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肺移植研究的优先事项:加拿大患者、护理人员和临床医生之间的詹姆斯·林德联盟优先事项设定合作项目

Priorities for lung transplantation research: a James Lind Alliance priority-setting partnership between patients, caregivers, and clinicians in Canada.

作者信息

Michaels Margret I, Halloran Kieran, Harper Lea, Marks Nikki, Bergeron Celine, Nasir Basil, Kabbani Dima, van den Bosch Laura, Hirji Alim, Varughese Rhea A, Weatherald Jason

机构信息

Department of Medicine, Division of Pulmonary Medicine, University of Alberta, Edmonton, Canada.

Department of Medicine, Division of Transplant Medicine, University of Calgary, Calgary, Canada.

出版信息

JHLT Open. 2025 Jul 17;9:100349. doi: 10.1016/j.jhlto.2025.100349. eCollection 2025 Aug.

Abstract

This study employed the James Lind Alliance Priority Setting Partnership methodology to identify and prioritize research priorities in lung transplantation through engagement of pre- and post-lung transplant patients, caregivers, and clinicians in Canada. An initial survey collected 490 questions from 204 respondents, which were collated into 117 summary questions. After removing duplicates and conducting evidence checks, 25 verified uncertainties were discussed at a final workshop, resulting in a consensus-based Top 10 list of research priorities. Key priorities addressed the need to improve immunosuppression regimens, patient education, lung allograft dysfunction, and donor lung availability. This first-of-its-kind initiative in lung transplantation created a stakeholder-driven research agenda that better aligns future research with patient needs. The findings establish a foundation for more patient-centered lung transplantation research.

摘要

本研究采用詹姆斯·林德联盟优先事项设定合作方法,通过让加拿大肺移植术前和术后患者、护理人员及临床医生参与,来确定肺移植研究的优先事项并进行排序。初步调查从204名受访者那里收集到490个问题,这些问题被整理成117个总结性问题。在去除重复问题并进行证据核查后,25个经核实的不确定性问题在最终研讨会上进行了讨论,从而形成了基于共识的十大研究优先事项清单。关键优先事项涉及改善免疫抑制方案、患者教育、肺移植功能障碍以及供肺可用性的需求。这项肺移植领域的首创举措创建了一个由利益相关者驱动的研究议程,使未来的研究能更好地契合患者需求。这些研究结果为开展更多以患者为中心的肺移植研究奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbd3/12345336/625637ef9448/gr1.jpg

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