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ESSKA consensus initiative: why, when and how?

Philippe Beaufils1, David Dejour2, Giuseppe Filardo3

  • 1ESSKA Consensus Projects Advisor, 11 Rue Jacques Boyceau, 78000, Versailles, France. drphilippebeaufils@gmail.com.

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Summary
This summary is machine-generated.

Clinical consensus initiatives provide evidence-based recommendations for practitioners. They bridge the gap between research and daily practice using rigorous methodologies like the Delphi and RAND/UCLA methods.

Keywords:
ConsensusDelphi methodFormal ConsensusGuidelinesRAND/UCLA Appropriateness method

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Area of Science:

  • Clinical practice guidelines
  • Evidence-based medicine
  • Scientific consensus

Background:

  • Consensus initiatives aim to offer evidence-based recommendations for daily clinical practice.
  • They are crucial for addressing controversial topics lacking robust evidence, offering expert agreement.
  • Consensus aligns with evidence-based medicine principles, providing a valuable Level of Evidence (LOE).

Purpose of the Study:

  • To define the nature and importance of consensus initiatives in clinical practice.
  • To detail the specific methodologies adopted by ESSKA for consensus development.
  • To highlight the critical role of disseminating consensus findings.

Main Methods:

  • Adoption of a strict methodology emphasizing iterative processes, group independence, and pluralism.
  • Utilization of the Formal Consensus derived from the Delphi method for specific question types.
  • Application of the RAND/UCLA appropriateness method for scenario-based treatment indications.

Main Results:

  • The chosen methods ensure the scientific quality and reliability of consensus recommendations.
  • The Delphi and RAND/UCLA methods are complementary and can be used together.
  • These methods address diverse aspects of clinical practice, from terminology to treatment strategies.

Conclusions:

  • Consensus initiatives are vital for translating scientific evidence into practical clinical guidance.
  • ESSKA's chosen methodologies (Delphi, RAND/UCLA) ensure robust and scientifically sound recommendations.
  • Effective dissemination of consensus findings is key to impacting daily practice and improving patient care.