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https://www.readbyqxmd.com/read/28319265/derivation-of-a-performance-checklist-for-ultrasound-guided-arthrocentesis-using-the-modified-delphi-method
#1
Derek Kunz, Manoj Pariyadath, Mary Wittler, Kim Askew, David Manthey, Nicholas Hartman
OBJECTIVES: Arthrocentesis is an important skill for physicians in multiple specialties. Recent studies indicate a superior safety and performance profile for this procedure using ultrasound guidance for needle placement, and improving quality of care requires a valid measurement of competency using this modality. METHODS: We endeavored to create a validated tool to assess the performance of this procedure using the modified Delphi technique and experts in multiple disciplines across the United States...
March 20, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28301645/association-of-face-lift-surgery-with-social-perception-age-attractiveness-health-and-success
#2
Jason C Nellis, Masaru Ishii, Ira D Papel, Theda C Kontis, Patrick J Byrne, Kofi D O Boahene, Kristin L Bater, Lisa E Ishii
Importance: Evidence quantifying the influence of face-lift surgery on societal perceptions is lacking. Objective: To measure the association of face-lift surgery with observer-graded perceived age, attractiveness, success, and overall health. Design, Setting, and Participants: In a web-based survey, 526 casual observers naive to the purpose of the study viewed independent images of 13 unique female patient faces before or after face-lift surgery from January 1, 2016, through June 30, 2016...
March 16, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28296986/stevens-johnson-syndrome-and-toxic-epidermal-necrolysis-standard-reporting-and-evaluation-guidelines-results-of-a-national-institutes-of-health-working-group
#3
Emanual Maverakis, Elizabeth A Wang, Kanade Shinkai, Surakameth Mahasirimongkol, David J Margolis, Mark Avigan, Wen-Hung Chung, Jennifer Goldman, Lois La Grenade, Munir Pirmohamed, Neil H Shear, Wichittra Tassaeeyakul, Wolfram Hoetzenecker, Jettanong Klaewsongkram, Ticha Rerkpattanapipat, Wiparat Manuyakorn, Sally Usdin Yasuda, Victoria R Sharon, Andrea Sukhov, Robert Micheletti, Jeff Struewing, Lars E French, Michelle Y Cheng
Importance: Toxic epidermal necrolysis (TEN) and Stevens-Johnson Syndrome (SJS) are rare, acute, life-threatening dermatologic disorders involving the skin and mucous membranes. Research into these conditions is hampered by a lack of standardization of case reporting and data collection. Objective: To establish a standardized case report form to facilitate comparisons and maintain data quality based on an international panel of SJS/TEN experts who performed a Delphi consensus-building exercise...
March 15, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28296785/defining-the-activities-of-publicness-for-korea-s-public-community-hospitals-using-the-delphi-method
#4
Kunsei Lee, Hyun Joo Kim, Myoungsoon You, Jin-Seok Lee, Sang Jun Eun, Hyoseon Jeong, Hye Mi Ahn, Jin Yong Lee
This study aims to identify which activities of a public community hospital (PHC) should be included in their definition of publicness and tries to achieve a consensus among experts using the Delphi method. We conduct 2 rounds of the Delphi process with 17 panel members using a developed draft of tentative activities for publicness including 5 main categories covering 27 items. The questions remain the same in both rounds and the applicability of each of the 27 items to publicness is measured on a 9-point scale...
March 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28290462/expert-consensus-document-semantics-in-active-surveillance-for-men-with-localized-prostate-cancer-results-of-a-modified-delphi-consensus-procedure
#5
Sophie M Bruinsma, Monique J Roobol, Peter R Carroll, Laurence Klotz, Tom Pickles, Caroline M Moore, Vincent J Gnanapragasam, Arnauld Villers, Antti Rannikko, Riccardo Valdagni, Mark Frydenberg, Yoshiyuki Kakehi, Christopher P Filson, Chris H Bangma
Active surveillance (AS) is broadly described as a management option for men with low-risk prostate cancer, but semantic heterogeneity exists in both the literature and in guidelines. To address this issue, a panel of leading prostate cancer specialists in the field of AS participated in a consensus-forming project using a modified Delphi method to reach international consensus on definitions of terms related to this management option. An iterative three-round sequence of online questionnaires designed to address 61 individual items was completed by each panel member...
March 14, 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28289467/the-development-of-a-consensus-definition-for-healthcare-improvement-science-his-in-seven-european-countries-a-consensus-methods-approach
#6
Brigita Skela-Savič, Rhoda Macrae, Manuel Lillo-Crespo, Kevin D Rooney
INTRODUCTION: There is a limited body of research in the field of healthcare improvement science (HIS). Quality improvement and 'change making' should become an intrinsic part of everyone's job, every day in all parts of the healthcare system. The lack of theoretical grounding may partly explain the minimal transfer of health research into health policy. METHODS: This article seeks to present the development of the definition for healthcare improvement science. A consensus method approach was adopted with a two-stage Delphi process, expert panel and consensus group techniques...
June 1, 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/28288055/development-of-a-core-outcome-set-for-clinical-effectiveness-trials-in-esophageal-cancer-resection-surgery
#7
Kerry N L Avery, Katy A Chalmers, Sara T Brookes, Natalie S Blencowe, Karen Coulman, Katie Whale, Chris Metcalfe, Jane M Blazeby
OBJECTIVE: Development of a core outcome set (COS) for clinical effectiveness trials in esophageal cancer resection surgery. BACKGROUND: Inconsistency and heterogeneity in outcome reporting after esophageal cancer resection surgery hampers comparison of trial results and undermines evidence synthesis. COSs provide an evidence-based approach to these challenges. METHODS: A long list of clinical and patient-reported outcomes was identified and categorized into outcome domains...
March 10, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28283741/proposal-of-a-new-classification-of-postoperative-ileus-based-on-its-clinical-impact-results-of-a-global-survey-and-preliminary-evaluation-in-colorectal-surgery
#8
Aurélien Venara, Karem Slim, Jean-Marc Regimbeau, Pablo Ortega-Deballon, Bruno Vielle, Emilie Lermite, Guillaume Meurette, Antoine Hamy
PURPOSE: There is no consensual definition of postoperative ileus (POI), which leads to a lack of reproducibility. The aims of this study were (i) to propose and evaluate a classification of postoperative ileus based on its consequences and (ii) to assess the reproducibility of the classification. METHODS: A national global survey was carried out according to the DELPHI method in order to create a classification of primary POI. The classification was subsequently tested on a cohort of patients who underwent colorectal surgery...
March 10, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28279617/the-diabetes-evaluation-framework-for-innovative-national-evaluations-define-construct-and-content-validation-using-a-modified-delphi-method
#9
Jann Paquette-Warren, Marie Tyler, Meghan Fournie, Stewart B Harris
OBJECTIVES: In order to scale-up successful innovations, more evidence is needed to evaluate programs that attempt to address the rising prevalence of diabetes and the associated burdens on patients and the healthcare system. This study aimed to assess the construct and content validity of the Diabetes Evaluation Framework for Innovative National Evaluations (DEFINE), a tool developed to guide the evaluation, design and implementation with built-in knowledge translation principles. METHODS: A modified Delphi method, including 3 individual rounds (questionnaire with 7-point agreement/importance Likert scales and/or open-ended questions) and 1 group round (open discussion) were conducted...
March 6, 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/28276254/a-risk-scoring-system-to-predict-coronary-stent-thrombosis
#10
Nikesh Malik, Amerjeet S Banning, Mark Belger, Walid Fakhouri, Peita L Graham-Clarke, Adrian Banning, Andreas Baumbach, Daniel J Blackman, Adam de Belder, Thierry Lefèvre, Rod Stables, Azfar Zaman, Anthony H Gershlick
OBJECTIVE: Stent thrombosis (ST) is a potentially life-threatening complication of percutaneous coronary intervention (PCI). We aimed to develop a scoring system to predict the risk of ST following PCI. RESEARCH DESIGN AND METHODS: Odds ratios (ORs) for risk factors associated with ST were identified from a meta-analysis based on a systematic literature review, and through consensus expert opinion (Delphi-RAND method). The combined ORs were used to calculate risk scores for acute (within 24 hours), early (within 30 days) and late (31 days to 1 year) ST...
March 9, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28270910/american-society-for-enhanced-recovery-aser-and-perioperative-quality-initiative-poqi-joint-consensus-statement-on-prevention-of-postoperative-infection-within-an-enhanced-recovery-pathway-for-elective-colorectal-surgery
#11
Stefan D Holubar, Traci Hedrick, Ruchir Gupta, John Kellum, Mark Hamilton, Tong J Gan, Monty G Mythen, Andrew D Shaw, Timothy E Miller
BACKGROUND: Colorectal surgery (CRS) patients are an at-risk population who are particularly vulnerable to postoperative infectious complications. Infectious complications range from minor infections including simple cystitis and superficial wound infections to life-threatening situations such as lobar pneumonia or anastomotic leak with fecal peritonitis. Within an enhanced recovery pathway (ERP), there are multiple approaches that can be used to reduce the risk of postoperative infections...
2017: Perioperative Medicine
https://www.readbyqxmd.com/read/28264036/validation-of-the-instrument-of-health-literacy-competencies-for-chinese-speaking-health-professionals
#12
Li-Chun Chang, Yu-Chi Chen, Li-Ling Liao, Fei Ling Wu, Pei-Lin Hsieh, Hsiao-Jung Chen
The study aimed to illustrate the constructs and test the psychometric properties of an instrument of health literacy competencies (IOHLC) for health professionals. A multi-phase questionnaire development method was used to develop the scale. The categorization of the knowledge and practice domains achieved consensus through a modified Delphi process. To reduce the number of items, the 92-item IOHLC was psychometrically evaluated through internal consistency, Rasch modeling, and two-stage factor analysis. In total, 736 practitioners, including nurses, nurse practitioners, health educators, case managers, and dieticians completed the 92-item IOHLC online from May 2012 to January 2013...
2017: PloS One
https://www.readbyqxmd.com/read/28258884/a-national-needs-assessment-to-identify-technical-procedures-in-vascular-surgery-for-simulation-based-training
#13
L J Nayahangan, L Konge, T V Schroeder, C Paltved, K G Lindorff-Larsen, B U Nielsen, J P Eiberg
OBJECTIVES AND BACKGROUND: Practical skills training in vascular surgery is facing challenges because of an increased number of endovascular procedures and fewer open procedures, as well as a move away from the traditional principle of "learning by doing." This change has established simulation as a cornerstone in providing trainees with the necessary skills and competences. However, the development of simulation based programs often evolves based on available resources and equipment, reflecting convenience rather than a systematic educational plan...
March 1, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28250031/faculty-development-for-metro-new-york-city-postdoctoral-dental-program-directors-delphi-assessment-and-program-response
#14
Marcie S Rubin, Mari Millery, Burton L Edelstein
Faculty development for dental academicians is essential to cultivate a continuous faculty workforce, retain existing faculty members, enhance their teaching skill sets, and remain responsive to changing program requirements and curricular reforms. To maximize the utility of dental faculty development, it is important to systematically assess and address faculty members' perceived training needs. The aims of this study were to determine priority topics among one group of postdoctoral program directors and to translate those topics into faculty development programs as part of Columbia University's Health Resources and Services Administration (HRSA)-sponsored faculty training program for primary care educators...
March 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28248210/childhood-bladder-and-bowel-dysfunction-questionnaire-development-feasibility-and-aspects-of-validity-and-reliability
#15
Marieke L van Engelenburg-van Lonkhuyzen, Esther M J Bols, Caroline H G Bastiaenen, Marc A Benninga, Rob A de Bie
OBJECTIVE: To develop a questionnaire evaluating the frequency of symptoms over time of concomitant childhood bladder and bowel dysfunctions (CBBD) in 5-12 years old children and to assess its feasibility and aspects of validity and reliability. METHODS: The Childhood Bladder and Bowel Dysfunction Questionnaire (CBBDQ) was developed in phases according to COnsensus-based Standards (COSMIN) in cooperation with epidemiologists, pediatricians, physiotherapists (phases 1 and 5) and professional translators (phase 5): [1] selection of items (Delphi-method), [2] content validity (pilot), [3] feasibility (interviews), [4] structural validity and internal consistency (field testing) and [5] guideline-based translation (Dutch-English)...
November 17, 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/28246078/return-to-play-criteria-after-hamstring-muscle-injury-in-professional-football-a-delphi-consensus-study
#16
Mattia Zambaldi, Ian Beasley, Alison Rushton
BACKGROUND: Hamstring muscle injury (HMI) is the most common injury in professional football and has a high re-injury rate. Despite this, there are no validated criteria to support return to play (RTP) decisions. AIM: To use the Delphi method to reach expert consensus on RTP criteria after HMI in professional football. METHODS: All professional football clubs in England (n=92) were invited to participate in a 3-round Delphi study. Round 1 requested a list of criteria used for RTP decisions after HMI...
February 28, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28244501/relevance-of-the-international-spinal-cord-injury-basic-data-sets-to-youth-an-inter-professional-review-with-recommendations
#17
A Carroll, L C Vogel, K Zebracki, V K Noonan, F Biering-Sørensen, M J Mulcahey
STUDY DESIGN: Mixed methods, using the Modified Delphi Technique and Expert Panel Review. OBJECTIVE: To evaluate the utility and relevance of the International Spinal Cord Injury (SCI) Core and Basic Data Sets for children and youth with SCI. SETTING: International. METHODS: Via 20 electronic surveys, an interprofessional sample of healthcare professionals with pediatric SCI experience participated in an iterative critical review of the International SCI Data Sets, and submitted suggestions for modifications for use with four pediatric age groups...
February 28, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28243988/fotrocan-delphi-consensus-statement-regarding-the-prevention-and-treatment-of-cancer-associated-thrombosis-in-areas-of-uncertainty-and-low-quality-of-evidence
#18
P Jimenez-Fonseca, A Carmona-Bayonas, C Calderon, J Fontcuberta Boj, C Font, R Lecumberri, M Monreal, A J Muñoz Martín, R Otero, A Rubio, P Ruiz-Artacho, C Suarez Fernández, E Colome, P Pérez Segura
INTRODUCTION: Decision-making in cancer-related venous thromboembolism (VTE) is often founded on scant lines of evidence and weak recommendations. The aim of this work is to evaluate the percentage of agreement surrounding a series of statements about complex, clinically relevant, and highly uncertain aspects to formulate explicit action guidelines. MATERIALS AND METHODS: Opinions were based on a structured questionnaire with appropriate scores and were agreed upon using a Delphi method...
February 27, 2017: Clinical & Translational Oncology
https://www.readbyqxmd.com/read/28241182/proposed-technical-guidelines-for-the-acquisition-of-clinical-images-of-skin-related-conditions
#19
Anna Finnane, Clara Curiel-Lewandrowski, Glen Wimberley, Liam Caffery, Chinmayee Katragadda, Allan Halpern, Ashfaq A Marghoob, Josep Malvehy, Harald Kittler, Rainer Hofmann-Wellenhof, Ivo Abraham, H Peter Soyer
Importance: Standardizing dermatological imaging is important to improve monitoring of skin lesions and skin conditions, ensure the availability of high-quality images for teledermatology, and contribute to the development of a robust archive of skin images to be used for research. Objective: To provide guidelines for the clinical application of the Standards for Dermatological Imaging set forward by the ISIC. Evidence Review: The ISIC recommendations were developed through a hybrid Delphi methodology...
February 22, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28238075/physical-activity-and-osteoarthritis-a-consensus-study-to-harmonise-self-reporting-methods-of-physical-activity-across-international-cohorts
#20
L S Gates, K M Leyland, S Sheard, K Jackson, P Kelly, L F Callahan, R Pate, E M Roos, B Ainsworth, C Cooper, C Foster, J L Newton, M E Batt, N K Arden
Physical activity (PA) is increasingly recognised as an important factor within studies of osteoarthritis (OA). However, subjective methods used to assess PA are highly variable and have not been developed for use within studies of OA, which creates difficulties when comparing and interpreting PA data in OA research. The aim of this study was, therefore, to gain expert agreement on the appropriate methods to harmonise PA data among existing population cohorts to enable the investigation of the association of PA and OA...
April 2017: Rheumatology International
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