TY  - BOOK
AU  - Miller, Kristen
TI  - Expert surgical consensus for prenatal counseling using the Delphi method
SN  - 0022-3468
PY  - 2018///
KW  - *Abnormalities, Multiple/di [Diagnosis]
KW  - *Bronchi/ab [Abnormalities]
KW  - *Consensus
KW  - *Hernias, Diaphragmatic, Congenital/di [Diagnosis]
KW  - *Prenatal Diagnosis/st [Standards]
KW  - *Referral and Consultation/st [Standards]
KW  - Delphi Technique
KW  - Evidence-Based Practice/st [Standards]
KW  - Female
KW  - Hernias, Diaphragmatic, Congenital/su [Surgery]
KW  - Humans
KW  - Pregnancy
KW  - Professional-Family Relations
KW  - Surveys and Questionnaires
KW  - MedStar Institute for Innovation
KW  - National Center for Human Factors in Healthcare
KW  - Journal Article
N2  - 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; 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; LEVEL OF EVIDENCE: V. Copyright (c) 2017 Elsevier Inc. All rights reserved; 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; 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%)
UR  - https://dx.doi.org/10.1016/j.jpedsurg.2017.11.056
ER  -