MedStar Authors catalog › Details for: Expert surgical consensus for prenatal counseling using the Delphi method.
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Expert surgical consensus for prenatal counseling using the Delphi method.

by Miller, Kristen.
Citation: Journal of Pediatric Surgery. 53(8):1592-1599, 2018 Aug..Journal: Journal of pediatric surgery.Published: 2018; ISSN: 0022-3468.Full author list: Berman L; Jackson J; Miller K; Kowalski R; Kolm P; Luks FI.UI/PMID: 29274787.Subject(s): *Abnormalities, Multiple/di [Diagnosis] | *Bronchi/ab [Abnormalities] | *Consensus | Delphi Technique | Evidence-Based Practice/st [Standards] | Female | *Hernias, Diaphragmatic, Congenital/di [Diagnosis] | Hernias, Diaphragmatic, Congenital/su [Surgery] | Humans | Pregnancy | *Prenatal Diagnosis/st [Standards] | Professional-Family Relations | *Referral and Consultation/st [Standards] | Surveys and QuestionnairesInstitution(s): MedStar Institute for InnovationDepartment(s): National Center for Human Factors in HealthcareActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1016/j.jpedsurg.2017.11.056 (Click here) Abbreviated citation: J Pediatr Surg. 53(8):1592-1599, 2018 Aug.Abstract: BACKGROUND: Pediatric surgeons frequently offer prenatal consultation for congenital pulmonary airway malformation (CPAM) and congenital diaphragmatic hernia (CDH); however, there is no evidence-based consensus to guide prenatal decision making and counseling for these conditions. Eliciting feedback from experts is integral to defining best practice regarding prenatal counseling and intervention.Abstract: METHODS: A Delphi consensus process was undertaken using a panel of pediatric surgeons identified as experts in fetal therapy to address current limitations. Areas of discrepancy in the literature on CPAM and CDH were identified and used to generate a list of content and intervention questions. Experts were invited to participate in an online Delphi survey. Items that did not reach first-round consensus were broken down into additional questions, and consensus was achieved in the second round.Abstract: RESULTS: Fifty-four surgeons (69%) responded to at least one of the two survey rounds. During round one, consensus was reached on 54 of 89 survey questions (61%), and 45 new questions were developed. During round two, consensus was reached on 53 of 60 survey questions (88%).Abstract: CONCLUSIONS: We determined expert consensus to establish guidelines regarding perinatal management of CPAM and CDH. Our results can help educate pediatric surgeons participating in perinatal care of these patients.Abstract: LEVEL OF EVIDENCE: V. Copyright (c) 2017 Elsevier Inc. All rights reserved.

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