O'Brien Erin, Stevens Phillip M, Mandacina Steve, Jackman Craig
Hanger Institute for Clinical Research and Education, Hanger Inc, Austin, TX, USA.
Division of Physical Medicine and Rehabilitation, University of Utah Health, Salt Lake City, UT, USA.
J Rehabil Assist Technol Eng. 2021 Dec 17;8:20556683211065262. doi: 10.1177/20556683211065262. eCollection 2021 Jan-Dec.
Upper limb research is currently lacking detailed clinical guidance on the provision of unilateral transradial prostheses. Clinical practice guidelines are meant to serve as assistance for the decision-making process, and Delphi surveys have been used with increasing frequency within orthotics and prosthetics to create these guidelines for clinical practice.
A three round Delphi survey was used to gain consensus on clinical statements regarding unilateral transradial prostheses.
We achieved consensus (> 80% agreement) on a total of 40 statements by surveying 22 experts on upper limb prosthetics over three rounds of surveys. Response rate ranged from 81.8-86.4% with a total of 55 total statements under consideration throughout the duration of the survey. The 40 passing statements were arranged into nine guidelines for provision of prosthetic care in this population.
The Delphi technique allowed for the creation of a set of clinical practice guidelines for the unilateral transradial patient in the absence of conclusive empirical evidence.
目前上肢研究缺乏关于单侧经桡骨假肢提供的详细临床指导。临床实践指南旨在辅助决策过程，德尔菲调查在矫形器和假肢领域越来越频繁地被用于制定这些临床实践指南。
采用三轮德尔菲调查就单侧经桡骨假肢的临床陈述达成共识。
通过对22位上肢假肢专家进行三轮调查，我们就总共40条陈述达成了共识（>80%的一致意见）。回复率在81.8 - 86.4%之间，在调查期间总共考虑了55条陈述。这40条通过的陈述被整理成九条针对该人群提供假肢护理的指南。
在缺乏确凿实证证据的情况下，德尔菲技术使得为单侧经桡骨患者制定了一套临床实践指南。
