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Related Experiment Video

Updated: Jun 5, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

Achieving consensus in follow-up practice for routine ENT procedures: a Delphi exercise.

J Powell1, H El Dean, S Carrie

  • 1The Newcastle upon Tyne Hospitals NHS Foundation Trust, Freeman Road, Newcastle upon Tyne, NE7 7DN, UK.

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
|January 13, 2011
PubMed
Summary
This summary is machine-generated.

A Delphi exercise achieved consensus among ENT faculty on 18 clinical scenarios for reduced follow-up. Disseminating these guidelines led to a 48% decrease in routine patient follow-up appointments.

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Last Updated: Jun 5, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
05:50

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

Area of Science:

  • Otorhinolaryngology-Head and Neck Surgery
  • Medical Education
  • Clinical Practice Guidelines

Background:

  • Routine follow-up appointments in Otorhinolaryngology-Head and Neck Surgery (ENT) may not always be necessary.
  • Establishing consensus on clinical practice can be challenging.
  • Optimizing follow-up protocols can improve efficiency and patient care.

Purpose of the Study:

  • To achieve faculty consensus on ENT follow-up practices for specific clinical scenarios using a Delphi exercise.
  • To evaluate the impact of disseminated consensus guidelines on actual clinical follow-up rates.

Main Methods:

  • A Delphi exercise involving 13 ENT faculty members was conducted to identify scenarios for non-routine follow-up.
  • Consensus was defined as ≥80% agreement using a Likert scale.
  • Follow-up rates for 18 identified scenarios were audited before and after guideline dissemination.

Main Results:

  • The Delphi exercise reached ≥80% agreement among faculty to discontinue routine follow-up for 18 clinical scenarios.
  • Post-guideline dissemination, follow-up rates for these 18 scenarios decreased by 48%.
  • The Delphi process proved effective in generating consensus and driving practice change.

Conclusions:

  • The Delphi process is a viable method for building consensus in ENT clinical practice.
  • Dissemination of consensus guidelines can significantly alter and improve follow-up practices.
  • This consensus-building approach has potential applications in other medical specialties.