A modified Delphi process to establish research priorities in hernia surgery.


Journal

Hernia : the journal of hernias and abdominal wall surgery
ISSN: 1248-9204
Titre abrégé: Hernia
Pays: France
ID NLM: 9715168

Informations de publication

Date de publication:
06 2022
Historique:
received: 08 07 2021
accepted: 04 10 2021
pubmed: 1 11 2021
medline: 18 6 2022
entrez: 31 10 2021
Statut: ppublish

Résumé

Abdominal wall hernia repair is one of the most commonly performed surgical procedures worldwide, yet despite this, there remains a lack of high-quality evidence to support best management. The aim of the study was to use a modified Delphi process to determine future research priorities in this field. Stakeholders were invited by email, using British Hernia Society membership details or Twitter, to submit individual research questions via an online survey. In addition, questions obtained from a patient focus group (PFG) were collated to form Phase I. Two rounds of prioritization by stakeholders (phases II and III) were then completed to determine a final list of research questions. All questions were analyzed on an anonymized basis. A total of 266 questions, 19 from the PFG, were submitted by 113 stakeholders in Phase I. Of these, 64 questions were taken forward for prioritization in Phase II, which was completed by 107 stakeholders. Following Phase II analysis, 97 stakeholders prioritized 36 questions in Phase III. This resulted in a final list of 14 research questions, 3 of which were from the PFG. Stakeholders included patients and healthcare professionals (consultant surgeons, trainee surgeons and other multidisciplinary members) from over 27 countries during the 3 phases. The study has identified 14 key research priorities pertaining to abdominal wall hernia surgery. Uniquely, these priorities have been determined from participation by both healthcare professionals and patients. These priorities should now be addressed by well-designed, high-quality international collaborative research.

Sections du résumé

BACKGROUND
Abdominal wall hernia repair is one of the most commonly performed surgical procedures worldwide, yet despite this, there remains a lack of high-quality evidence to support best management. The aim of the study was to use a modified Delphi process to determine future research priorities in this field.
METHODS
Stakeholders were invited by email, using British Hernia Society membership details or Twitter, to submit individual research questions via an online survey. In addition, questions obtained from a patient focus group (PFG) were collated to form Phase I. Two rounds of prioritization by stakeholders (phases II and III) were then completed to determine a final list of research questions. All questions were analyzed on an anonymized basis.
RESULTS
A total of 266 questions, 19 from the PFG, were submitted by 113 stakeholders in Phase I. Of these, 64 questions were taken forward for prioritization in Phase II, which was completed by 107 stakeholders. Following Phase II analysis, 97 stakeholders prioritized 36 questions in Phase III. This resulted in a final list of 14 research questions, 3 of which were from the PFG. Stakeholders included patients and healthcare professionals (consultant surgeons, trainee surgeons and other multidisciplinary members) from over 27 countries during the 3 phases.
CONCLUSION
The study has identified 14 key research priorities pertaining to abdominal wall hernia surgery. Uniquely, these priorities have been determined from participation by both healthcare professionals and patients. These priorities should now be addressed by well-designed, high-quality international collaborative research.

Identifiants

pubmed: 34718903
doi: 10.1007/s10029-021-02519-0
pii: 10.1007/s10029-021-02519-0
pmc: PMC8557712
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

751-759

Informations de copyright

© 2021. The Author(s).

Références

Br J Surg. 2019 Jun;106(7):815-816
pubmed: 31162650
BMJ Open. 2017 Dec 19;7(12):e017235
pubmed: 29259055
Hernia. 2018 Aug;22(4):561-575
pubmed: 29307057
Surgery. 2018 May;163(5):1151-1159
pubmed: 29506882
Surgery. 2014 Jul;156(1):176-82
pubmed: 24929767
Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006438
pubmed: 18646155
Br J Surg. 2020 Feb;107(3):209-217
pubmed: 31875954
Hernia. 2018 Apr;22(2):215-226
pubmed: 29305783
Hernia. 2015 Feb;19(1):65-75
pubmed: 25112383
BJS Open. 2021 Mar 5;5(2):
pubmed: 33839746
Clin Obes. 2020 Feb;10(1):e12344
pubmed: 31646737
HPB (Oxford). 2019 Nov;21(11):1446-1452
pubmed: 30956165
BJS Open. 2021 Jan 8;5(1):
pubmed: 33609381
JAMA. 2016 Oct 18;316(15):1575-1582
pubmed: 27750295
Hernia. 2015 Feb;19(1):33-43
pubmed: 25138620
World J Surg. 2020 Apr;44(4):1216-1222
pubmed: 31788725
BMC Surg. 2019 Aug 7;19(1):103
pubmed: 31391112
Ann Surg. 2017 Jan;265(1):80-89
pubmed: 28009730
Surg Endosc. 2016 Dec;30(12):5583-5595
pubmed: 27139706
Hernia. 2021 Dec;25(6):1677-1684
pubmed: 34338938
Cochrane Database Syst Rev. 2018 Sep 13;9:CD011517
pubmed: 30209805
J Plast Reconstr Aesthet Surg. 2018 Dec;71(12):1679-1681
pubmed: 30497692
Hernia. 2006 Aug;10(4):316-21
pubmed: 16710627
Am J Surg. 2015 Apr;209(4):725-32
pubmed: 25172168
Hernia. 2018 Feb;22(1):1-165
pubmed: 29330835
Colorectal Dis. 2014 Dec;16(12):965-70
pubmed: 25284641
Int J Surg. 2008 Aug;6(4):351-6
pubmed: 18450528
J Am Coll Surg. 2013 Feb;216(2):217-28
pubmed: 23219350
Ann Surg. 2017 Jun;265(6):1235-1240
pubmed: 27280505
Ann Surg. 2003 Jan;237(1):129-35
pubmed: 12496540
World J Surg. 2020 Apr;44(4):1070-1078
pubmed: 31848677
Surgeon. 2020 Dec;18(6):321-326
pubmed: 31859050

Auteurs

D S G Scrimgeour (DSG)

Department of Colorectal Surgery, Aberdeen Royal Infirmary, Aberdeen, AB25 2ZN, Scotland. duncan.scrimgeour@nhs.scot.

M Allan (M)

Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, EH4 2XU, Scotland.

S R Knight (SR)

Centre for Medical Informatics, Usher Institute, University of Edinburgh, Edinburgh, EH16 4UX, Scotland.

B East (B)

3rd Department of Surgery, Motol University Hospital, V Uvalu 84, 150 06, Prague, Czech Republic.
Department of General Surgery, Forth Valley Royal Hospital, Larbert, FK5 4WR, UK.

S Blackwell (S)

Patient Representative, Liverpool, UK.

N Dames (N)

Patient Representative, Glasgow, UK.

L Laidlaw (L)

Patient Representative, Edinburgh, UK.

D Light (D)

Department of UGI Surgery, Northumbria Healthcare NHSFT, Rake Ln, Tyne and Wear, North Shields, NE29 8NH, UK.

L Horgan (L)

Department of UGI Surgery, Northumbria Healthcare NHSFT, Rake Ln, Tyne and Wear, North Shields, NE29 8NH, UK.

N J Smart (NJ)

Department of Gastrointestinal Surgery, Royal Devon and Exeter NHS Trust, Barrack Road, Exeter, EX25DW, Devon, UK.

A de Beaux (A)

Department of General Surgery, Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, Scotland.

M S J Wilson (MSJ)

Department of General Surgery, Forth Valley Royal Hospital, Larbert, FK5 4WR, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH