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

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.

Contributors

Aoife Kiernan, Daragh Moneley, Frank Doyle, Denis W Harkin

Publication

Journal: Phlebology
Volume: 38
Issue: 4
Pages: 259 - 269
Year: 2023
DOI: https://hdl.handle.net/10779/rcsi.22331617.v1

Further Study Information

Current Stage: Completed
Date:
Funding source(s): 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.


Health Area

Disease Category: Blood disorders

Disease Name: varicose vein

Target Population

Age Range: Unknown

Sex: Either

Nature of Intervention: Surgery

Stakeholders Involved

- Clinical experts
- Consumers (patients)

Study Type

- Core information set

Method(s)

- Delphi process
- Systematic review

Using a modified electronic 3-round Delphi (e-Delphi) method, a panel of experts in Ireland, were asked 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.

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