Consensus on controversial issues of the surgery for Crohn’s disease by Delphi method

Koloproktologia Pub Date : 2023-06-21 DOI:10.33878/2073-7556-2023-22-2-172-183

Y. Shelygin, S. Achkasov, I. Reshetov, I. V. Mayev, O. Drapkina, E. Belousova, A. Vardanyan, B. Nanaeva, D. Abdulganieva, L. Adamyan, L. Namazova-Baranova, A. Razumovsky, A. Revishvili, I. Khatkov, A. Shabunin, M. Livzan, A. Sazhin, V. M. Timerbulatov, O. Khlynova, S. Yatsyk, R. Abdulkhakov, O. P. Alekseeva, S. Alekseenko, I. Bakulin, O. Barysheva, D. A. Blagovestnov, K. Bolikhov, V. Veselov, Y. Vinogradov, O. Golovenko, I. Gubonina, A. Gulyaev, A. Dolgushina, E. Dyakonova, T. Zhigalova, O. Karpukhin, O. Knyazev, N. V. Kostenko, I. D. Loranskaya, A. Moskalev, A. Odintsova, V. V. Omelyanovsky, M. Osipenko, V. Pavlenko, E. Poluektova, D. Popov, G. Rodoman, A. Segal, S. Sitkin, M. I. Skalinskaya, A. Surkov, L. V. Tarasova, Y. B. Uspenskaya, S. Frolov, E. Chashkova, S. Shapovalyants, O. Shifrin, O. Shcherbakova, O. Shchukina, T. Shkurko, I. Nazarov, A. Mingazov

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引用次数: 1

Abstract

AIM: to establish the consensus on controversial issues of the surgery for Сrohn’s disease by Delphi method.METHODS: a cross-sectional study was conducted by the Delphi method. 62 experts voted intramural and anonymous (31.03.23). 5 statements from the current edition of clinical guidelines were selected for correction by working group and further voting [2]. Based on the practical experience of the working group and literature data, 3 new statements were created also. Statements that do not reach the required level of agreement (80% or more) will be subjected to Round 2 of the Delphi method.RESULTS: all experts took part in the anonymous voting. The panel of experts is represented by 8 different areas of practical medicine and the median of the professional experience of the respondents was 30 (12–49) years. Of the 8 statements submitted for voting, consensus (80% or more) was reached on 6 out of 8. 2 statements have been revised by working group for the distance 2nd round of the Delphi study. Consensus (more than 80%) was reached on both.CONCLUSION: a cross-sectional study by the Delphi method provided the opinions of a panel of experts on controversial issues in the surgical treatment of Crohn’s disease. Statements that reach consensus will be included by the working group in a new edition of clinical guidelines of Crohn’s disease.

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德尔菲法治疗克罗恩病争议性问题的共识

目的:通过德尔菲法对Сrohn病手术中存在争议的问题建立共识。方法:采用德尔菲法进行横断面研究。62名专家进行校内匿名投票(31.03.23)。工作组从现行版临床指南中选择5条表述进行修正并进一步投票[2]。根据工作组的实际经验和文献资料，还编制了3项新的说明。未达到要求的一致性水平(80%或以上)的陈述将进行德尔菲法的第2轮。结果:所有专家均参加了匿名投票。专家小组由8个不同的实用医学领域代表，受访者的专业经验中位数为30(12-49)年。在提交投票的8项声明中，8项中有6项达成了共识(80%或以上)。工作组对2项声明进行了修改，以进行第二轮德尔菲研究。双方达成了共识(超过80%)。结论:采用德尔菲法的横断面研究提供了专家组对克罗恩病手术治疗中有争议的问题的意见。达成共识的声明将被工作组纳入新版克罗恩病临床指南。

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Koloproktologia

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1.00

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