Identifying research priorities in anaesthesia and perioperative care: final report of the joint National Institute of Academic Anaesthesia/James Lind Alliance Research Priority Setting Partnership

被引：107

作者：

Boney, Oliver ^{[1
,2
]}

Bell, Madeline ^{[3
]}

Bell, Natalie ^{[3
]}

Conquest, Ann ^{[4
]}

Cumbers, Marion ^{[5
]}

Drake, Sharon ^{[3
]}

Galsworthy, Mike ^{[2
,3
]}

Gath, Jacqui ^{[6
]}

Grocott, Michael P. W. ^{[1
,2
,7
,8
]}

Harris, Emma ^{[9
]}

Howell, Simon ^{[3
]}

Ingold, Anthony ^{[10
]}

Nathanson, Michael H. ^{[11
]}

Pinkney, Thomas ^{[12
]}

Metcalf, Leanne ^{[13
]}

机构：

[1] Univ Coll London Hosp, Surg Outcomes Res Ctr, London, England

[2] Natl Inst Acad Anaesthesia, Hlth Serv Res Ctr, London, England

[3] Royal Coll Anaesthetists, London, England

[4] Assoc Perioperat Practice, Harrogate, England

[5] Royal Natl Orthopaed Hosp, Patient Grp, Stanmore HA7 4LP, Middx, England

[6] Independent Canc Patients Voice, London, England

[7] Univ Southampton, Fac Med, Clin & Expt Sci, Integrat Physiol & Crit Illness Grp, Southampton SO9 5NH, Hants, England

[8] Southampton Univ Hosp, Southampton NIHR Resp Biomed Res Unit, Crit Care Res Area, Southampton, Hants, England

[9] John Radcliffe Hosp, Kangaroo Club, Oxford OX3 9DU, England

[10] Oesophageal Patients Assoc, Solihull, W Midlands, England

[11] AAGBI, London, England

[12] Royal Coll Surgeons England, London WC2A 3PN, England

[13] NIHR Evaluat Trials & Studies Coordinating Ctr, James Lind Alliance, Southampton, Hants, England

来源：

BMJ OPEN | 2015年 / 5卷 / 12期

关键词：

ANAESTHETICS; INTENSIVE & CRITICAL CARE; SURGERY; PUBLIC INVOLVEMENT; PATIENT; IMPACT; SERVICE; QUALITY;

D O I：

10.1136/bmjopen-2015-010006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective To identify research priorities for Anaesthesia and Perioperative Medicine. Design Prospective surveys and consensus meetings guided by an independent adviser. Setting UK. Participants 45 stakeholder organisations (25 professional, 20 patient/carer) affiliated as James Lind Alliance partners. OutcomesFirst ideas-gathering' survey: Free text research ideas and suggestions. Second prioritisation' survey: Shortlist of summary' research questions (derived from the first survey) ranked by respondents in order of priority. Final top ten': Agreed by consensus at a final prioritisation workshop. ResultsFirst survey: 1420 suggestions received from 623 respondents (49% patients/public) were refined into a shortlist of 92 summary' questions. Second survey: 1718 respondents each nominated up to 10 questions as research priorities. Top ten: The 25 highest-ranked questions advanced to the final workshop, where 23 stakeholders (13 professional, 10 patient/carer) agreed the 10 most important questions: ?What can we do to stop patients developing chronic pain after surgery? ?How can patient care around the time of emergency surgery be improved? ?What long-term harm may result from anaesthesia, particularly following repeated anaesthetics? ?What outcomes should we use to measure the success' of anaesthesia and perioperative care? ?How can we improve recovery from surgery for elderly patients? ?For which patients does regional anaesthesia give better outcomes than general anaesthesia? ?What are the effects of anaesthesia on the developing brain? ?Do enhanced recovery programmes improve short and long-term outcomes? ?How can preoperative exercise or fitness training, including physiotherapy, improve outcomes after surgery? ?How can we improve communication between the teams looking after patients throughout their surgical journey? Conclusions Almost 2000 stakeholders contributed their views regarding anaesthetic and perioperative research priorities. This is the largest example of patient and public involvement in shaping anaesthetic and perioperative research to date.

引用

页数：10

共 15 条

[1] A Systematic Review of the Impact of Patient and Public Involvement on Service Users, Researchers and Communities [J].

Brett, Jo ;

Staniszewska, Sophie ;

Mockford, Carole ;

Herron-Marx, Sandra ;

Hughes, John ;

Tysall, Colin ;

Suleman, Rashida .

PATIENT-PATIENT CENTERED OUTCOMES RESEARCH, 2014, 7 (04) :387-395

[2]

Cowan K, 2010, SECONDARY

[3]

Froggatt K, 2014, BMJ SUPPORT PALLIAT

[4] Choosing Important Health Outcomes for Comparative Effectiveness Research: A Systematic Review [J].

Gargon, Elizabeth ;

Gurung, Binu ;

Medley, Nancy ;

Altman, Doug G. ;

Blazeby, Jane M. ;

Clarke, Mike ;

Williamson, Paula R. .

PLOS ONE, 2014, 9 (06)

[5] National Institute of Academic Anaesthesia research priority setting exercise [J].

Howell, S. J. ;

Pandit, J. J. ;

Rowbotham, D. J. .

BRITISH JOURNAL OF ANAESTHESIA, 2012, 108 (01) :42-52

[6]

INVOLVE, 2011, SEC SUPP PUBL INV NH

[7] Quality of Reporting on Patient and Public Involvement Within Surgical Research A Systematic Review [J].

Jones, Emma Leanne ;

Williams-Yesson, Barbara Ann ;

Hackett, Rowland C. ;

Staniszewska, Sophie H. ;

Evans, David ;

Francis, Nader Kamal .

ANNALS OF SURGERY, 2015, 261 (02) :243-250

[8] The impact of patient and public involvement on UK NHS health care: a systematic review [J].

Mockford, Carole ;

Staniszewska, Sophie ;

Griffiths, Frances ;

Herron-Marx, Sandra .

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 2012, 24 (01) :28-38

[9]

NICE, SEC UK DAT UNC EFF T

[10] RESEARCH-AND-DEVELOPMENT FOR THE NATIONAL-HEALTH-SERVICE [J].

PECKHAM, M .

LANCET, 1991, 338 (8763) :367-371

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