New progress in expert consensus production related to medical care_West China Medical Journal

Authors：

LI Peifang ,  NING Ning , CHEN Jiali , ZHOU Zongke , ZHANG Lin , ZHU Hongyan

Department of Orthopedic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NING Ning, Email: gkningning@126.com

Keywords：

Expert consensus; literature pre-retrieval; nominal group technique; Delphi method

DOI：

10.7507/1002-0179.202208101

Video：

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In the context of the rapid development of contemporary medical industry and the unbalanced development of various subspecialties, expert consensus plays an extremely important role in guiding clinical practice and improving the quality of medical care. However, there are some deficiencies and limitations in the formation process and final report of the expert consensus. Therefore, this paper summarizes and reviews the definition, applications, and functions of expert consensus and the new progress of expert consensus formation methods by fully reviewing the literature, and puts forward the prospect. The purpose is to provide a reference for the production and application of expert consensus related to medical care, improve the outcomes of medical care, and upgrade the quality and level of medical services.

Citation： LI Peifang, NING Ning, CHEN Jiali, ZHOU Zongke, ZHANG Lin, ZHU Hongyan. New progress in expert consensus production related to medical care. West China Medical Journal, 2022, 37(10): 1450-1453. doi: 10.7507/1002-0179.202208101 Copy

1.	梁昌昊, 夏如玉, 黃子瑋, 等. 共識法在中醫臨床實踐指南及專家共識中的應用及方法學報告特征分析. 中醫雜志, 2022, 63(1): 26-34.
2.	單帥帥, 王慶偉, 文建國. 臨床指南和專家共識的基本概念與制定規范. 中華小兒外科雜志, 2020, 41(2): 107-111.
3.	Wetterneck TB, Pak MH. Using clinical practice guidelines to improve patient care. WMJ, 2005, 104(3): 30-33.
4.	Jorm AF. Using the Delphi expert consensus method in mental health research. Aust N Z J Psychiatry, 2015, 49(10): 887-897.
5.	Hohmann E, Cote MP, Brand JC. Research pearls: expert consensus based evidence using the delphi method. Arthroscopy, 2018, 34(12): 3278-3282.
6.	吳思雨. 基于德爾菲法的宮頸癌治療相關并發癥綜合療法的中國專家共識研究. 廣州: 廣州中醫藥大學, 2021.
7.	尹祥斌. 基于德爾菲法的放射性直腸炎中醫診療專家共識研究. 太原: 山西省中醫藥研究院, 2018.
8.	廖星, 謝雁鳴, 張俊華, 等. 中醫臨床實踐指南制修訂中專家共識技術規范. 中國中藥雜志, 2019, 44(20): 4354-4359.
9.	陳耀龍, 楊克虎, 田金徽, 等. 循證實踐指南的制定: 國際經驗與中國實踐. 蘭州大學學報(醫學版), 2016, 42(1): 29-35.
10.	廖星, 謝雁鳴. 共識法在傳統醫學臨床實踐指南制定過程中的應用探討. 中西醫結合學報, 2008, 6(6): 555-560.
11.	Frances A, Kahn D, Carpenter D, et al. A new method of developing expert consensus practice guidelines. Am J Manag Care, 1998, 4(7): 1023-1029.
12.	Lewis SZ, Diekemper R, Ornelas J, et al. Methodologies for the development of CHEST guidelines and expert panel reports. Chest, 2014, 146(1): 182-192.
13.	李朝軍, 謝秀靜, 許敏, 等. 基于制定中國血管超聲檢查專家共識若干問題的問卷調查分析. 中國腦血管病雜志, 2020, 17(6): 299-307.
14.	王曉慧, 陳耀龍, 楊慧霞. 美國婦產科醫師學會臨床實踐指南和臨床共識的制訂方法對我國制訂婦產科領域指南的啟示. 中華圍產醫學雜志, 2021, 24(12): 881-884.
15.	陳艷麗, 鄒德玲, 任麗, 等. 臨床診療指南及專家共識在住院醫師規范培訓中的應用. 中華醫學教育探索雜志, 2017, 16(10): 1038-1042.
16.	廖楚, 葉俊秋, 惠晨陽, 等. 文獻預檢索在健肝樂顆粒臨床應用專家共識臨床問題構建中的運用. 中西醫結合肝病雜志, 2021, 31(12): 1095-1099.
17.	Allen J, Dyas J, Jones M. Building consensus in health care: a guide to using the nominal group technique. Br J Community Nurs, 2004, 9(3): 110-114.
18.	吳沛霞, 李華偉. 專家共識制定過程中的若干問題—由 Barany 學會前庭疾病國際分類引發的思考. 中華耳科學雜志, 2020, 18(6): 1119-1123.
19.	Vita A, Barlati S, Bellomo A, et al. Patterns of care for adolescent with schizophrenia: a Delphi-based consensus study. Front Psychiatry, 2022, 13: 844098.
20.	Boel A, Navarro-Compán V, Landewé R, et al. Two different invitation approaches for consecutive rounds of a Delphi survey led to comparable final outcome. J Clin Epidemiol, 2021, 129: 31-39.
21.	Liyanage H, Liaw ST, Di Iorio CT, et al. Building a privacy, ethics, and data access framework for real world computerised medical record system data: a Delphi study. Contribution of the primary health care informatics working group. Yearb Med Inform, 2016(1): 138-145.
22.	Healy DW, Cloyd BH, Straker T, et al. Expert consensus statement on the perioperative management of adult patients undergoing head and neck surgery and free tissue reconstruction from the Society for Head and Neck Anesthesia. Anesth Analg, 2021, 133(1): 274-283.
23.	Rosenfeld RM, Nnacheta LC, Corrigan MD. Clinical consensus statement development manual. Otolaryngol Head Neck Surg, 2015, 153(2 Suppl): S1-S14.
24.	趙國楨, 李博, 張霄瀟, 等. 中成藥臨床應用專家共識制訂方法. 中國循證醫學雜志, 2018, 18(8): 888-892.
25.	方賽男, 郭宇博, 劉建平, 等. 中成藥臨床應用專家共識的制訂流程. 中國中藥雜志, 2018, 43(24): 4786-4791.
26.	莫美, 廖星, 張霄瀟, 等. 中華中醫藥學會中成藥臨床應用專家共識報告規范. 中國中藥雜志, 2019, 44(12): 2644-2651.

1. 梁昌昊, 夏如玉, 黃子瑋, 等. 共識法在中醫臨床實踐指南及專家共識中的應用及方法學報告特征分析. 中醫雜志, 2022, 63(1): 26-34.
2. 單帥帥, 王慶偉, 文建國. 臨床指南和專家共識的基本概念與制定規范. 中華小兒外科雜志, 2020, 41(2): 107-111.
3. Wetterneck TB, Pak MH. Using clinical practice guidelines to improve patient care. WMJ, 2005, 104(3): 30-33.
4. Jorm AF. Using the Delphi expert consensus method in mental health research. Aust N Z J Psychiatry, 2015, 49(10): 887-897.
5. Hohmann E, Cote MP, Brand JC. Research pearls: expert consensus based evidence using the delphi method. Arthroscopy, 2018, 34(12): 3278-3282.
6. 吳思雨. 基于德爾菲法的宮頸癌治療相關并發癥綜合療法的中國專家共識研究. 廣州: 廣州中醫藥大學, 2021.
7. 尹祥斌. 基于德爾菲法的放射性直腸炎中醫診療專家共識研究. 太原: 山西省中醫藥研究院, 2018.
8. 廖星, 謝雁鳴, 張俊華, 等. 中醫臨床實踐指南制修訂中專家共識技術規范. 中國中藥雜志, 2019, 44(20): 4354-4359.
9. 陳耀龍, 楊克虎, 田金徽, 等. 循證實踐指南的制定: 國際經驗與中國實踐. 蘭州大學學報(醫學版), 2016, 42(1): 29-35.
10. 廖星, 謝雁鳴. 共識法在傳統醫學臨床實踐指南制定過程中的應用探討. 中西醫結合學報, 2008, 6(6): 555-560.
11. Frances A, Kahn D, Carpenter D, et al. A new method of developing expert consensus practice guidelines. Am J Manag Care, 1998, 4(7): 1023-1029.
12. Lewis SZ, Diekemper R, Ornelas J, et al. Methodologies for the development of CHEST guidelines and expert panel reports. Chest, 2014, 146(1): 182-192.
13. 李朝軍, 謝秀靜, 許敏, 等. 基于制定中國血管超聲檢查專家共識若干問題的問卷調查分析. 中國腦血管病雜志, 2020, 17(6): 299-307.
14. 王曉慧, 陳耀龍, 楊慧霞. 美國婦產科醫師學會臨床實踐指南和臨床共識的制訂方法對我國制訂婦產科領域指南的啟示. 中華圍產醫學雜志, 2021, 24(12): 881-884.
15. 陳艷麗, 鄒德玲, 任麗, 等. 臨床診療指南及專家共識在住院醫師規范培訓中的應用. 中華醫學教育探索雜志, 2017, 16(10): 1038-1042.
16. 廖楚, 葉俊秋, 惠晨陽, 等. 文獻預檢索在健肝樂顆粒臨床應用專家共識臨床問題構建中的運用. 中西醫結合肝病雜志, 2021, 31(12): 1095-1099.
17. Allen J, Dyas J, Jones M. Building consensus in health care: a guide to using the nominal group technique. Br J Community Nurs, 2004, 9(3): 110-114.
18. 吳沛霞, 李華偉. 專家共識制定過程中的若干問題—由 Barany 學會前庭疾病國際分類引發的思考. 中華耳科學雜志, 2020, 18(6): 1119-1123.
19. Vita A, Barlati S, Bellomo A, et al. Patterns of care for adolescent with schizophrenia: a Delphi-based consensus study. Front Psychiatry, 2022, 13: 844098.
20. Boel A, Navarro-Compán V, Landewé R, et al. Two different invitation approaches for consecutive rounds of a Delphi survey led to comparable final outcome. J Clin Epidemiol, 2021, 129: 31-39.
21. Liyanage H, Liaw ST, Di Iorio CT, et al. Building a privacy, ethics, and data access framework for real world computerised medical record system data: a Delphi study. Contribution of the primary health care informatics working group. Yearb Med Inform, 2016(1): 138-145.
22. Healy DW, Cloyd BH, Straker T, et al. Expert consensus statement on the perioperative management of adult patients undergoing head and neck surgery and free tissue reconstruction from the Society for Head and Neck Anesthesia. Anesth Analg, 2021, 133(1): 274-283.
23. Rosenfeld RM, Nnacheta LC, Corrigan MD. Clinical consensus statement development manual. Otolaryngol Head Neck Surg, 2015, 153(2 Suppl): S1-S14.
24. 趙國楨, 李博, 張霄瀟, 等. 中成藥臨床應用專家共識制訂方法. 中國循證醫學雜志, 2018, 18(8): 888-892.
25. 方賽男, 郭宇博, 劉建平, 等. 中成藥臨床應用專家共識的制訂流程. 中國中藥雜志, 2018, 43(24): 4786-4791.
26. 莫美, 廖星, 張霄瀟, 等. 中華中醫藥學會中成藥臨床應用專家共識報告規范. 中國中藥雜志, 2019, 44(12): 2644-2651.

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