Expert surgical consensus for prenatal counseling using the Delphi method.

MedStar author(s):
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
Name of journal: Journal of pediatric surgeryAbstract: 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%).All authors: Berman L, Jackson J, Kolm P, Kowalski R, Luks FI, Miller KFiscal year: FY2019Fiscal year of original publication: FY2018Digital Object Identifier: Date added to catalog: 2018-01-18
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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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