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Protocol for the development of a multidisciplinary clinical practice guideline for the care of patients with chronic subdural haematoma.
Stubbs, Daniel J; Davies, Benjamin M; Dixon-Woods, Mary; Bashford, Thomas H; Braude, Philip; Bulters, Diedrik; Camp, Sophie; Carr, Georgina; Coles, Jonathan P; Dhesi, Jugdeep; Dinsmore, Judith; Edlmann, Ellie; Evans, Nicholas R; Figaji, Anthony; Foster, Emily; Lecky, Fiona; Kolias, Angelos; Joannides, Alexis; Moppett, Iain; Nathanson, Mike; Newcombe, Virginia; Owen, Nicola; Peterman, Lisa; Proffitt, Amy; Skiterall, Charlotte; Whitfield, Peter; Wilson, Sally R; Zolnourian, Ardalan; Amarouche, Meriem; Ansari, Akbar; Borg, Nick; Brennan, Paul M; Brown, Charlotte; Corbett, Christopher; Dammers, Ruben; Das, Tilak; Feilding, Emily; Galea, Marilise; Gillespie, Conor; Glancz, Laurence; Gooding, Felix; Grange, Robert; Gray, Natalie; Hartley, Peter; Hassan, Taj; Holl, Dana; Jones, Julia; Knight, Richard; Luoma, Val; Mee, Harry.
Afiliação
  • Stubbs DJ; Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Davies BM; Healthcare Design Group, Department of Engineering, University of Cambridge, Cambridge, UK.
  • Dixon-Woods M; Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Bashford TH; The Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, UK.
  • Braude P; Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Bulters D; Healthcare Design Group, Department of Engineering, University of Cambridge, Cambridge, UK.
  • Camp S; Department of Medicine for Older People, North Bristol NHS Trust, Bristol, UK.
  • Carr G; Department of Neurosurgery, University Hospital Southampton, Southampton, UK.
  • Coles JP; Department of Neurosurgery, Imperial College Healthcare NHS Trust, London, UK.
  • Dhesi J; Imperial College Healthcare NHS Trust, London, UK.
  • Dinsmore J; The Neurological Alliance, London, UK.
  • Edlmann E; Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Evans NR; Department of Geriatric Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.
  • Figaji A; Department of Anaesthesia, St George's University NHS Trust, London, UK.
  • Foster E; Department of Neurosurgery, University Hospitals Plymouth NHS Trust, Plymouth, UK.
  • Lecky F; Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
  • Kolias A; Department of Neurosurgery, University of Cape Town, Cape Town, South Africa.
  • Joannides A; Department of Clinical Neurosciences, Royal Infirmary of Edinburgh, Edinburgh, UK.
  • Moppett I; Department of Emergency Medicine, University of Sheffield, Sheffield, UK.
  • Nathanson M; Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Newcombe V; Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Owen N; Department of Anaesthesia and Perioperative Medicine, University of Nottingham, Nottingham, UK.
  • Peterman L; Department of Anaesthesia, Nottingham University Hospitals NHS Trust, Nottingham, UK.
  • Proffitt A; Division of Perioperative, Acute, and Critical care, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Skiterall C; Department of Neurosurgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Whitfield P; ExEp Consulting, Calgary, Canada.
  • Wilson SR; Department of Palliative Medicine, Barts and The London NHS Trust, London, UK.
  • Zolnourian A; Pharmacy Department, Manchester University NHS Foundation Trust, Manchester, UK.
  • Amarouche M; Department of Neurosurgery, University Hospitals Plymouth NHS Trust, Plymouth, UK.
  • Ansari A; Department of Anaesthesia and Critical Care, National Hospital for Neurology and Neurosurgery, London, UK.
  • Borg N; Department of Neurosurgery, University Hospital Southampton, Southampton, UK.
  • Brennan PM; Department of Neurosurgery, St George's Hospital, London, UK.
  • Brown C; The Healthcare Improvement Studies (THIS) Institute, University of Cambridge, Cambridge, UK.
  • Corbett C; Department of Neurosurgery, University of Nebraska Medical Center, Omaha, Nebraska, USA.
  • Dammers R; Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
  • Das T; Pharmacy Department, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Feilding E; ACP in Emergency Medicine, Norfolk & Norwich University Hospital, Norwich, UK.
  • Galea M; Neurosurgeon, Erasmus MC Stroke Center, Erasmus University Medical Center, Rotterdam, The Netherlands.
  • Gillespie C; Consultant Neuroradiologist, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Glancz L; Consultant Geriatrician (Major Trauma), Salford Royal Hospital, Salford, UK.
  • Gooding F; Department of Neurosurgery, University Hospital Southampton, Southampton, UK.
  • Grange R; Department of Clinical Neurosurgery, University of Cambridge Addenbrooke's Hospital Cambridge, Cambridge, UK.
  • Gray N; Department of Neurosurgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.
  • Hartley P; Department of Emergency Medicine, St Thomas' Hospital, London, UK.
  • Hassan T; Department of Medicine for Older People, North Bristol NHS Trust, Bristol, UK.
  • Holl D; Department of Physiotherapy, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
  • Jones J; Department of Physiotherapy, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
  • Knight R; Department of Emergency Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
  • Luoma V; Department of Neurosurgery, Erasmus Medical Center, Rotterdam, The Netherlands.
  • Mee H; Department of Neurosurgery, St George's Hospital, London, UK.
Wellcome Open Res ; 8: 390, 2023.
Article em En | MEDLINE | ID: mdl-38434734
ABSTRACT

Introduction:

A common neurosurgical condition, chronic subdural haematoma (cSDH) typically affects older people with other underlying health conditions. The care of this potentially vulnerable cohort is often, however, fragmented and suboptimal. In other complex conditions, multidisciplinary guidelines have transformed patient experience and outcomes, but no such framework exists for cSDH. This paper outlines a protocol to develop the first comprehensive multidisciplinary guideline from diagnosis to long-term recovery with cSDH.

Methods:

The project will be guided by a steering group of key stakeholders and professional organisations and will feature patient and public involvement. Multidisciplinary thematic working groups will examine key aspects of care to formulate appropriate, patient-centered research questions, targeted with evidence review using the GRADE framework. The working groups will then formulate draft clinical recommendations to be used in a modified Delphi process to build consensus on guideline contents.

Conclusions:

We present a protocol for the development of a multidisciplinary guideline to inform the care of patients with a cSDH, developed by cross-disciplinary working groups and arrived at through a consensus-building process, including a modified online Delphi.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Wellcome Open Res Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Wellcome Open Res Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Reino Unido