Tiernan J, Cook A, Geh I, George B, Magill L, Northover J, Verjee A, Wheeler J, Fearnhead N
Huddersfield Royal Infirmary, Huddersfield, UK.
Colorectal Dis. 2014 Dec;16(12):965-70. doi: 10.1111/codi.12790.
The modified Delphi approach is an established method for reaching a consensus opinion among a group of experts in a particular field. We have used this technique to survey the entire membership of the Association of Coloproctology of Great Britain and Ireland (ACPGBI) to reach a consensus on prioritizing clinical research questions in colorectal disease.
Three rounds of surveys were conducted using a web-based tool. In the first, the ACPGBI membership was invited to submit research questions. In Rounds 2 and 3 they were asked to score questions on priority. A steering group analysed the results of each round to identify those questions ranked as being of highest priority.
Five hundred and two questions were submitted in Round 1. Following two rounds of voting and analysis, a list of 25 priority questions was produced, including 15 cancer-related and 10 noncancer-related questions.
It is anticipated that these results will: (i) set the research agenda over the next few years for the study of colorectal disease in the United Kingdom, (ii) promote development and (iii) define funding of new research and prioritize areas of unmet clinical need where the potential clinical impact is greatest.
改良德尔菲法是在某一特定领域的一组专家中达成共识意见的既定方法。我们已运用该技术对大不列颠及爱尔兰结直肠外科学会（ACPGBI）的全体成员进行调查，以就结直肠疾病临床研究问题的优先排序达成共识。
使用基于网络的工具进行三轮调查。第一轮，邀请 ACPGBI 成员提交研究问题。在第二轮和第三轮中，要求他们对问题的优先级进行评分。一个指导小组分析每一轮的结果，以确定那些被列为最高优先级的问题。
第一轮共提交了 502 个问题。经过两轮投票和分析，产生了一份包含 25 个优先问题的清单，其中包括 15 个与癌症相关的问题和 10 个与非癌症相关的问题。
预计这些结果将：（i）为英国未来几年的结直肠疾病研究设定研究议程，（ii）促进新研究的开展，（iii）确定新研究的资金投入，并对潜在临床影响最大的未满足临床需求领域进行优先排序。
