Professor Eoin O'Malley National Thoracic and Transplant Centre, Mater Misericordiae University Hospital, Eccles St., Dublin, D07R2WY, Ireland.
Beacon Court, Beacon Hospital, Bracken Rd, Sandyford Business Park, Dublin, Sandyford, Ireland.
Ir J Med Sci. 2024 Apr;193(2):843-849. doi: 10.1007/s11845-023-03467-7. Epub 2023 Aug 8.
Lung volume reduction (LVR) is an effective treatment option offered to patients with emphysema. There is no formalised LVR referral network in Ireland. A rigorous approach to agreeing and implementing a LVR referral framework in an Irish context is required. A Delphi process was used to provide a basis for a framework of multi-disciplinary teams (MDTs) which can provide LVR as a management option. A Delphi process offers a framework for understanding variations and developing a consensus from expert opinion.
The aim of this study was to develop consensus on recommendations for LVR referral guidelines in an Irish context and provide a national scope based on current practice and evidence.
In accordance with Guidance on Conducting and Reporting Delphi Studies, a consensus-building Delphi study was performed. Thirty-three statements informed from review of research literature were identified and presented to participants. Evaluation of the statements was performed by an expert panel using a 5-point Likert scale. ≥ 70% agreement was defined as consensus and items with a consensus rating of < 70% were revised during the process. In total, Delphi questionnaires were distributed to 18 experts with a response rate of 78% (n = 14) and a follow-up response-rate of 50% (n = 7).
SETTING/PARTICIPANTS: The expert panel in Ireland consisted of representatives from respiratory medicine, cardiothoracic surgery and allied-health professionals with expertise in COPD care.
Of the initial 33 statements in five dimensions, there were consensus regarding 31 statements.
The 31 statements agreed through this Delphi study clarify a coherent direction for development of a LVR framework in Ireland. The Delphi study methodology described is a useful process to reach consensus among multi-disciplinary experts.
肺减容术（LVR）是治疗肺气肿患者的有效治疗选择。爱尔兰没有规范化的 LVR 转诊网络。需要采用严格的方法来达成并实施爱尔兰语境下的 LVR 转诊框架。德尔菲法（Delphi）用于为多学科团队（MDTs）的框架提供依据，从而将 LVR 作为一种管理选择。德尔菲法为理解差异和从专家意见中达成共识提供了框架。
本研究旨在为爱尔兰语境下的 LVR 转诊指南制定共识，并根据当前实践和证据提供全国范围的建议。
根据开展和报告德尔菲研究的指南，进行了一项共识建立的德尔菲研究。从文献回顾中确定并向参与者提出了 33 条陈述。专家小组使用 5 分李克特量表对陈述进行评估。≥70%的同意被定义为共识，共识评分<70%的项目在过程中进行修订。共向 18 名专家分发了德尔菲问卷，回复率为 78%（n=14），后续回复率为 50%（n=7）。
地点/参与者：爱尔兰的专家小组由呼吸内科、心胸外科和具有 COPD 护理专业知识的辅助医疗专业人员代表组成。
在五个维度的最初 33 个陈述中，有 31 个陈述达成了共识。
通过这项德尔菲研究达成一致的 31 个陈述阐明了在爱尔兰制定 LVR 框架的明确方向。所描述的德尔菲研究方法是在多学科专家中达成共识的有用过程。
