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Developing a Diagnostic Bundle for Bronchiectasis in South Korea: A Modified Delphi Consensus Study.

Hayoung Choi1, Hyun Lee2, Seung Won Ra3

  • 1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

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PubMed
Summary
This summary is machine-generated.

This study developed a diagnostic bundle for bronchiectasis in South Korea using expert consensus. The bundle standardizes initial tests and guides further investigations for better patient management.

Keywords:
BronchiectasisConsensus GuidelineDiagnosisKoreaSurvey

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Area of Science:

  • Pulmonology
  • Medical Diagnostics
  • Epidemiology

Background:

  • Bronchiectasis etiologies differ globally, necessitating region-specific diagnostic approaches.
  • South Korea requires a tailored diagnostic strategy for bronchiectasis due to regional and ethnic variations.

Purpose of the Study:

  • To establish an expert-endorsed diagnostic bundle for bronchiectasis tailored to South Korea.
  • To standardize the diagnostic process for bronchiectasis in the South Korean population.

Main Methods:

  • Modified Delphi method employed for expert consensus development.
  • International guidelines informed initial statements, refined through online and email surveys.
  • Consensus achieved among 21 experts with ≥70% agreement on statements.

Main Results:

  • 30 statements on a bronchiectasis diagnostic bundle were classified (recommended, conditional, not recommended).
  • A standardized diagnostic bundle is deemed useful for clinical practice.
  • Specific tests (sputum microbiology, spirometry) are essential initial steps.
  • Tests for immunodeficiency and allergic bronchopulmonary aspergillosis are recommended when suspected.
  • Referral to specialized centers is advised for suspected rare causes like primary ciliary dyskinesia.

Conclusions:

  • Expert consensus statements provide a framework for managing bronchiectasis in South Korea.
  • The generated bundle includes essential diagnostic, laboratory, microbiological, and pulmonary function tests.
  • This consensus aids in the effective clinical management of bronchiectasis patients in the region.