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Use of a modified Delphi process to develop research priorities in major trauma
Luke McElroy1, Lisa Robinson2, Ceri Battle3
1Department of General Surgery, Forth Valley Royal Hospital, Larbert, FK5 4WR, UK. lukem68@gmail.com.
Summary
Researchers identified 56 key research priorities for major trauma care in the UK using a Delphi method. These priorities focus on improving patient outcomes across the entire trauma pathway, from initial treatment to long-term rehabilitation.
Area of Science:
- Trauma Care Research
- Clinical Prioritization
- Public Health
Background:
- The incidence of major trauma in the UK is rising.
- There is a critical need to define research priorities in major trauma management.
- Consensus-building methodologies like the Delphi process are valuable for identifying patient-centered research questions.
Purpose of the Study:
- To identify and prioritize key future research questions in major trauma management within the UK.
- To guide future funding allocations towards clinically relevant and patient-centered research.
Main Methods:
- A modified three-phased Delphi process was employed.
- Phase 1: Online survey for research question submission (n=201 from 65 stakeholders).
- Phases 2 & 3: Consecutive rounds of question prioritization across 6 subcategories (Brain Injury, Rehabilitation, Trauma in Older People, Pre-hospital, Interventional, Miscellaneous).
Main Results:
- 56 prioritized major trauma research questions were identified across 6 categories.
- A significant focus emerged on long-term patient outcomes.
- Priorities spanned the entire patient pathway, from roadside care to rehabilitation.
Conclusions:
- Consensus identified 56 critical research questions for major trauma.
- Dissemination to funding bodies is essential for developing high-quality research.
- There is a clear need for targeted, multi-center, multi-disciplinary research in major trauma.
