Expert surgical consensus for prenatal counseling using the Delphi method.
Citation: Journal of Pediatric Surgery. 53(8):1592-1599, 2018 Aug.PMID: 29274787Institution: MedStar Institute for InnovationDepartment: National Center for Human Factors in HealthcareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Abnormalities, Multiple/di [Diagnosis] | *Bronchi/ab [Abnormalities] | *Consensus | *Hernias, Diaphragmatic, Congenital/di [Diagnosis] | *Prenatal Diagnosis/st [Standards] | *Referral and Consultation/st [Standards] | Delphi Technique | Evidence-Based Practice/st [Standards] | Female | Hernias, Diaphragmatic, Congenital/su [Surgery] | Humans | Pregnancy | Professional-Family Relations | Surveys and QuestionnairesYear: 2018ISSN:- 0022-3468
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 29274787 | Available | 29274787 |
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%).
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