UK consensus definitions for necrotising otitis externa: a Delphi study
Objective To establish consensus definitions for necrotising otitis externa (NOE) to facilitate the diagnosis and exclusion of NOE in clinical practice and expedite future high-quality study of this neglected condition.Design The work comprised of a systematic review of the literature, five iterativ...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-02-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/2/e061349.full |
| _version_ | 1797901010371346432 |
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| author | Emma Stapleton O Martin Williams Pieter Pretorius Monique I Andersson Maia Patrick-Smith Susanne H Hodgson Maha M Khan Pablo Martinez-Devesa Martin McNally |
| author_facet | Emma Stapleton O Martin Williams Pieter Pretorius Monique I Andersson Maia Patrick-Smith Susanne H Hodgson Maha M Khan Pablo Martinez-Devesa Martin McNally |
| author_sort | Emma Stapleton |
| collection | DOAJ |
| description | Objective To establish consensus definitions for necrotising otitis externa (NOE) to facilitate the diagnosis and exclusion of NOE in clinical practice and expedite future high-quality study of this neglected condition.Design The work comprised of a systematic review of the literature, five iterative rounds of consultation via a Delphi process and open discussion within the collaborative. An expert panel analysed the results to produce the final outputs which were shared with and endorsed by national specialty bodies.Setting Secondary care in the UK.Participants UK clinical specialists practising in infection, ear nose and throat (ENT) surgery or radiology.Main outcome measures Definitions and statements meeting the following criteria were accepted: (a) minimum of 70% of respondents in agreement or strong agreement with a definition/statement AND (b) <15% of respondents in disagreement or strong disagreement with a definition/statement.Results Seventy-four UK clinicians specialising in ENT, Infection and Radiology with a special interest in NOE took part in the work which was undertaken between 2019 and 2021. The minimum response rate for a Round was 76%. Consensus criteria for all proposed case definitions, outcome definitions and consensus statements were met in the fifth round.Conclusions This work distills the clinical opinion of a large group of multidisciplinary specialists from across the UK to create practical definitions and statements to support clinical practice and research for NOE. This is the first step in an iterative process. Further work will seek to validate and test these definitions and inform their evolution. |
| first_indexed | 2024-04-10T08:55:10Z |
| format | Article |
| id | doaj.art-041380faa838449dbf742824c998ea0f |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-10T08:55:10Z |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-041380faa838449dbf742824c998ea0f2023-02-21T16:00:12ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-061349UK consensus definitions for necrotising otitis externa: a Delphi studyEmma Stapleton0O Martin Williams1Pieter Pretorius2Monique I Andersson3Maia Patrick-Smith4Susanne H Hodgson5Maha M Khan6Pablo Martinez-Devesa7Martin McNally8Department of Otolaryngology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, Greater Manchester, UKDepartment of Microbiology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UKDepartment of Neuroradiology, John Radcliffe Hospital, Oxford, UKDepartment of Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UKUniversity of Oxford, Oxford, Oxfordshire, UKDepartment of Microbiology, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UKCentral Manchester University Hospitals NHS Foundation Trust, Manchester, Greater Manchester, UKDepartment of ENT, John Radcliffe Hospital, Oxford, UKNuffield Orthopaedic centre, Oxford University Hospitals NHS Foundation Trust Nuffield Orthopaedic Centre, Oxford, Oxfordshire, UKObjective To establish consensus definitions for necrotising otitis externa (NOE) to facilitate the diagnosis and exclusion of NOE in clinical practice and expedite future high-quality study of this neglected condition.Design The work comprised of a systematic review of the literature, five iterative rounds of consultation via a Delphi process and open discussion within the collaborative. An expert panel analysed the results to produce the final outputs which were shared with and endorsed by national specialty bodies.Setting Secondary care in the UK.Participants UK clinical specialists practising in infection, ear nose and throat (ENT) surgery or radiology.Main outcome measures Definitions and statements meeting the following criteria were accepted: (a) minimum of 70% of respondents in agreement or strong agreement with a definition/statement AND (b) <15% of respondents in disagreement or strong disagreement with a definition/statement.Results Seventy-four UK clinicians specialising in ENT, Infection and Radiology with a special interest in NOE took part in the work which was undertaken between 2019 and 2021. The minimum response rate for a Round was 76%. Consensus criteria for all proposed case definitions, outcome definitions and consensus statements were met in the fifth round.Conclusions This work distills the clinical opinion of a large group of multidisciplinary specialists from across the UK to create practical definitions and statements to support clinical practice and research for NOE. This is the first step in an iterative process. Further work will seek to validate and test these definitions and inform their evolution.https://bmjopen.bmj.com/content/13/2/e061349.full |
| spellingShingle | Emma Stapleton O Martin Williams Pieter Pretorius Monique I Andersson Maia Patrick-Smith Susanne H Hodgson Maha M Khan Pablo Martinez-Devesa Martin McNally UK consensus definitions for necrotising otitis externa: a Delphi study BMJ Open |
| title | UK consensus definitions for necrotising otitis externa: a Delphi study |
| title_full | UK consensus definitions for necrotising otitis externa: a Delphi study |
| title_fullStr | UK consensus definitions for necrotising otitis externa: a Delphi study |
| title_full_unstemmed | UK consensus definitions for necrotising otitis externa: a Delphi study |
| title_short | UK consensus definitions for necrotising otitis externa: a Delphi study |
| title_sort | uk consensus definitions for necrotising otitis externa a delphi study |
| url | https://bmjopen.bmj.com/content/13/2/e061349.full |
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