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Delphi method

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https://www.readbyqxmd.com/read/29026828/objective-outcomes-of-minimally-invasive-temporalis-tendon-transfer-for-prolonged-complete-facial-paralysis
#1
Michal Brichacek, Babar Sultan, Kofi D Boahene, Lisa Ishii, Patrick J Byrne
OBJECTIVES: We describe an approach to reanimation of complete, prolonged facial paralysis using minimally invasive temporalis tendon transfer (MIT3) by the melolabial or transoral approach. Objective outcome measures are evaluated based on symmetry, and grading of preoperative/post-operative results and the scar at the melolabial fold. STUDY DESIGN: Retrospective cohort study. METHODS: Twenty-five patients undergoing the MIT3 technique were studied...
August 2017: Plastic Surgery
https://www.readbyqxmd.com/read/29026489/delphi-survey-for-designing-a-intervention-research-study-on-childhood-obesity-prevention
#2
Min Jeong Kim, Eunju Sung, Eun Young Choi, Young-Su Ju, Eal-Whan Park, Yoo-Seock Cheong, Sunmi Yoo, Kyung Hee Park, Hyung Jin Choi, Seolhye Kim
BACKGROUND: The prevalence of childhood obesity in South Korea has increased owing to economic improvement and the prevailing Westernized dietary pattern. As the incidence of chronic diseases caused by obesity is also expected to increase, effective interventions to prevent childhood obesity are needed. Therefore, we conducted a Delphi study to determine the priorities of a potential intervention research on childhood obesity prevention and its adequacy and feasibility. METHODS: The two-round Delphi technique was used with a panel of 10 childhood obesity experts...
September 2017: Korean Journal of Family Medicine
https://www.readbyqxmd.com/read/29025823/standing-collaboration-a-study-protocol-for-developing-clinical-standards
#3
Louise K Wiles, Peter D Hibbert, Jacqueline H Stephens, Enrico Coiera, Johanna Westbrook, Jeffrey Braithwaite, Ric O Day, Ken M Hillman, William B Runciman
INTRODUCTION: Despite widespread availability of clinical practice guidelines (CPGs), considerable gaps continue between the care that is recommended ('appropriate care') and the care provided. Problems with current CPGs are commonly cited as barriers to providing 'appropriate care'.Our study aims to develop and test an alternative method to keep CPGs accessible and up to date. This method aims to mitigate existing problems by using a single process to develop clinical standards (embodied in clinical indicators) collaboratively with researchers, healthcare professionals, patients and consumers...
October 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/29025426/the-complete-european-guidelines-on-phenylketonuria-diagnosis-and-treatment
#4
REVIEW
A M J van Wegberg, A MacDonald, K Ahring, A Bélanger-Quintana, N Blau, A M Bosch, A Burlina, J Campistol, F Feillet, M Giżewska, S C Huijbregts, S Kearney, V Leuzzi, F Maillot, A C Muntau, M van Rijn, F Trefz, J H Walter, F J van Spronsen
Phenylketonuria (PKU) is an autosomal recessive inborn error of phenylalanine metabolism caused by deficiency in the enzyme phenylalanine hydroxylase that converts phenylalanine into tyrosine. If left untreated, PKU results in increased phenylalanine concentrations in blood and brain, which cause severe intellectual disability, epilepsy and behavioural problems. PKU management differs widely across Europe and therefore these guidelines have been developed aiming to optimize and standardize PKU care. Professionals from 10 different European countries developed the guidelines according to the AGREE (Appraisal of Guidelines for Research and Evaluation) method...
October 12, 2017: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/29024185/development-of-a-tailored-work-related-support-intervention-for-gastrointestinal-cancer-patients
#5
Anne-Claire G N M Zaman, Kristien M A J Tytgat, Sanne van Hezel, Jean H G Klinkenbijl, Angela G E M de Boer, Monique H W Frings-Dresen
Aim is the development of a work-related support intervention, tailored to the severity of work-related problems of patients diagnosed with gastrointestinal (GI) cancer treated with curative intent. Two methods were used: (1) Work-related problems were identified from the literature and submitted to an expert panel during a modified Delphi study. Experts allocated work-related problems into degrees of severity: mild, severe or complex. In addition, experts indicated which health care professional should provide the tailored support: (2) These outcomes were combined with existing interventions to design the tailored intervention...
October 12, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29023830/drug-management-in-acute-kidney-disease-report-of-the-adqi-xvi-meeting
#6
M Ostermann, L S Chawla, L G Forni, S L Kane-Gill, J A Kellum, J Koyner, P T Murray, C Ronco, S L Goldstein
AIMS: To summarize and extend the main conclusions and recommendations relevant to drug management during acute kidney disease (AKD) as agreed at the 16(th) Acute Disease Quality Initiative (ADQI) consensus conference. METHODS: Using a modified Delphi method to achieve consensus, experts attending the 16(th) ADQI consensus conference reviewed and appraised the existing literature on drug management during AKD and identified recommendations for clinical practice and future research...
October 11, 2017: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28992810/identifying-research-priorities-for-public-health-research-to-address-health-inequalities-use-of-delphi-like-survey-methods
#7
S Turner, E Ollerhead, A Cook
BACKGROUND: In the funding of health research and public health research it is vital that research questions posed are important and that funded research meets a research need or a gap in evidence. Many methods are used in the identification of research priorities, however, these can be resource intensive, costly and logistically challenging. Identifying such research priorities can be particularly challenging for complex public health problems as there is a need to consult a number of experts across disciplines and with a range of expertise...
October 9, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28988294/development-and-proposal-of-a-scoring-system-for-giant-cell-tumour-of-the-bone-around-the-knee
#8
Deng-Xing Lun, Yong-Cheng Hu, Xiong-Gang Yang, Zhen Wang, Xiu-Chun Yu, Su-Jia Wu, Zhao-Ming Ye, Han Wang
PURPOSE: The purpose of this study was to provide the surgeons with effective and reliable guidelines for surgical decision-making by establishing a scoring system for giant cell tumour (GCTSS) based on evidence and expert opinion. METHODS: The modified Delphi technique and analytic hierarchy process were used to establish the GCTSS. The GCTSS was defined and classified based on different surgical methods using data from 207 patients collected retrospectively between October 2003 and December 2014...
October 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28985262/evaluating-physical-activity-in-dementia-a-systematic-review-of-outcomes-to-inform-the-development-of-a-core-outcome-set
#9
Ana-Carolina Gonçalves, Joana Cruz, Alda Marques, Sara Demain, Dinesh Samuel
Background: physical activity is recommended for people living with dementia, but evidence for the positive effects of physical activity is limited by the use of heterogeneous outcomes and measurement tools. This systematic literature review aimed to summarise previously reported outcomes and identify the measurement tools used most frequently in physical activity interventions for people with dementia. Methods: literature searches were conducted in April 2015, on Delphis and Medline...
August 9, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28985094/patellar-instability-management-a-survey-of-the-international-patellofemoral-study-group
#10
Joseph N Liu, Michael E Steinhaus, Irene L Kalbian, William R Post, Daniel W Green, Sabrina M Strickland, Beth E Shubin Stein
BACKGROUND: Although patellofemoral instability is among the most prevalent knee disorders, the management of patients with this condition is complex and remains variable, given the lack of long-term, high-level clinical outcome studies to compare various operative and nonoperative modalities. PURPOSE: To discover a consensus within treatment controversies in patellofemoral instability among experienced knee surgeons with a specific interest in the patellofemoral joint...
October 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28984426/caregiver-knowledge-and-skills-to-safely-care-for-pediatric-tracheostomy-ventilation-at-home
#11
Reshma Amin, Chris Parshuram, Jeannie Kelso, Audrey Lim, Dimas Mateos, Ian Mitchell, Hema Patel, Madan Roy, Faiza Syed, Rita Troini, David Wensley, Louise Rose
OBJECTIVE: Caregivers of children using home mechanical ventilation (HMV) via tracheostomy require appropriate knowledge and skills. Existing training curricula are locally developed and content variable. We sought to develop a competency checklist to inform initial training and subsequent assessment of knowledge and skills of family caregivers. METHODS: We used a 2-step process. Candidate items were generated by synthesis of a scoping review, existing checklists, with additional items suggested by an eight member inter-professional group representing pediatric HMV programs across Canada...
October 6, 2017: Pediatric Pulmonology
https://www.readbyqxmd.com/read/28980008/challenges-and-barriers-for-implementation-of-the-world-health-organization-global-disability-action-plan-in-low-and-middle-income-countries
#12
Fary Khan, Mayowa Ojo Owolabi, Bhasker Amatya, Talhatu Kolapo Hamzat, Adesola Ogunniyi, Helen Oshinowo, Alaeldin Elmalik, Mary P Galea
OBJECTIVE: To identify potential barriers and facilitators for implementation of the World Health Organization Global Disability Action Plan (GDAP) in Nigeria and compare these with other low- and middle-income countries. METHODS: A rehabilitation team from the Royal Melbourne Hospital, Parkville, Australia, conducted intensive workshops at medical/academic institutions in Nigeria for healthcare professionals from various local Physical Medicine and Rehabilitation facilities...
October 5, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28979768/an-international-survey-and-modified-delphi-process-revealed-editors-perceptions-training-needs-and-ratings-of-competency-related-statements-for-the-development-of-core-competencies-for-scientific-editors-of-biomedical-journals
#13
James Galipeau, Kelly D Cobey, Virginia Barbour, Patricia Baskin, Sally Bell-Syer, Jonathan Deeks, Paul Garner, Larissa Shamseer, Straus Sharon, Peter Tugwell, Margaret Winker, David Moher
Background: Scientific editors (i.e., those who make decisions on the content and policies of a journal) have a central role in the editorial process at biomedical journals. However, very little is known about the training needs of these editors or what competencies are required to perform effectively in this role. Methods: We conducted a survey of perceptions and training needs among scientific editors from major editorial organizations around the world, followed by a modified Delphi process in which we invited the same scientific editors to rate the importance of competency-related statements obtained from a previous scoping review...
2017: F1000Research
https://www.readbyqxmd.com/read/28977818/malt-beverage-brand-popularity-among-youth-and-youth-appealing-advertising-content
#14
Ziming Xuan, William DeJong, Michael Siegel, Thomas F Babor
BACKGROUND: This study examined whether alcohol brands more popular among youth are more likely to have aired television advertisements that violated the alcohol industry's voluntary code by including youth-appealing content. METHODS: We obtained a complete list of 288 brand-specific beer advertisements broadcast during the National Collegiate Athletic Association (NCAA) men's and women's basketball tournaments from 1999 to 2008. All ads were rated by a panel of health professionals using a modified Delphi method to assess the presence of youth-appealing content in violation of the alcohol industry's voluntary code...
October 4, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28971884/development-of-a-trigger-tool-to-identify-adverse-events-and-no-harm-incidents-that-affect-patients-admitted-to-home-healthcare
#15
Marléne Lindblad, Kristina Schildmeijer, Lena Nilsson, Mirjam Ekstedt, Maria Unbeck
BACKGROUND: Adverse events (AEs) and no-harm incidents are common and of great concern in healthcare. A common method for identification of AEs is retrospective record review (RRR) using predefined triggers. This method has been used frequently in inpatient care, but AEs in home healthcare have not been explored to the same extent. The aim of this study was to develop a trigger tool (TT) for the identification of both AEs and no-harm incidents affecting adult patients admitted to home healthcare in Sweden, and to describe the methodology used for this development...
September 29, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28970039/clinical-conundrums-in-antithrombotic-therapy-management-a-delphi-consensus-panel
#16
Paolo Colonna, Felicita Andreotti, Walter Ageno, Vittorio Pengo, Niccolò Marchionni
BACKGROUND: Anticoagulants are recommended for the prevention of stroke/systemic embolism for most patients with atrial fibrillation (AF) and for the treatment of patients with venous thromboembolism (VTE). Regulatory-driven randomized trials, however, typically exclude extreme patient scenarios involving, for instance, severe bleeding, ischaemic risk, frailty or renal impairment, despite their common occurrence in clinical practice. Uncertainty in the management of such cases leads to a high degree of variability in therapeutic approaches...
September 19, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28969346/priorities-for-implementing-nutritional-science-into-practice-to-optimize-military-performance
#17
Pamela Elfenbaum, Cindy Crawford, Viviane Enslein, Kevin Berry
The Metabolically Optimized Brain study explores nutritional science believed to be ready to place into practice to help improve US service member mission-readiness and performance. To this end, an implementation expert panel considered how the US Department of Defense Subsistence Food Service Program, which is operated by each branch of the military in dining facilities within the continental United States, could apply the best nutritional science in a cost-effective manner. The work of this panel was facilitated through a series of thematic conversations guided by evidence generated through systematic reviews, which were performed to identify systems and process gaps and propose possible solutions...
June 1, 2017: Nutrition Reviews
https://www.readbyqxmd.com/read/28967466/the-evolution-of-australian-intensive-care-and-its-related-costs-a-narrative-review
#18
REVIEW
Kelly Thompson, Colman Taylor, Kevin Forde, Naomi Hammond
OBJECTIVE: To conduct a narrative review on the evolution of intensive care and the cost of intensive care services in Australia. REVIEW METHOD: A narrative review using a search of online medical databases and grey literature with keyword verification via Delphi-technique. DATA SOURCES: Using Medical Subject Headings and keywords (intensive care, critical care, mechanical ventilation, renal replacement therapy, extracorporeal membrane oxygenation, monitoring, staffing, cost, cost analysis) we searched MEDLINE, PubMed, CINAHL, Embase, Google and Google Scholar...
September 26, 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/28965899/mammographic-image-quality-in-relation-to-positioning-of-the-breast-a-multicentre-international-evaluation-of-the-assessment-systems-currently-used-to-provide-an-evidence-base-for-establishing-a-standardised-method-of-assessment
#19
K Taylor, D Parashar, G Bouverat, A Poulos, R Gullien, E Stewart, R Aarre, P Crystal, M Wallis
INTRODUCTION: Optimum mammography positioning technique is necessary to maximise cancer detection. Current criteria for mammography appraisal lack reliability and validity with a need to develop a more objective system. We aimed to establish current international practice in assessing image quality (IQ), of screening mammograms then develop and validate a reproducible assessment tool. METHODS: A questionnaire sent to centres in countries undertaking population screening identified practice, participants for an expert panel (EP) of radiologists/radiographers and a testing panel (TP) of radiographers...
November 2017: Radiography
https://www.readbyqxmd.com/read/28964310/international-pediatric-otolaryngology-group-consensus-guidelines-on-the-diagnosis-and-management-of-type-i-laryngeal-clefts
#20
Jeffrey C Yeung, Karthik Balakrishnan, Alan T L Cheng, Sam J Daniel, Eréa-Noël Garabedian, Catherine K Hart, Andrew F Inglis, Nicolas Leboulanger, Bryan J Liming, Eric Moreddu, Richard Nicollas, John D Russell, Michael J Rutter, Douglas R Sidell, Jorge Spratley, Marlene Soma, Briac Thierry, Dana M Thompson, Jean-Michel Triglia, Karen Watters, Michelle Wyatt, George H Zalzal, Karen B Zur, Reza Rahbar
INTRODUCTION: The diagnosis and management of type I laryngeal clefts can be controversial and varies across centers and surgeons. Using existing peer-reviewed literature to develop an expert-based consensus will help guide physicians in the treatment of these patients as well as develop research hypotheses to further study this condition. OBJECTIVE: To provide recommendations for the diagnosis and management of type I laryngeal clefts. METHODS: Determination of current expert- and literature-based recommendations, via a survey of the International Pediatric Otolaryngology Group, using a modified Delphi method...
October 2017: International Journal of Pediatric Otorhinolaryngology
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