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A modified Delphi process to form an expert consensus in Ireland on the essential information to be included in shared decision making for varicose vein surgery.pdf (675.29 kB)

A modified Delphi process to form an expert consensus in Ireland on the essential information to be included in shared decision making for varicose vein surgery

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posted on 2023-03-29, 09:24 authored by Aoife KiernanAoife Kiernan, Daragh MoneleyDaragh Moneley, Frank DoyleFrank Doyle, Denis HarkinDenis Harkin

Objective: To reach consensus on a core set of essential information for inclusion in the informed consent process to standardize consent for VV surgery.

Methods: Using a modified electronic Delphi (e-Delphi) method, a panel of experts in Ireland, were asked to rate statements of essential information to include in the informed consent process with patients. Statements were rated using a 5-point Likert scale. The definition of consensus was declared at 70% agreement by the panel.

Results: Twenty-three panel members accepted the invitation to participate across three e-Delphi rounds. Consensus was reached on 33/42 statements, covering general and procedural information and the risks, benefits and alternatives of varicose veins (VV) surgery. Several statements remained equivocal, having not met consensus by the panel.

Conclusion: Considerable consensus was reached within the panel of experts but some gaps in available research were also highlighted. This consensus may provide the framework to aid physicians to deliver a standardized discussion of the key elements of consent and shared decision making with patients.

Funding

The Royal College of Surgeons in Ireland, Strategic Academic Research (StAR) programme together with the Bon Secours Health System (Ireland) are sponsoring this study though a research grant DC21139A01

History

Comments

Kiernan A, Moneley D, Doyle F, Harkin DW. A modified Delphi process to form an expert consensus in Ireland on the essential information to be included in shared decision making for varicose vein surgery. Phlebology. 2023;38(4):259-269. Copyright © 2023. Sage. https://doi.org/10.1177/02683555231158284

Published Citation

Kiernan A, Moneley D, Doyle F, Harkin DW. A modified Delphi process to form an expert consensus in Ireland on the essential information to be included in shared decision making for varicose vein surgery. Phlebology. 2023;38(4):259-269

Publication Date

4 March 2023

PubMed ID

36869734

Department/Unit

  • Beaumont Hospital
  • Health Psychology
  • Medicine
  • Medical Professionalism

Publisher

Sage

Version

  • Accepted Version (Postprint)