Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology
Abstract Background Patients presenting to the healthcare system with rotator cuff pathology do not always receive high quality care. High quality care occurs when a patient receives care that is accessible, appropriate, acceptable, effective, efficient, and safe. The aim of this study was twofold:...
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| Format: | Article |
| Language: | English |
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BMC
2016-05-01
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| Series: | BMC Medical Research Methodology |
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| Online Access: | http://link.springer.com/article/10.1186/s12874-016-0165-8 |
| _version_ | 1818384494796734464 |
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| author | Breda H. Eubank Nicholas G. Mohtadi Mark R. Lafave J. Preston Wiley Aaron J. Bois Richard S. Boorman David M. Sheps |
| author_facet | Breda H. Eubank Nicholas G. Mohtadi Mark R. Lafave J. Preston Wiley Aaron J. Bois Richard S. Boorman David M. Sheps |
| author_sort | Breda H. Eubank |
| collection | DOAJ |
| description | Abstract Background Patients presenting to the healthcare system with rotator cuff pathology do not always receive high quality care. High quality care occurs when a patient receives care that is accessible, appropriate, acceptable, effective, efficient, and safe. The aim of this study was twofold: 1) to develop a clinical pathway algorithm that sets forth a stepwise process for making decisions about the diagnosis and treatment of rotator cuff pathology presenting to primary, secondary, and tertiary healthcare settings; and 2) to establish clinical practice guidelines for the diagnosis and treatment of rotator cuff pathology to inform decision-making processes within the algorithm. Methods A three-step modified Delphi method was used to establish consensus. Fourteen experts representing athletic therapy, physiotherapy, sport medicine, and orthopaedic surgery were invited to participate as the expert panel. In round 1, 123 best practice statements were distributed to the panel. Panel members were asked to mark “agree” or “disagree” beside each statement, and provide comments. The same voting method was again used for round 2. Round 3 consisted of a final face-to-face meeting. Results In round 1, statements were grouped and reduced to 44 statements that met consensus. In round 2, five statements reached consensus. In round 3, ten statements reached consensus. Consensus was reached for 59 statements representing five domains: screening, diagnosis, physical examination, investigations, and treatment. The final face-to-face meeting was also used to develop clinical pathway algorithms (i.e., clinical care pathways) for three types of rotator cuff pathology: acute, chronic, and acute-on-chronic. Conclusion This consensus guideline will help to standardize care, provide guidance on the diagnosis and treatment of rotator cuff pathology, and assist in clinical decision-making for all healthcare professionals. |
| first_indexed | 2024-12-14T03:23:10Z |
| format | Article |
| id | doaj.art-501dd697bb7942e3bdf55c6b51293592 |
| institution | Directory Open Access Journal |
| issn | 1471-2288 |
| language | English |
| last_indexed | 2024-12-14T03:23:10Z |
| publishDate | 2016-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Research Methodology |
| spelling | doaj.art-501dd697bb7942e3bdf55c6b512935922022-12-21T23:18:59ZengBMCBMC Medical Research Methodology1471-22882016-05-0116111510.1186/s12874-016-0165-8Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathologyBreda H. Eubank0Nicholas G. Mohtadi1Mark R. Lafave2J. Preston Wiley3Aaron J. Bois4Richard S. Boorman5David M. Sheps6Department of Health and Physical Education, Faculty of Health, Community, and Education, Mount Royal UniversitySport Medicine Centre, Faculty of Kinesiology, University of CalgaryDepartment of Health and Physical Education, Faculty of Health, Community, and Education, Mount Royal UniversitySport Medicine Centre, Faculty of Kinesiology, University of CalgaryOrthopaedic Surgeon, Sport Medicine Centre, University of CalgaryOrthopaedic Surgeon, Sport Medicine Centre, University of CalgaryDivision of Orthopaedics, Department of Surgery, University of AlbertaAbstract Background Patients presenting to the healthcare system with rotator cuff pathology do not always receive high quality care. High quality care occurs when a patient receives care that is accessible, appropriate, acceptable, effective, efficient, and safe. The aim of this study was twofold: 1) to develop a clinical pathway algorithm that sets forth a stepwise process for making decisions about the diagnosis and treatment of rotator cuff pathology presenting to primary, secondary, and tertiary healthcare settings; and 2) to establish clinical practice guidelines for the diagnosis and treatment of rotator cuff pathology to inform decision-making processes within the algorithm. Methods A three-step modified Delphi method was used to establish consensus. Fourteen experts representing athletic therapy, physiotherapy, sport medicine, and orthopaedic surgery were invited to participate as the expert panel. In round 1, 123 best practice statements were distributed to the panel. Panel members were asked to mark “agree” or “disagree” beside each statement, and provide comments. The same voting method was again used for round 2. Round 3 consisted of a final face-to-face meeting. Results In round 1, statements were grouped and reduced to 44 statements that met consensus. In round 2, five statements reached consensus. In round 3, ten statements reached consensus. Consensus was reached for 59 statements representing five domains: screening, diagnosis, physical examination, investigations, and treatment. The final face-to-face meeting was also used to develop clinical pathway algorithms (i.e., clinical care pathways) for three types of rotator cuff pathology: acute, chronic, and acute-on-chronic. Conclusion This consensus guideline will help to standardize care, provide guidance on the diagnosis and treatment of rotator cuff pathology, and assist in clinical decision-making for all healthcare professionals.http://link.springer.com/article/10.1186/s12874-016-0165-8consensus guidelineDelphi techniqueexpertsrotator cuffalgorithmclinical practice guideline |
| spellingShingle | Breda H. Eubank Nicholas G. Mohtadi Mark R. Lafave J. Preston Wiley Aaron J. Bois Richard S. Boorman David M. Sheps Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology BMC Medical Research Methodology consensus guideline Delphi technique experts rotator cuff algorithm clinical practice guideline |
| title | Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology |
| title_full | Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology |
| title_fullStr | Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology |
| title_full_unstemmed | Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology |
| title_short | Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology |
| title_sort | using the modified delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology |
| topic | consensus guideline Delphi technique experts rotator cuff algorithm clinical practice guideline |
| url | http://link.springer.com/article/10.1186/s12874-016-0165-8 |
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