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An eDelphi Consensus on Key Questions for a Vulvar Health Clinic Intake Questionnaire.

Jennifer Foster1, Olivia Negris2, Olivia Abraham3

  • 1Department of Dermatology, UT Southwestern Medical Center, Dallas, TX.

Journal of Lower Genital Tract Disease
|October 14, 2025
PubMed
Summary
This summary is machine-generated.

A new standardized intake questionnaire was developed for vulvar health clinics to improve early diagnosis of conditions like lichen sclerosus and vulvodynia. This consensus-based tool aids in better patient management and clinical outcomes.

Keywords:
Vulvologycommunicationdermatologylichen planuslichen sclerosus

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Area of Science:

  • Vulvar health
  • Gynecologic dermatology
  • Medical informatics

Background:

  • Vulvar health conditions, including lichen sclerosus and vulvodynia, frequently face diagnostic delays.
  • Delayed diagnosis negatively impacts patient outcomes.
  • A standardized intake process is needed for efficient and accurate initial patient assessment.

Purpose of the Study:

  • To develop a consensus-based, standardized intake questionnaire for vulvar health clinics.
  • To improve the early detection and management of vulvar conditions.
  • To leverage the eDelphi methodology for expert consensus.

Main Methods:

  • An international eDelphi process involving vulvar health specialists.
  • Two rounds of online surveys to reach consensus on questionnaire items.
  • Consensus defined as 70% agreement, with iterative feedback incorporation.

Main Results:

  • 80 specialists participated from diverse fields like dermatology and gynecology.
  • An initial 136 items were reviewed, with 64 selected in round one.
  • The final questionnaire comprised 52 questions and 2 validated surveys, refined from 82 initial items.

Conclusions:

  • A consensus-driven standardized intake questionnaire for vulvar health was successfully developed.
  • The eDelphi methodology proved effective for achieving expert agreement on clinical tools.
  • This approach is potentially adaptable for other conditions requiring structured patient intake.