腹主动脉瘤修复质量改进登记标准：来自VASCUNET和国际血管登记协会的德尔菲共识报告。

IF 5.7 1区医学 Q1 PERIPHERAL VASCULAR DISEASE

European Journal of Vascular and Endovascular Surgery Pub Date : 2025-04-01 DOI:10.1016/j.ejvs.2024.12.002

Matthew Joe Grima , Stefano Ancetti , Arun D. Pherwani , Frederico B. Gonçalves , Jacob Budtz-Lilly , Christian-Alexander Behrendt , Salvatore T. Scali , Adam W. Beck , Kevin Mani

{"title":"腹主动脉瘤修复质量改进登记标准：来自VASCUNET和国际血管登记协会的德尔菲共识报告。","authors":"Matthew Joe Grima , Stefano Ancetti , Arun D. Pherwani , Frederico B. Gonçalves , Jacob Budtz-Lilly , Christian-Alexander Behrendt , Salvatore T. Scali , Adam W. Beck , Kevin Mani","doi":"10.1016/j.ejvs.2024.12.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Outcome registries in vascular surgery are used increasingly to drive quality improvement by vascular societies. The VASCUNET collaboration, within the European Society for Vascular Surgery (ESVS), and the International Consortium of Vascular Registries (ICVR) developed a set of variables for quality improvement registries on abdominal aortic aneurysm (AAA) repair as a registry standard.</div></div><div><h3>Methods</h3><div>Representatives from international vascular registries within VASCUNET, ICVR, and other nations with established registries were invited to provide the variables. The final variables were developed through a two stage modified Delphi process. Variables from the established registries with at least 60% consensus among all the registries were included for round 1. A five point Likert scale (strongly disagree to fully agree) was used. If the limit of consensual agreement was not reached in round 1, the variable was discussed again in round 2. For round 2, an array question method (yes, no to unsure) was used. Agreement of at least 70% resulted in the variable being included in the final dataset.</div></div><div><h3>Results</h3><div>A total of 88 of 371 variables extracted from all AAA registries were circulated in the modified Delphi process as they reached the 60% consensus threshold. The questionnaire was circulated to 55 participants (round 1: 49; 89%; round 2: 43; 78%). After two rounds, 70 variables were recommended on consensual agreement. These variables comprised demographics (<em>n</em> = 4), pre-operative information (<em>n</em> = 28), intra-operative variables (<em>n</em> = 18), post-operative variables (<em>n</em> = 5), and follow up (<em>n</em> = 13).</div></div><div><h3>Conclusion</h3><div>Based on this modified Delphi process, an international panel of vascular surgeons representing quality improvement registries recommended 70 core variables as standard in AAA repair registries. The inclusion of a core set of variables in AAA vascular registries may help to further harmonise observational research and quality of AAA repair among global healthcare systems.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 516-521"},"PeriodicalIF":5.7000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Standards for Abdominal Aortic Aneurysm Repair Quality Improvement Registries: A Delphi Consensus Report From VASCUNET and the International Consortium of Vascular Registries\",\"authors\":\"Matthew Joe Grima , Stefano Ancetti , Arun D. Pherwani , Frederico B. Gonçalves , Jacob Budtz-Lilly , Christian-Alexander Behrendt , Salvatore T. Scali , Adam W. Beck , Kevin Mani\",\"doi\":\"10.1016/j.ejvs.2024.12.002\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>Outcome registries in vascular surgery are used increasingly to drive quality improvement by vascular societies. The VASCUNET collaboration, within the European Society for Vascular Surgery (ESVS), and the International Consortium of Vascular Registries (ICVR) developed a set of variables for quality improvement registries on abdominal aortic aneurysm (AAA) repair as a registry standard.</div></div><div><h3>Methods</h3><div>Representatives from international vascular registries within VASCUNET, ICVR, and other nations with established registries were invited to provide the variables. The final variables were developed through a two stage modified Delphi process. Variables from the established registries with at least 60% consensus among all the registries were included for round 1. A five point Likert scale (strongly disagree to fully agree) was used. If the limit of consensual agreement was not reached in round 1, the variable was discussed again in round 2. For round 2, an array question method (yes, no to unsure) was used. Agreement of at least 70% resulted in the variable being included in the final dataset.</div></div><div><h3>Results</h3><div>A total of 88 of 371 variables extracted from all AAA registries were circulated in the modified Delphi process as they reached the 60% consensus threshold. The questionnaire was circulated to 55 participants (round 1: 49; 89%; round 2: 43; 78%). After two rounds, 70 variables were recommended on consensual agreement. These variables comprised demographics (<em>n</em> = 4), pre-operative information (<em>n</em> = 28), intra-operative variables (<em>n</em> = 18), post-operative variables (<em>n</em> = 5), and follow up (<em>n</em> = 13).</div></div><div><h3>Conclusion</h3><div>Based on this modified Delphi process, an international panel of vascular surgeons representing quality improvement registries recommended 70 core variables as standard in AAA repair registries. The inclusion of a core set of variables in AAA vascular registries may help to further harmonise observational research and quality of AAA repair among global healthcare systems.</div></div>\",\"PeriodicalId\":55160,\"journal\":{\"name\":\"European Journal of Vascular and Endovascular Surgery\",\"volume\":\"69 4\",\"pages\":\"Pages 516-521\"},\"PeriodicalIF\":5.7000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Vascular and Endovascular Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1078588424013170\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PERIPHERAL VASCULAR DISEASE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Vascular and Endovascular Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1078588424013170","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}

引用次数: 0

摘要

目的：血管外科结果登记越来越多地用于推动血管学会提高质量。欧洲血管外科学会（ESVS）和国际血管登记协会（ICVR）的VASCUNET合作开发了一套用于腹主动脉瘤（AAA）修复质量改进登记的变量，作为登记标准。方法：邀请VASCUNET、ICVR和其他已建立注册的国家的国际血管注册代表提供变量。最后的变量是通过两阶段改进的德尔菲过程开发的。第1轮纳入所有注册中心中至少有60%共识的已建立注册中心的变量。使用了李克特五点量表（强烈反对到完全同意）。如果在第1轮中没有达成共识的限度，则在第2轮中再次讨论该变量。对于第二轮，使用了一个数组问题方法（是，否到不确定）。至少70%的一致性导致该变量被纳入最终数据集。结果：从所有AAA注册表中提取的371个变量中，共有88个变量在改进的德尔菲过程中流通，因为它们达到了60%的共识阈值。问卷分发给55名参与者(第1轮：49；89%;第2轮：43；78%)。两轮之后，在双方同意的基础上推荐了70个变量。这些变量包括人口统计学（n = 4）、术前信息（n = 28）、术中变量（n = 18）、术后变量（n = 5）和随访（n = 13）。结论：基于改进的德尔菲过程，一个代表质量改进注册中心的国际血管外科医生小组推荐了70个核心变量作为AAA修复注册中心的标准。在AAA级血管登记中纳入一组核心变量可能有助于进一步协调全球医疗保健系统中AAA级修复的观察性研究和质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Standards for Abdominal Aortic Aneurysm Repair Quality Improvement Registries: A Delphi Consensus Report From VASCUNET and the International Consortium of Vascular Registries

Objective

Outcome registries in vascular surgery are used increasingly to drive quality improvement by vascular societies. The VASCUNET collaboration, within the European Society for Vascular Surgery (ESVS), and the International Consortium of Vascular Registries (ICVR) developed a set of variables for quality improvement registries on abdominal aortic aneurysm (AAA) repair as a registry standard.

Methods

Representatives from international vascular registries within VASCUNET, ICVR, and other nations with established registries were invited to provide the variables. The final variables were developed through a two stage modified Delphi process. Variables from the established registries with at least 60% consensus among all the registries were included for round 1. A five point Likert scale (strongly disagree to fully agree) was used. If the limit of consensual agreement was not reached in round 1, the variable was discussed again in round 2. For round 2, an array question method (yes, no to unsure) was used. Agreement of at least 70% resulted in the variable being included in the final dataset.

Results

A total of 88 of 371 variables extracted from all AAA registries were circulated in the modified Delphi process as they reached the 60% consensus threshold. The questionnaire was circulated to 55 participants (round 1: 49; 89%; round 2: 43; 78%). After two rounds, 70 variables were recommended on consensual agreement. These variables comprised demographics (n = 4), pre-operative information (n = 28), intra-operative variables (n = 18), post-operative variables (n = 5), and follow up (n = 13).

Conclusion

Based on this modified Delphi process, an international panel of vascular surgeons representing quality improvement registries recommended 70 core variables as standard in AAA repair registries. The inclusion of a core set of variables in AAA vascular registries may help to further harmonise observational research and quality of AAA repair among global healthcare systems.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

European Journal of Vascular and Endovascular Surgery 医学-外科

CiteScore

6.80

自引率

15.80%

发文量

471

审稿时长

66 days

期刊介绍： The European Journal of Vascular and Endovascular Surgery is aimed primarily at vascular surgeons dealing with patients with arterial, venous and lymphatic diseases. Contributions are included on the diagnosis, investigation and management of these vascular disorders. Papers that consider the technical aspects of vascular surgery are encouraged, and the journal includes invited state-of-the-art articles. Reflecting the increasing importance of endovascular techniques in the management of vascular diseases and the value of closer collaboration between the vascular surgeon and the vascular radiologist, the journal has now extended its scope to encompass the growing number of contributions from this exciting field. Articles describing endovascular method and their critical evaluation are included, as well as reports on the emerging technology associated with this field.