex conditions. This study aimed to develop a consensus-based standardized intake questionnaire for vulvar health clinics using the eDelphi methodology.
Materials and methods: An international eDelphi process was initiated. Specialists in vulvar health were recruited to participate in 2 rounds of online surveys to achieve consensus on key questions. The consensus was defined as 70% agreement among panelists for inclusion or exclusion of questions, with feedback incorporated between rounds.
Results: A total of 80 panelists from various specialties, including dermatology and gynecology, participated. In the first round, 136 items were reviewed, with 64 meeting consensus for inclusion. After the second round, an additional 20 items were added, leading to a final intake questionnaire consisting of 82 items that were condensed and reorganized to 52 questions and 2 validated surveys (the Vulvar Quality of Life Index and Patient Health Questionnaire 2).
Conclusions: This study successfully identified key questions for a standardized intake questionnaire for vulvar health clinics using the eDelphi methodology. The methodology may also be applicable to other health conditions requiring structured patient intake processes.
期刊介绍：
The Journal of Lower Genital Tract Disease is the source for the latest science about benign and malignant conditions of the cervix, vagina, vulva, and anus.
The Journal publishes peer-reviewed original research original research that addresses prevalence, causes, mechanisms, diagnosis, course, treatment, and prevention of lower genital tract disease. We publish clinical guidelines, position papers, cost-effectiveness analyses, narrative reviews, and systematic reviews, including meta-analyses. We also publish papers about research and reporting methods, opinions about controversial medical issues. Of particular note, we encourage material in any of the above mentioned categories that is related to improving patient care, avoiding medical errors, and comparative effectiveness research. We encourage publication of evidence-based guidelines, diagnostic and therapeutic algorithms, and decision aids. Original research and reviews may be sub-classified according to topic: cervix and HPV, vulva and vagina, perianal and anal, basic science, and education and learning.
The scope and readership of the journal extend to several disciplines: gynecology, internal medicine, family practice, dermatology, physical therapy, pathology, sociology, psychology, anthropology, sex therapy, and pharmacology. The Journal of Lower Genital Tract Disease highlights needs for future research, and enhances health care.
The Journal of Lower Genital Tract Disease is the official journal of the American Society for Colposcopy and Cervical Pathology, the International Society for the Study of Vulvovaginal Disease, and the International Federation of Cervical Pathology and Colposcopy, and sponsored by the Australian Society for Colposcopy and Cervical Pathology and the Society of Canadian Colposcopists.
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