目的:开发一种评估输尿管软镜(fURS)的标准化工具。
方法:在指导小组的指导下进行了基于改进的Delphi技术的三阶段共识构建方法。首先,用于评估fURS的范围相关和用户相关参数是通过系统范围审查确定的.然后,定义了主要类别和子类别,专家小组被选中。最后,进行了两步修改的Delphi共识项目,以首先就评估fURS所需的每个(子)类别的相关性和确切定义达成共识,其次是评价方法(设置,使用的工具和结果单位)。在预定的80%高协议阈值下达成了共识。
结果:该小组由30名内脏学领域的专家组成。修改后的Delphi共识项目的第一步包括两份问卷,两者的回复率均为97%(n=29)。就六个主要类别和12个子类别的相关性和定义达成了共识。第二步包括三份问卷(回复率为90%,97%和100%,分别)。就所有(子)类别的测量方法达成了共识。
结论:这个经过修改的Delphi共识项目就fURS评估的标准化分级工具达成了共识,TULIP工具。这是在这一研究领域创造均匀性的第一步,以促进未来对柔性输尿管肾镜的功能和处理结果的比较。
To develop a standardised tool to evaluate flexible ureterorenoscopes (fURS).
A three-stage consensus building approach based on the modified Delphi technique was performed under guidance of a steering group. First, scope- and user-related parameters used to evaluate fURS were identified through a systematic scoping review. Then, the main categories and subcategories were defined, and the expert panel was selected. Finally, a two-step modified Delphi
consensus project was conducted to firstly obtain
consensus on the relevance and exact definition of each (sub)category necessary to evaluate fURS, and secondly on the evaluation method (setting, used tools and unit of outcome) of those (sub)categories.
Consensus was reached at a predefined threshold of 80% high agreement.
The panel consisted of 30 experts in the field of
endourology. The first step of the modified Delphi consensus project consisted of two questionnaires with a response rate of 97% (n = 29) for both. Consensus was reached for the relevance and definition of six main categories and 12 subcategories. The second step consisted of three questionnaires (response rate of 90%, 97% and 100%, respectively).
Consensus was reached on the method of measurement for all (sub)categories.
This modified Delphi
consensus project reached
consensus on a standardised grading tool for the evaluation of fURS - The Uniform grading tooL for flexIble ureterorenoscoPes (TULIP) tool. This is a first step in creating uniformity in this field of research to facilitate future comparison of outcomes of the functionality and handling of fURS.