A modified Delphi process to form an expert consensus in Ireland on the essential information to be included in shared decision making for varicose vein surgery.

IF 1.6 4区医学 Q3 PERIPHERAL VASCULAR DISEASE

Phlebology Pub Date : 2023-05-01 DOI:10.1177/02683555231158284

Aoife Kiernan, Daragh Moneley, Frank Doyle, Denis W Harkin

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引用次数: 1

Abstract

Objective: To reach consensus on a core set of essential information for inclusion in the informed consent process to standardize consent for VV surgery.

Methods: Using a modified electronic Delphi (e-Delphi) method, a panel of experts in Ireland, were asked to rate statements of essential information to include in the informed consent process with patients. Statements were rated using a 5-point Likert scale. The definition of consensus was declared at 70% agreement by the panel.

Results: Twenty-three panel members accepted the invitation to participate across three e-Delphi rounds. Consensus was reached on 33/42 statements, covering general and procedural information and the risks, benefits and alternatives of varicose veins (VV) surgery. Several statements remained equivocal, having not met consensus by the panel.

Conclusion: Considerable consensus was reached within the panel of experts but some gaps in available research were also highlighted. This consensus may provide the framework to aid physicians to deliver a standardized discussion of the key elements of consent and shared decision making with patients.

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一种改进的德尔菲过程，在爱尔兰形成专家共识的基本信息，包括在静脉曲张手术的共同决策。

目的:就纳入VV手术知情同意过程的核心基本信息达成共识，以规范VV手术的知情同意。方法:采用改进的电子德尔菲(e-Delphi)方法，爱尔兰的一个专家小组被要求对患者知情同意过程中包括的基本信息陈述进行评级。陈述使用5分李克特量表进行评分。协商一致的定义由专家组在70%的同意下宣布。结果:23名小组成员接受了邀请，参加了三轮e-Delphi。就33/42项声明达成共识，涵盖了静脉曲张(VV)手术的一般和程序信息以及风险、益处和替代方案。有几项声明仍然模棱两可，没有达到小组的共识。结论:专家组内部达成了相当大的共识，但也强调了现有研究中的一些差距。这种共识可以提供一个框架，帮助医生提供一个标准化的讨论，关键因素的同意和共同决策与患者。

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

Phlebology 医学-外周血管病

CiteScore

3.30

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments. Print ISSN: 0268-3555