Objective: To develop a minimum core data set for evaluation of acute limb ischaemia (ALI) revascularisation treatment and outcomes that would enable collaboration among international registries. Methods: A modified Delphi approach was used to achieve consensus among international multidisciplinary vascular specialists and registry members of the International Consortium of Vascular Registries (ICVR). Variables identified in the literature or suggested by the expert panel, and variables, including definitions, currently used in 15 countries in the ICVR, were assessed to define both a minimum core and an optimum data set to register ALI treatment. Clinical relevance and practicability were both assessed, and consensus was defined as ≥ 80% agreement among participants. Results: Of 40 invited experts, 37 completed a preliminary survey and 31 completed the two subsequent Delphi rounds via internet exchange and face to face discussions. In total, 117 different items were generated from the various registry data forms, an extensive review of the literature, and additional suggestions from the experts, for potential inclusion in the data set. Ultimately, 35 items were recommended for inclusion in the minimum core data set, including 23 core items important for all registries, and an additional 12 more specific items for registries capable of capturing more detail. These 35 items supplement previous data elements recommended for registering chronic peripheral arterial occlusive disease treatment. Conclusion: A modified Delphi study allowed 37 international vascular registry experts to achieve a consensus recommendation for a minimum core and an optimum data set for registries covering patients who undergo ALI revascularisation. Continued global harmonisation of registry infrastructure and definition of items allows international comparisons and global quality improvement. Furthermore, it can help to define and monitor standards of care and enable international research collaboration.

Behrendt, C. -., Bjorck, M., Schwaneberg, T., Debus, E. S., Cronenwett, J., Sigvant, B., Earnshaw, J., Mani, K., Acosta, S., Cochennec, F., Goncalves, F. B., Van Den, J. C., Diener, H., Riess, H. C., Gottsater, A., Hinchliffe, R., Jongkind, V., Koelemay, M., Menyhei, G., Svetlikov, A., Tshomba, Y., Venermo, M., Tulamo, R., Boyle, J. R., De Borst, G. J., Kolh, P., Dick, F., Bertges, D., Eldrup, N., Beck, A. W., Szeberin, Z., Beiles, B., Altreuther, M., Lopez-Espada, C., Aboyans, V., Ricco, J. -., Espinola-Klein, C., Zeller, T., Schellong, S. M., Hoffmann, U., Twine, C. P., Ambler, G., Thomson, I., Editor's Choice – Recommendations for Registry Data Collection for Revascularisations of Acute Limb Ischaemia: A Delphi Consensus from the International Consortium of Vascular Registries, <<EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY>>, 2019; 57 (6): 816-821. [doi:10.1016/j.ejvs.2019.02.023] [http://hdl.handle.net/10807/170044]

Editor's Choice – Recommendations for Registry Data Collection for Revascularisations of Acute Limb Ischaemia: A Delphi Consensus from the International Consortium of Vascular Registries

Tshomba, Y.;
2019

Abstract

Objective: To develop a minimum core data set for evaluation of acute limb ischaemia (ALI) revascularisation treatment and outcomes that would enable collaboration among international registries. Methods: A modified Delphi approach was used to achieve consensus among international multidisciplinary vascular specialists and registry members of the International Consortium of Vascular Registries (ICVR). Variables identified in the literature or suggested by the expert panel, and variables, including definitions, currently used in 15 countries in the ICVR, were assessed to define both a minimum core and an optimum data set to register ALI treatment. Clinical relevance and practicability were both assessed, and consensus was defined as ≥ 80% agreement among participants. Results: Of 40 invited experts, 37 completed a preliminary survey and 31 completed the two subsequent Delphi rounds via internet exchange and face to face discussions. In total, 117 different items were generated from the various registry data forms, an extensive review of the literature, and additional suggestions from the experts, for potential inclusion in the data set. Ultimately, 35 items were recommended for inclusion in the minimum core data set, including 23 core items important for all registries, and an additional 12 more specific items for registries capable of capturing more detail. These 35 items supplement previous data elements recommended for registering chronic peripheral arterial occlusive disease treatment. Conclusion: A modified Delphi study allowed 37 international vascular registry experts to achieve a consensus recommendation for a minimum core and an optimum data set for registries covering patients who undergo ALI revascularisation. Continued global harmonisation of registry infrastructure and definition of items allows international comparisons and global quality improvement. Furthermore, it can help to define and monitor standards of care and enable international research collaboration.
2019
Inglese
Behrendt, C. -., Bjorck, M., Schwaneberg, T., Debus, E. S., Cronenwett, J., Sigvant, B., Earnshaw, J., Mani, K., Acosta, S., Cochennec, F., Goncalves, F. B., Van Den, J. C., Diener, H., Riess, H. C., Gottsater, A., Hinchliffe, R., Jongkind, V., Koelemay, M., Menyhei, G., Svetlikov, A., Tshomba, Y., Venermo, M., Tulamo, R., Boyle, J. R., De Borst, G. J., Kolh, P., Dick, F., Bertges, D., Eldrup, N., Beck, A. W., Szeberin, Z., Beiles, B., Altreuther, M., Lopez-Espada, C., Aboyans, V., Ricco, J. -., Espinola-Klein, C., Zeller, T., Schellong, S. M., Hoffmann, U., Twine, C. P., Ambler, G., Thomson, I., Editor's Choice – Recommendations for Registry Data Collection for Revascularisations of Acute Limb Ischaemia: A Delphi Consensus from the International Consortium of Vascular Registries, <<EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY>>, 2019; 57 (6): 816-821. [doi:10.1016/j.ejvs.2019.02.023] [http://hdl.handle.net/10807/170044]
File in questo prodotto:
File Dimensione Formato  
170044oa.pdf

non disponibili

Tipologia file ?: Versione Editoriale (PDF)
Licenza: Non specificato
Dimensione 721.75 kB
Formato Unknown
721.75 kB Unknown   Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/170044
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 33
  • ???jsp.display-item.citation.isi??? 30
social impact