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A new method of developing expert consensus practice guidelines.

A Frances1, D Kahn, D Carpenter

  • 1Duke University Medical Center, Durham, NC 27710, USA.

The American Journal of Managed Care
|June 6, 1998
PubMed
Summary
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This study introduces a novel method for creating expert consensus guidelines to standardize medical practices where research is lacking. It quantifies expert opinions for reliable and reproducible clinical decision-making.

Area of Science:

  • Medical Research Methodology
  • Clinical Practice Guidelines
  • Healthcare Quality Improvement

Background:

  • Standardizing best practices is crucial for improving medical care quality and reducing costs.
  • Existing research often fails to address critical clinical decision points, necessitating expert consensus.
  • Previous expert consensus methods lacked quantification, specificity, representativeness, and effective implementation.

Purpose of the Study:

  • To present a new, robust method for developing, documenting, and disseminating expert consensus guidelines.
  • To address limitations of prior consensus-building approaches.
  • To enhance the reliability and generalizability of clinical practice recommendations.

Main Methods:

  • Leading clinical researchers surveyed on management questions lacking definitive research.

Related Experiment Videos

  • Expert survey response rates exceeded 85% across four psychiatric disorders.
  • Practicing clinicians surveyed to validate and ensure generalizability of recommendations.
  • Guideline suggestions derived from quantified expert responses with pre-defined criteria for treatment lines.

    • Main Results:

    • The novel method effectively quantifies expert opinions, achieving high reliability and reproducibility.
    • Survey response rates indicate strong expert engagement.
    • Validation by practicing clinicians ensures broad applicability of guidelines.
    • A structured approach to defining first-, second-, and third-line choices was established.

    Conclusions:

    • This quantified expert consensus method offers a superior approach for standardizing practice at critical decision points.
    • The method is applicable to various medical conditions beyond the initial psychiatric focus.
    • It provides a reliable bridge between limited research and essential clinical practice.