Developing Consensus for Colorectal QI Research: A Delphi Study.

IF 2.8 3区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Journal of Gastrointestinal Surgery Pub Date : 2026-09-23 DOI:10.1016/j.gassur.2026.102604

Megan Obi, Arielle Kanters, Rebecca Gunter, Stefan D Holubar, Scott Steele, David Liska, Kristen Ban

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引用次数: 0

Abstract

Purpose: Data are essential to guide meaningful quality improvement (QI) in colorectal surgery. The goal of this Delphi study is to achieve consensus from experts on which data are most important to guide quality improvement efforts in colorectal surgery.

Study design: A two- round modified Delphi study via survey questionnaire was conducted using a panel of 34 colorectal surgeon experts. Scoring was done with a 9-point Likert scale. A median score ≥7 defined consensus and a median score of ≤3 was defined as inappropriate.

Results: Response rate after each round was 61.8% (21/34) and 90.5% (19/21) respectively. Of the 63 outcome and process measures analyzed at the end of round 2, consensus was reached on a total of 52 (73.2%) process and outcome measures and 3 (4.2%) were deemed inappropriate.

Conclusion: Measures achieving the highest consensus were outcomes that are collected in NSQIP. Additional unexpected process measures were also highly valued amongst experts. Hospitals participating in NSQIP can add these data elements as custom variables to engage in more targeted, meaningful QI projects as appropriate.

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结直肠气研究的共识：德尔菲研究。

目的：数据对指导结直肠手术有意义的质量改善（QI）至关重要。本德尔菲研究的目的是使专家就哪些数据对指导结直肠手术质量改进工作最重要达成共识。研究设计：采用问卷调查法对34名结直肠外科专家进行两轮修正德尔菲研究。评分采用9分李克特量表。中位数评分≥7定义为共识，中位数评分≤3定义为不合适。结果：两轮治疗后有效率分别为61.8%（21/34）和90.5%（19/21）。在第二轮结束时分析的63个结果和过程度量中，共有52个（73.2%）过程和结果度量达成了共识，3个（4.2%）被认为是不合适的。结论：在NSQIP中收集的结果达到了最高的一致性。专家们也高度重视其他意想不到的过程措施。参与NSQIP的医院可以将这些数据元素作为自定义变量添加到更有针对性、更有意义的QI项目中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Gastrointestinal Surgery 医学-外科

CiteScore

5.50

自引率

3.10%

发文量

319

审稿时长

2 months

期刊介绍： The Journal of Gastrointestinal Surgery is a scholarly, peer-reviewed journal that updates the surgeon on the latest developments in gastrointestinal surgery. The journal includes original articles on surgery of the digestive tract; gastrointestinal images; "How I Do It" articles, subject reviews, book reports, editorial columns, the SSAT Presidential Address, articles by a guest orator, symposia, letters, results of conferences and more. This is the official publication of the Society for Surgery of the Alimentary Tract. The journal functions as an outstanding forum for continuing education in surgery and diseases of the gastrointestinal tract.