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Essential Features of an Interstitial Lung Disease Multidisciplinary Meeting An International Delphi Survey
- Source :
- Teoh, A K Y, Holland, A E, Morisset, J, Flaherty, K R, Wells, A U, Walsh, S L F, Glaspole, I, Wuyts, W A, Corte, T J, Adamali, H, Shirine Allam, J, Antillon, S, Antoniou, K M, Athanazio, R, Avdeev, S, Averyanov, A, Azuma, A, Baldi, B, Balestro, E, Bascom, R, Bastiampillai, S, Beckert, L, Behr, J, Beirne, P, Bennett, D, Borie, R, Bouros, D, Brockway, B, Brown, K, Callejas Gonzalez, F J, Castillo, D, Chaves, R C, Chambers, D, Chapman, S, Chaudhuri, N, Collard, H, Cottin, V, Crestani, B, Davidsen, J R, Dhasmana, D J, Dhooria, S, Enghelmayer, J I, Fabro, A T, Garcha, P, Goh, N, Gomez, A, Grainge, C, Handa, T, Huie, T, Hunninghake, G & the ILD MDM Dephi Collaborators 2022, ' Essential Features of an Interstitial Lung Disease Multidisciplinary Meeting An International Delphi Survey ', Annals of the American Thoracic Society, vol. 19, no. 1, pp. 66-73 . https://doi.org/10.1513/AnnalsATS.202011-1421OC, Annals of the American Thoracic Society, 19(1), 66-73. American Thoracic Society
- Publication Year :
- 2022
-
Abstract
- Supported by the National Health and Medical Research Council Centre of Research Excellence in Pulmonary Fibrosis (GNT1116371), and by foundation partner, Boehringer Ingelheim, and program partners, Roche and Galapagos. Rationale : The interstitial lung disease (ILD) multidisciplinary meetings (MDM), composed of pulmonologists, radiologists, and pathologists, is integral to the rendering of an accurate ILD diagnosis. However, there is significant heterogeneity in the conduct of ILD MDMs, and questions regarding their best practices remain unanswered. Objectives : To achieve consensus among ILD experts on essential components of an ILD MDM. Methods : Using a Delphi methodology, semi-structured interviews with ILD experts were used to identify key themes and features of ILD MDMs. These items informed two subsequent rounds of online questionnaires that were used to achieve consensus among a broader, international panel of ILD experts. Experts were asked to rate their level of agreement on a five-point Likert scale. An a priori threshold for consensus was set at a median score 4 or 5 with an interquartile range of 0. Results : We interviewed 15 ILD experts, and 102 ILD experts participated in the online questionnaires. Five items and two exploratory statements achieved consensus on being essential for an ILD MDM following two questionnaire rounds. There was consensus that the presence of at least one radiologist, a quiet setting with a visual projection system, a high-quality chest high-resolution computed tomography, and a standardized template summarizing collated patient data are essential components of an ILD MDM. Experts also agreed that it would be useful for ILD MDMs to undergo an annual benchmarking process and a validation process by fulfilling a minimum number of cases annually. Twenty-seven additional features were considered to be either highly desirable or desirable features based on the degree of consensus. Although our findings on desirable features are similar to the current literature, several of these remain controversial and warrant further research. The study also showed an agreement among participants on several future concepts to improve the ILD MDM, such as performing regular self-assessments and conducting research into shared practices to develop an international expert guideline statement on ILD MDMs. Conclusions : This Delphi study showed consensus among international ILD experts on essential and desirable features of an ILD MDM. Our data represent an important step toward potential collaborative research into future standardization of ILD MDMs. Postprint
- Subjects :
- Pulmonary and Respiratory Medicine
PNEUMONIA
medicine.medical_specialty
Respiratory System
Delphi method
NDAS
Interstitial lung disease
THORACIC SOCIETY
R Medicine (General)
DIAGNOSIS
behavioral disciplines and activities
Delphi
03 medical and health sciences
0302 clinical medicine
Lung diseases, interstitial/diagnosis
Multidisciplinary approach
Delphi technique
Medicine
Humans
CRITERIA
Medical physics
030212 general & internal medicine
Pulmonologists
Essential features
Science & Technology
business.industry
STATEMENT
respiratory system
medicine.disease
R1
respiratory tract diseases
body regions
surgical procedures, operative
030228 respiratory system
AGREEMENT
Multidisciplinary meeting
business
Surveys and questionnaires
CONSENSUS
Life Sciences & Biomedicine
Subjects
Details
- Language :
- English
- ISSN :
- 23296933
- Volume :
- 19
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Annals of the American Thoracic Society
- Accession number :
- edsair.doi.dedup.....c9e4ef48b63628a7f18e7570198b55e9