Background & Aims: There is significant variability in the immediate post-operative and long-term management of patients undergoing per-oral endoscopic myotomy (POEM), largely stemming from the lack of high-quality evidence. We aimed to establish a consensus on several important questions on the after care of post-POEM patients through a modified Delphi process.
Methods: A steering committee developed an initial questionnaire consisting of 5 domains (33 statements): post-POEM admission/discharge, indication for immediate post-POEM esophagram, peri-procedural medications and diet resumption, clinic follow-up recommendations, and post-POEM reflux surveillance and management. A total of 34 experts participated in the 2 rounds of the Delphi process, with quantitative and qualitative data analyzed for each round to achieve consensus.
Results: A total of 23 statements achieved a high degree of consensus. Overall, the expert panel agreed on the following: (1) same-day discharge after POEM can be considered in select patients; (2) a single dose of prophylactic antibiotics may be as effective as a short course; (3) a modified diet can be advanced as tolerated; and (4) all patients should be followed in clinic and undergo objective testing for surveillance and management of reflux. Consensus could not be achieved on the indication of post-POEM esophagram to evaluate for leak.
Conclusions: The results of this Delphi process established expert agreement on several important issues and provides practical guidance on key aspects in the care of patients following POEM.
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http://dx.doi.org/10.1016/j.cgh.2024.08.024 | DOI Listing |
J Clin Nurs
December 2024
Department of Nursing, Umeå University, Umeå, Sweden.
Aim: To identify key aspects of recovery-oriented practice in caring for people with mental ill-health in general emergency departments.
Design: A modified Delphi study with three rounds.
Methods: A 24-member expert panel was recruited consisting of people with lived experience of mental ill-health, registered nurses working in emergency care, registered nurses specialised in psychiatric and mental health nursing and mental health recovery researchers.
Womens Health Issues
December 2024
Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Women's Research Institute, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. Electronic address:
Background: Preconception health education is critical to improve pregnancy and neonatal outcomes, but people with mobility disabilities have specific, often unique issues related to preparing for pregnancy. This study sought to develop consensus-based domains for a preconception education curriculum for people with mobility disabilities.
Methods: We used a mixed methods approach, including a literature review and a Delphi method to develop consensus.
Am J Pharm Educ
December 2024
Duquesne University School of Pharmacy; Pittsburgh, PA. Electronic address:
Objective: To identify a consensus among pharmacy educators regarding relevant social/administrative science (SAS) topic areas and their priorities within pharmacy curricula.
Methods: A modified Delphi process was conducted with members of selected American Association of Colleges of Pharmacy (AACP) affinity groups as the expert panel. Eighty-three potential topic areas across 12 domains were gathered via an informal literature review.
Eye (Lond)
December 2024
Department of Ophthalmology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Background: Psoriasis is a chronic inflammatory skin disease often associated with obesity. Psoriasis therapies may be less effective in obese patients. The purpose of this expert consensus panel is to evaluate the relationship between obesity and efficacy of psoriasis therapies, thereby optimizing patient care.
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