Establishing an expert opinion framework for lung volume reduction in Ireland: a Delphi consensus technique.

{"article_title":"Establishing an expert opinion framework for lung volume reduction in Ireland: a Delphi consensus technique.","author":"Mulryan K, Sorensen J, Redmond K","journal_title":"Irish journal of medical science","issn":"1863-4362","isbn":"","publication_date":"2024 Apr","volume":"193","issue":"2","first_page":"843","page_count":"","accession_number":"37550599","doi":"10.1007\/s11845-023-03467-7","publisher":"Royal Academy of Medicine of Ireland","doctype":"Journal Article","subjects":"Ireland; Expert Testimony; Pneumonectomy; Humans; Ireland; Delphi Technique; Consensus","interest_area":["Pulmonology"," Emergency Medicine"],"abstract":"Background: Lung volume reduction (LVR) is an effective treatment option offered to patients with emphysema. There is no formalised LVR referral network in Ireland. A rigorous approach to agreeing and implementing a LVR referral framework in an Irish context is required. A Delphi process was used to provide a basis for a framework of multi-disciplinary teams (MDTs) which can provide LVR as a management option. A Delphi process offers a framework for understanding variations and developing a consensus from expert opinion. Aim: The aim of this study was to develop consensus on recommendations for LVR referral guidelines in an Irish context and provide a national scope based on current practice and evidence. Design: In accordance with Guidance on Conducting and Reporting Delphi Studies, a consensus-building Delphi study was performed. Thirty-three statements informed from review of research literature were identified and presented to participants. Evaluation of the statements was performed by an expert panel using a 5-point Likert scale. ? 70% agreement was defined as consensus and items with a consensus rating of < 70% were revised during the process. In total, Delphi questionnaires were distributed to 18 experts with a response rate of 78% (n = 14) and a follow-up response-rate of 50% (n = 7). Setting\/participants: The expert panel in Ireland consisted of representatives from respiratory medicine, cardiothoracic surgery and allied-health professionals with expertise in COPD care. Results: Of the initial 33 statements in five dimensions, there were consensus regarding 31 statements. Conclusions: The 31 statements agreed through this Delphi study clarify a coherent direction for development of a LVR framework in Ireland. The Delphi study methodology described is a useful process to reach consensus among multi-disciplinary experts. \ufffd 2023. The Author(s).","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=37550599&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Mulryan K, Sorensen J, Redmond K","Journal_Info":"Publisher: Royal Academy of Medicine of Ireland Country of Publication: Ireland NLM ID: 7806864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-4362 (Electronic) Linking ISSN: 00211265 NLM ISO Abbreviation: Ir J Med Sci Subsets: MEDLINE","Publication_Type":"Journal Article","Published_Date":"2024-04-01","Source":"Irish journal of medical science [Ir J Med Sci] 2024 Apr; Vol. 193 (2), pp. 843-849. Date of Electronic Publication: 2023 Aug 08.","Languages":"English","Electronic_ISSN":"1863-4362","MeSH_Terms":"Pneumonectomy*, Humans ; Ireland ; Delphi Technique ; Consensus","Subjects":"Humans, Ireland, Delphi Technique, Consensus, Pneumonectomy","Title_Abbreviations":"Irish journal of medical science","Volume":"193"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"37550599","RelevancyScore":"964","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"963.661254882813"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=37550599&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=37550599&authtype=shib&custid=ns346513&group=main&profile=eds"}