Use of the Delphi Technique for developing national clinical guidelines for prescription of lower-limb prostheses
Use of the Delphi Technique for developing national clinical guidelines for prescription of lower-limb prostheses
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DOI：
10.1682/jrrd.2003.11.0172
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发表时间：
2005-09-01
影响因子：
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通讯作者：
Geertzen, JHB
中科院分区：
文献类型：
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作者：
van der Linde, H;Hofstad, CJ;Geertzen, JHB
该项目的目的是为下肢假肢处方制定基于证据和共识的临床实践指南，以实现临床医生，制造商和保险公司之间的透明度和共识。本文介绍了一种改进的德尔菲技术，该技术基于不同的证据收集方法，以及它在制定假体处方的国家临床指南中的作用。我们使用了多方法的方法来制定下肢截肢者假肢处方的临床实践指南。德尔菲法是这一过程的核心，该小组由来自国家一级三个关键学科的专家组成。我们的方法涉及各种方法：系统综述，对假体处方的国家临床实践的调查，以及与专家的访谈。这些活动产生了关于假肢处方的45项假设。国家专家小组的意见随后在一次共识发展会议上提出。德尔菲技术会议的与会者就下肢截肢者假肢处方的37项假设达成了共识。根据截肢水平对假设进行分类，并划分为不同的领域。整个过程的结果是制定了临床准则草案，其中包括下肢假肢处方指南。这些准则的范围和适用性必须在今后的工作中加以衡量和评价。
The aim of this project was the development of evidence- and consensus-based clinical practice guidelines for lower-limb prosthesis prescription for achieving transparency and consensus among clinicians, manufacturers, and insurance companies. This article describes a modified Delphi Technique, which is based on different methods of collecting evidence, and its role in the development of national clinical guidelines for prosthesis prescription. We used a multimethod approach to develop guidelines for the clinical practice of prosthesis prescription for lower-limb amputees. The Delphi Technique was central in the process, and the panel was made up of experts from three key disciplines on a national level. Our approach involved various methods: a systematic review, a survey of national clinical practice on prosthesis prescription, and interviews with experts. These activities resulted in 45 Postulates about prosthesis prescription. The views of the national expert panel were then presented at a consensus development conference. The participants in the Delphi Technique sessions reached a consensus on 37 of the postulates on prosthesis prescription for lower-limb amputees. The postulates were categorized according to amputation level and partitioned into different domains. The total process resulted in the development of draft clinical guidelines comprising guidance for prescribing prostheses for the lower limb. The scope and applicability of these guidelines will have to be measured and evaluated in future work.