Delphi Process in the Management of Pediatric Cataract.

M. Serafino, G. Castellucci, G. Banderali
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Abstract

In 2013, our group wanted to learn more about worldwide practice styles and preferences for the management of pediatric cataract. Our initial idea was to survey ophthalmologists around the world. However, Alex Levin suggested doing something more accurate and proposed the Delphi process. We approached Edward Wilson and Rupal Trivedi and formed an executive committee. Before describing the research, we will briefly highlight what the Delphi technique is. It is an accepted method to achieve consensus among experts in controversial areas. It is structured to avoid undue influence from any one individual. An expert group is asked to answer questionnaires anonymously in two or more rounds. Questions without consensus are then reviewed face to face with the assistance of a facilitator. Experts can revise earlier questions after hearing the questionnaire responses to analyze those areas where consensus can or cannot be achieved. By using this process, the range of answers decreases, and the group converges toward a consensus. Results may also be used to identify areas for future research based on areas of nonconsensus. The areas of nonconsensus are of particular interest for future research. Our research was published in 2015 in the British Journal of Ophthalmology [1] . We identified a panel of international pediatric cataract surgeons with a publication record in pediatric cataract management and recognized participation in international meetings on this topic. The executive committee created questions to be used for the electronic surveys. The questionnaires included issues related to the preoperative, intraoperative, and postoperative management of pediatric cataract. In our study, we had 3 rounds of anonymous electronic questionnaires, followed by a face-to-face meeting and then a fourth anonymous electronic questionnaire. All questions had unit-based, multiple-choice, or true-or-false answers. Delphi Process in the Management of Pediatric Cataract
德尔菲过程在儿童白内障治疗中的应用。
2013年,我们小组想了解更多关于世界范围内儿童白内障治疗的实践风格和偏好。我们最初的想法是调查世界各地的眼科医生。然而,Alex Levin建议做一些更准确的事情,并提出了Delphi过程。我们找到了爱德华·威尔逊和鲁帕尔·特里维迪,成立了一个执行委员会。在描述研究之前,我们将简要地强调什么是德尔菲技术。在有争议的领域,专家之间达成共识是一种公认的方法。它的结构是为了避免任何个人的不当影响。一个专家小组被要求在两轮或两轮以上匿名回答问卷。没有达成共识的问题,然后在调解人的协助下面对面地进行审查。专家可以在听取问卷回答后修改之前的问题,以分析能够达成共识或无法达成共识的领域。通过使用这个过程,答案的范围会缩小,团队会趋于一致。结果也可用于确定基于非共识领域的未来研究领域。不一致的领域是未来研究特别感兴趣的领域。我们的研究发表在2015年的《英国眼科杂志》上。我们确定了一个国际儿童白内障外科医生小组,他们在儿童白内障管理方面有发表记录,并被认可参加了有关该主题的国际会议。执行委员会制定了用于电子调查的问题。问卷内容包括儿童白内障术前、术中及术后处理。在我们的研究中,我们进行了三轮匿名电子问卷,然后是面对面的会议,然后是第四轮匿名电子问卷。所有问题都是基于单元的选择题或是非题答案。德尔菲过程在儿童白内障治疗中的应用
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