开发一个共识衍生出的直肠的综合性操作报告:来自盆地疾病联盟的报告
Craig H Olson1, Lilliana Bordeianou2, William R G Perry3
1Texas A&M School of Medicine, Baylor Scott and White Medical Center, Waxahachie, Texas.
Diseases of the colon and rectum
|June 3, 2024
概括
这项研究通过在16个核心手术内描述器上达成国际共识,开发了对直肠脱落手术的综合性手术报告. 这份标准化的报告旨在改善骨盆底外科手术的临床沟通和研究质量.
科学领域:
- 手术报告准则 医疗报告标准
- 骨盆底重建性手术是什么?
- 共识发展方法论共识发展方法论
背景情况:
- 对于直肠脱落的传统手术报告可能不完整或不清楚.
- 标准化报告对于在外科手术过程中准确的数据捕获至关重要.
研究的目的:
- 为了创建一个直肠脱落手术的综合性手术报告.
- 包括通过国际专家共识识别的关键的手术内描述因素.
主要方法:
- 一个三轮的德尔菲手术过程,涉及全球176名骨盆底外科医生.
- 使用9点的利克特级别,在描述符上达成至少70%的共识.
- 具有40-70%一致性的描述符在随后的轮回中被重新循环.
主要成果:
- 在30个初始描述符中,有16个实现了70%的共识值.
- 共识描述符涵盖了手术方法,使用的材料,解剖细节和并发程序.
- 包含的关键描述:手术类型,解剖方法,网状细节,接类型,直肠结/切割长度以及相关修复.
结论:
- 已经建立了一个国际共识,用于直肠外科手术的核心手术内变量.
- 开发的综合报告有助于定义的操作报告.
- 这种标准化预计将增强临床沟通,质量指标和现场研究.
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