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Development of a Quality Checklist Using Delphi Methods for Prescriptive Clinical Prediction Rules: the QUADCPR
Chad Cook1, Jean-Michel Brismée, Ricardo Pietrobon
1Department of Community and Family Medicine, Duke University Health System, Durham, NC 27708, USA. chad.cook@duke.edu
Objective:
Clinical prediction rules (CPRs) are clinician decision-making aids designed to improve the accuracy of a variety of decisions made during patient care. To our knowledge, there are no formally developed consensus-based guidelines designed to provide standards for the creation of CPRs.
Methods:
The study used a 3-round Delphi method for consensus of a quality checklist initially developed based on recommendations derived from the literature. The 9 Delphi participants were randomly selected from the authors of peer-reviewed publications of prescriptive CPRs.
Results:
During the 3 rounds, the Delphi participants modified the originally derived checklist and, based on a consensus standard, agreed upon a final 23-item checklist, which involved 4 constructs: (1) sample and participants, (2) outcome measures, (3) quality of tests and measures, and (4) statistical assumptions.
Conclusions:
Use of the checklist has potential for improving the design and reporting of future prescriptive CPRs.
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