Identifying research priorities in clubfoot management through a Delphi process : a study protocol.

Area of Science:

• Orthopedics
• Pediatric Surgery
• Clinical Research Methodology

Background:

• Clubfoot is the most common congenital foot deformity, yet high-quality research for its management is limited.
• Existing research often consists of retrospective, single-center studies with variable outcomes.
• The James Lind Alliance has identified clubfoot research as an elective priority.

Purpose of the Study:

• To establish a consensus-based protocol for identifying research priorities in clubfoot management.
• To guide the development of multicenter prospective clinical trials.
• To improve clinical practice and health outcomes for individuals with clubfoot.

Main Methods:

• A modified Delphi technique involving a scoping survey, two-round Delphi process, and a consensus meeting.
• Engagement with key stakeholders, including patients and carers, primarily in the UK.
• Prioritization of identified research needs within core areas.

Main Results:

• The study protocol aims to generate a definitive list of research priorities.
• These priorities will be agreed upon by representative key stakeholders in a consensus meeting.
• The identified priorities will inform the design of future clinical trials.

Conclusions:

• Establishing clear research priorities is crucial for advancing clubfoot management.
• This consensus-driven approach will shape the future of clinical trials in clubfoot.
• The ultimate aim is to enhance patient care and outcomes through evidence-based practice.