Department of Orthopedics, Huashan Hospital, Fudan University Shanghai 200040, China; Department of Orthopedics, The Fifth People's Hospital, Fudan University Shanghai 200240, China.
Department of Orthopedics, Huashan Hospital, Fudan University Shanghai 200040, China.
Clin Neurophysiol. 2020 Jun;131(6):1311-1319. doi: 10.1016/j.clinph.2020.02.022. Epub 2020 Mar 16.
To establish a clinician-led guideline for the diagnosis and treatment of Hirayama disease (HD) using a modified Delphi technique.
Based on a combination of a systematic review and opinion of ten experts, a protocol for the consensus of the diagnosis, treatment and follow-up assessment of HD was established. A modified 3-round Delphi survey was then performed by more than 40 panelists from various countries of the world. Both levels of evidence and levels of agreement were derived in all statements of finial guideline.
A total of 47 experts from 6 countries were enrolled in the expert panel in this study. Highly consistent results were achieved during the three Delphi rounds. An expert-led guideline finally constructed includes 24 statements related to diagnosis, treatment and follow-up assessment of HD.
The modified Delphi technique used in this study resulted in an expert-led guideline concerning several clinical aspects of HD.
This clinician-led guideline may provide a helpful direction for clinical practice with regard to the diagnosis and treatment of HD.
采用改良 Delphi 技术为 Hirayama 病（HD）的诊断和治疗制定以临床医生为主导的指南。
基于系统评价和十位专家意见的综合，制定了 HD 的诊断、治疗和随访评估共识的方案。然后由来自世界各地的 40 多位专家进行了改良的 3 轮 Delphi 调查。最终指南的所有陈述中都得出了证据水平和一致性水平。
这项研究共纳入了来自 6 个国家的 47 名专家作为专家小组。在三轮 Delphi 中都得到了高度一致的结果。最终构建的以临床医生为主导的指南包括 24 个关于 HD 的诊断、治疗和随访评估的陈述。
本研究中使用的改良 Delphi 技术产生了一个涉及 HD 多个临床方面的专家主导指南。
该由临床医生主导的指南可能为 HD 的诊断和治疗的临床实践提供有益的指导。
