Related Experiment Video
Updated: Feb 3, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
The PROCESS 2018 statement: Updating Consensus Preferred Reporting Of CasE Series in Surgery (PROCESS) guidelines
Riaz A Agha1, Mimi R Borrelli2, Reem Farwana3
1Department of Plastic Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, UK.
Updated PROCESS guidelines for surgical case series reporting were developed using a Delphi consensus exercise. The revised checklist enhances reporting transparency and aims for wider adoption in surgical research.
Area of Science:
- Surgical Research Methodology
- Medical Publication Standards
Background:
- The original Principles for Reporting Of Clinical Outcomes Studies (PROCESS) guidelines were established in 2016 to standardize surgical case series reporting.
- Widespread journal endorsement and adherence to PROCESS items have improved transparency in surgical case reporting.
Purpose of the Study:
- To update the PROCESS guidelines through a rigorous Delphi consensus exercise.
- To refine the existing checklist for enhanced clarity and comprehensiveness in surgical case series reporting.
Main Methods:
- A Delphi consensus exercise involving experts from the original PROCESS group and the International Journal of Surgery.
- An online questionnaire assessed expert agreement on proposed amendments to the 29 PROCESS items.
Main Results:
- 56 out of 140 invited experts participated, with 45 completing the survey (80% response rate).
- Unanimous consensus was achieved in the first round, with all but three proposed amendments accepted.
- The PROCESS guidelines were successfully modified based on expert consensus.
Conclusions:
- A revised and improved PROCESS checklist is now available.
- The updated guidelines aim to further enhance the quality and transparency of surgical case series reporting.
Related Concept Videos
Parallel Processing
Information Processing Approach
Processes of Self-Presentation
Isothermal Processes
An ideal gas can also undergo isothermal expansion or compression.
For example, consider 1 mole of an ideal gas inside an isolated cylinder at initial volume V...
Work Done in an Adiabatic Process
Precipitation Processes

