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The PROCESS 2020 Guideline: Updating Consensus Preferred Reporting Of CasESeries in Surgery (PROCESS) Guidelines.

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The updated PROCESS Guidelines (preferred reporting of case series studies) enhance surgical case series reporting. A Delphi consensus exercise involving 53 experts ensured high agreement on revised checklist items for improved transparency and robustness.

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Case seriesGuidelinePROCESSSurgery

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Area of Science:

  • Surgical reporting standards
  • Medical guideline development

Background:

  • The PROCESS Guidelines, first published in 2016 and updated in 2018, aim to improve the robustness and transparency of surgical case series reporting.
  • These guidelines are widely used and endorsed by authors, editors, and reviewers in the surgical community.
  • Regular updates are essential to maintain and advance reporting quality.

Purpose of the Study:

  • To update the existing PROCESS Guidelines to reflect current best practices in surgical case series reporting.
  • To enhance the clarity, robustness, and transparency of published surgical research.

Main Methods:

  • An updated Delphi consensus exercise was conducted to revise the PROCESS Guidelines.
  • The expert group included members of the previous Delphi group, editorial board members, and peer reviewers from the International Journal of Surgery and its Case Reports journal.
  • An online survey was used to gather expert opinions on proposed changes to the checklist items.

Main Results:

  • Fifty-three surgical experts participated, with 49 (92%) completing the survey.
  • The expert feedback and suggested modifications were integrated into the 2018 guidelines.
  • A high level of consensus was achieved, with all but one item receiving over 70% agreement (scores 7-9).

Conclusions:

  • The Delphi consensus exercise successfully produced an updated and improved version of the PROCESS Checklist.
  • The revised guidelines represent a collaborative effort to advance the quality of surgical case series reporting.