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Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications

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de Mik, S M L ; Stubenrouch, F E ; Legemate, D A ; Balm, R ; Ubbink, D T ; DISCOVAR Study Group ; Sillesen, Henrik Hegaard. / Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications. I: World Journal of Surgery. 2019 ; Bind 43, Nr. 9. s. 2328-2336.

Bibtex

@article{111126606d6140b5a57e5d10f9abda6a,
title = "Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications",
abstract = "BACKGROUND: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered 'major' and which 'minor,' following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD).METHODS: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80{\%} of participants scored 1 or 2 (minor) or 4 or 5 (major).RESULTS: Participants reached consensus on 9-12 major and 6-10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD.CONCLUSION: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.",
keywords = "Aged, Aortic Aneurysm, Abdominal/surgery, Carotid Artery Diseases/surgery, Consensus, Delphi Technique, Female, Humans, Male, Middle Aged, Peripheral Arterial Disease/surgery, Postoperative Complications/epidemiology, Vascular Surgical Procedures/adverse effects",
author = "{de Mik}, {S M L} and Stubenrouch, {F E} and Legemate, {D A} and R Balm and Ubbink, {D T} and {DISCOVAR Study Group} and Sillesen, {Henrik Hegaard}",
year = "2019",
month = "9",
doi = "10.1007/s00268-019-05038-3",
language = "English",
volume = "43",
pages = "2328--2336",
journal = "World Journal of Surgery",
issn = "0364-2313",
publisher = "Springer New York LLC",
number = "9",

}

RIS

TY - JOUR

T1 - Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications

AU - de Mik, S M L

AU - Stubenrouch, F E

AU - Legemate, D A

AU - Balm, R

AU - Ubbink, D T

AU - DISCOVAR Study Group

A2 - Sillesen, Henrik Hegaard

PY - 2019/9

Y1 - 2019/9

N2 - BACKGROUND: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered 'major' and which 'minor,' following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD).METHODS: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80% of participants scored 1 or 2 (minor) or 4 or 5 (major).RESULTS: Participants reached consensus on 9-12 major and 6-10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD.CONCLUSION: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.

AB - BACKGROUND: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered 'major' and which 'minor,' following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD).METHODS: Complications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if ≥ 80% of participants scored 1 or 2 (minor) or 4 or 5 (major).RESULTS: Participants reached consensus on 9-12 major and 6-10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD.CONCLUSION: Vascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.

KW - Aged

KW - Aortic Aneurysm, Abdominal/surgery

KW - Carotid Artery Diseases/surgery

KW - Consensus

KW - Delphi Technique

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Peripheral Arterial Disease/surgery

KW - Postoperative Complications/epidemiology

KW - Vascular Surgical Procedures/adverse effects

U2 - 10.1007/s00268-019-05038-3

DO - 10.1007/s00268-019-05038-3

M3 - Journal article

VL - 43

SP - 2328

EP - 2336

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 9

ER -

ID: 59374206