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对尾炎的一个核心结果:采用修改后的Delphi方法的共识方法.

Christopher A Butts1, Saskya Byerly, Jeffry Nahmias

  • 1From the Division of Trauma, Acute Care Surgery & Surgical Critical Care (C.A.B.), Department of Surgery, Reading Hospital-Tower Health, West Reading, Pennsylvania; Department of Surgery, University of Tennessee Health Science Center (S.B.), Memphis, Tennessee; UC Irvine Healthcare, Orange (J.N.), California; Department of Surgery, University of Alabama at Birmingham (R.G.), Birmingham, Alabama; University of Manitoba, Winnipeg (M.Z.), Manitoba, Canada; Department of Surgery, University of Texas Southwestern, Dallas (B.B.), Texas; Department of Surgery, University of Washington, Seattle (G.H.D.), Washington; AST5 ASR Marche, Hospital Madonna del Soccorso (S.D.S.), San Benedetto del Tronto, Italy; Department of Medicine, University of Illinois School of Medicine (T.J.E.), Peoria, Illinois; Department of Surgery, Columbia University Irving Medical Center (K.F.), New York, New York; Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery (B.J.), College of Medicine, University of Arizona, Tuscon, Arizona; Trauma, Emergency Surgery, and Surgical Critical Care (H.K.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Department of Gastroenterological Surgery (P.M., H.S.), Helsinki University Hospital, Helsinki, Finland; Department of General and Emergency Surgery (M.P.), Cagliari University Hospital, Cagliari, Italy; Division of Acute Care Surgery, Department of Surgery (J.V.S.), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Surgery (P.S.), University of Turku, Turku, Finland; Department of Surgery, Western Michigan University School of Medicine: Western Michigan University Homer Stryker MD School of Medicine (R.G.S.), Kalamazoo, Michigan; Roy J. and Lucille A. Carver College of Medicine (D.S.), University of Iowa, Iowa City, Iowa; Division of General Surgery, Trauma and Surgical Critical Care, Acute Care Surgery (R.T.), Zuckerberg San Francisco General Hospital, San Francisco, California; and Ernest E Moore Shock Trauma Center at Denver Health (D.D.Y.), University of Colorado, Denver, Colorado.

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概括
此摘要是机器生成的。

研究人员为尾炎研究开发了一个核心结果集 (COS). 这种标准化旨在提高对尾炎管理的未来研究的一致性和数据汇总.

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科学领域:

  • 外科手术 手术手术
  • 临床研究 临床研究
  • 基于证据的医学基于证据的医学.

背景情况:

  • 尾炎是一种常见的外科病理,关于结果的文献不一致,特别是在非手术治疗方面.
  • 现有研究显示出结果异质性,阻碍了数据汇集和比较分析.
  • 需要一种标准化的方法来提高尾炎研究的质量和可比性.

研究的目的:

  • 为尾炎研究制定一个核心成果集 (COS).
  • 在尾炎研究中标准化结果测量.
  • 为了促进未来的数据聚合和元分析.

主要方法:

  • 一个经过修改的Delphi研究,涉及16名国际尾炎专家.
  • 三轮结果建议和评分使用1-9的利克特等级.
  • 共识定义为>70%的得分7-9和<15%的得分1-3的得分.

主要成果:

  • 最初确定了17个潜在的结果.
  • 总共有17个结果实现了COS的共识.
  • 最终COS的共识率为最初建议结果的53%.

结论:

  • 一个国际专家小组就尾炎研究的17个核心结果达成共识.
  • 这个COS为未来的研究提供了最低一组标准化结果.
  • 建立的COS将有助于制定未来的队列研究,并提高数据的可比性.