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

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Clinical Guidelines
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Mulryan K, Sorensen J, Redmond K
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Pulmonology
Emergency Medicine
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Emergency Medicine
Pulmonology
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volume
193
ISSN
1863-4362
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ISSN
1863-4362
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true
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["Mulryan K, Sorensen J, Redmond K","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","Journal Article","2024-04-01","Irish journal of medical science [Ir J Med Sci] 2024 Apr; Vol. 193 (2), pp. 843-849. Date of Electronic Publication: 2023 Aug 08.","English","1863-4362","Pneumonectomy*, Humans ; Ireland ; Delphi Technique ; Consensus","Humans, Ireland, Delphi Technique, Consensus, Pneumonectomy","Irish journal of medical science","193"]
Description
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.<br />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.<br />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 &lt; 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).<br />Setting/participants: The expert panel in Ireland consisted of representatives from respiratory medicine, cardiothoracic surgery and allied-health professionals with expertise in COPD care.<br />Results: Of the initial 33 statements in five dimensions, there were consensus regarding 31 statements.<br />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.<br /> (© 2023. The Author(s).)
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