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, 黄子玮, 等. 共识法在中医临床实践指南及专家共识中的应用及方法学报告特征分析. 中医杂志, 2022, 63(1): 26-34.
2.	单帅帅, 王庆伟, 文建国. 临床指南和专家共识的基本概念与制定规范. 中华小儿外科杂志, 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.	吴思雨. 基于德尔菲法的宫颈癌治疗相关并发症综合疗法的中国专家共识研究. 广州: 广州中医药大学, 2021.
7.	尹祥斌. 基于德尔菲法的放射性直肠炎中医诊疗专家共识研究. 太原: 山西省中医药研究院, 2018.
8.	廖星, 谢雁鸣, 张俊华, 等. 中医临床实践指南制修订中专家共识技术规范. 中国中药杂志, 2019, 44(20): 4354-4359.
9.	陈耀龙, 杨克虎, 田金徽, 等. 循证实践指南的制定: 国际经验与中国实践. 兰州大学学报(医学版), 2016, 42(1): 29-35.
10.	廖星, 谢雁鸣. 共识法在传统医学临床实践指南制定过程中的应用探讨. 中西医结合学报, 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.	李朝军, 谢秀静, 许敏, 等. 基于制定中国血管超声检查专家共识若干问题的问卷调查分析. 中国脑血管病杂志, 2020, 17(6): 299-307.
14.	王晓慧, 陈耀龙, 杨慧霞. 美国妇产科医师学会临床实践指南和临床共识的制订方法对我国制订妇产科领域指南的启示. 中华围产医学杂志, 2021, 24(12): 881-884.
15.	陈艳丽, 邹德玲, 任丽, 等. 临床诊疗指南及专家共识在住院医师规范培训中的应用. 中华医学教育探索杂志, 2017, 16(10): 1038-1042.
16.	廖楚, 叶俊秋, 惠晨阳, 等. 文献预检索在健肝乐颗粒临床应用专家共识临床问题构建中的运用. 中西医结合肝病杂志, 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.	吴沛霞, 李华伟. 专家共识制定过程中的若干问题—由 Barany 学会前庭疾病国际分类引发的思考. 中华耳科学杂志, 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.	赵国桢, 李博, 张霄潇, 等. 中成药临床应用专家共识制订方法. 中国循证医学杂志, 2018, 18(8): 888-892.
25.	方赛男, 郭宇博, 刘建平, 等. 中成药临床应用专家共识的制订流程. 中国中药杂志, 2018, 43(24): 4786-4791.
26.	莫美, 廖星, 张霄潇, 等. 中华中医药学会中成药临床应用专家共识报告规范. 中国中药杂志, 2019, 44(12): 2644-2651.

1. 梁昌昊, 夏如玉, 黄子玮, 等. 共识法在中医临床实践指南及专家共识中的应用及方法学报告特征分析. 中医杂志, 2022, 63(1): 26-34.
2. 单帅帅, 王庆伟, 文建国. 临床指南和专家共识的基本概念与制定规范. 中华小儿外科杂志, 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. 吴思雨. 基于德尔菲法的宫颈癌治疗相关并发症综合疗法的中国专家共识研究. 广州: 广州中医药大学, 2021.
7. 尹祥斌. 基于德尔菲法的放射性直肠炎中医诊疗专家共识研究. 太原: 山西省中医药研究院, 2018.
8. 廖星, 谢雁鸣, 张俊华, 等. 中医临床实践指南制修订中专家共识技术规范. 中国中药杂志, 2019, 44(20): 4354-4359.
9. 陈耀龙, 杨克虎, 田金徽, 等. 循证实践指南的制定: 国际经验与中国实践. 兰州大学学报(医学版), 2016, 42(1): 29-35.
10. 廖星, 谢雁鸣. 共识法在传统医学临床实践指南制定过程中的应用探讨. 中西医结合学报, 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. 李朝军, 谢秀静, 许敏, 等. 基于制定中国血管超声检查专家共识若干问题的问卷调查分析. 中国脑血管病杂志, 2020, 17(6): 299-307.
14. 王晓慧, 陈耀龙, 杨慧霞. 美国妇产科医师学会临床实践指南和临床共识的制订方法对我国制订妇产科领域指南的启示. 中华围产医学杂志, 2021, 24(12): 881-884.
15. 陈艳丽, 邹德玲, 任丽, 等. 临床诊疗指南及专家共识在住院医师规范培训中的应用. 中华医学教育探索杂志, 2017, 16(10): 1038-1042.
16. 廖楚, 叶俊秋, 惠晨阳, 等. 文献预检索在健肝乐颗粒临床应用专家共识临床问题构建中的运用. 中西医结合肝病杂志, 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. 吴沛霞, 李华伟. 专家共识制定过程中的若干问题—由 Barany 学会前庭疾病国际分类引发的思考. 中华耳科学杂志, 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. 赵国桢, 李博, 张霄潇, 等. 中成药临床应用专家共识制订方法. 中国循证医学杂志, 2018, 18(8): 888-892.
25. 方赛男, 郭宇博, 刘建平, 等. 中成药临床应用专家共识的制订流程. 中国中药杂志, 2018, 43(24): 4786-4791.
26. 莫美, 廖星, 张霄潇, 等. 中华中医药学会中成药临床应用专家共识报告规范. 中国中药杂志, 2019, 44(12): 2644-2651.

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