Development of a core information set for colorectal cancer surgery: a consensus study

Angus G K McNair; Robert N Whistance; Barry Main; Rachael Forsythe; Rhiannon Macefield; Jonathan Rees; Anne Pullyblank; Kerry Avery; Sara Brookes; Michael G Thomas; Paul A Sylvester; Ann Russell; Alfred Oliver; Dion Morton; Robin Kennedy; David Jayne; Richard Huxtable; Roland Hackett; Susan Dutton; Mark G Coleman; Mia Card; Julia Brown; Jane Blazeby

doi:10.1136/bmjopen-2018-028623

Development of a core information set for colorectal cancer surgery: a consensus study

Angus G K McNair, Robert N Whistance, Barry Main, Rachael Forsythe, Rhiannon Macefield, Jonathan Rees, Anne Pullyblank, Kerry Avery, Sara Brookes, Michael G Thomas, Paul A Sylvester, Ann Russell, Alfred Oliver, Dion Morton, Robin Kennedy, David Jayne, Richard Huxtable, Roland Hackett, Susan Dutton, Mark G ColemanMia Card, Julia Brown, Jane Blazeby

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

OBJECTIVE: 'Core information sets' (CISs) represent baseline information, agreed by patients and professionals, to stimulate individualised patient-centred discussions. This study developed a CIS for use before colorectal cancer (CRC) surgery.

DESIGN: Three phase consensus study: (1) Systematic literature reviews and patient interviews to identify potential information of importance to patients, (2) UK national Delphi survey of patients and professionals to rate the importance of the information, (3) international consensus meeting to agree on the final CIS.

SETTING: UK CRC centres.

PARTICIPANTS: Purposive sampling was conducted to ensure CRC centre representation based upon geographical region and caseload volume. Responses were received from 63/81 (78%) centres (90 professionals). Adult patients who had undergone CRC surgery were eligible, and purposive sampling was conducted to ensure representation based on age, sex and cancer location (rectum, left and right colon). Responses were received from 97/267 (35%) patients with a wide age range (29-87), equal sex ratio and cancer location. Attendees of the international Tripartite Colorectal Conference were eligible for the consensus meeting.

OUTCOMES: Phase 1: Information of potential importance to patients was extracted verbatim and operationalised into a Delphi questionnaire. Phase 2: Patients and professionals rated the importance information on a 9-point Likert scale, and resurveyed following group feedback. Information rated of low importance were discarded using predefined criteria. Phase 3: A modified nominal group technique was used to gain final consensus in separate consensus meetings with patients and professionals.

RESULTS: Data sources identified 1216 pieces of information that informed a 98-item questionnaire. Analysis led to 50 and 23 information domains being retained after the first and second surveys, respectively. The final CIS included 11 concepts including specific surgical complications, short and long-term survival, disease recurrence, stoma and quality of life issues.

CONCLUSIONS: This study has established a CIS for professionals to discuss with patients before CRC surgery.

Original language	English
Pages (from-to)	e028623
Journal	BMJ open
Volume	9
Issue number	11
DOIs	https://doi.org/10.1136/bmjopen-2018-028623
Publication status	Published - 14 Nov 2019

Keywords

Adult
Aged
Aged, 80 and over
Colorectal Neoplasms/surgery
Consensus
Delphi Technique
Female
Humans
Male
Medical Oncology/standards
Middle Aged
Patient Education as Topic/methods
Randomized Controlled Trials as Topic/standards
Surveys and Questionnaires
Systematic Reviews as Topic
Treatment Outcome
United Kingdom

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1136/bmjopen-2018-028623

Cite this

McNair, A. G. K., Whistance, R. N., Main, B., Forsythe, R., Macefield, R., Rees, J., Pullyblank, A., Avery, K., Brookes, S., Thomas, M. G., Sylvester, P. A., Russell, A., Oliver, A., Morton, D., Kennedy, R., Jayne, D., Huxtable, R., Hackett, R., Dutton, S., ... Blazeby, J. (2019). Development of a core information set for colorectal cancer surgery: a consensus study. BMJ open, 9(11), e028623. https://doi.org/10.1136/bmjopen-2018-028623

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title = "Development of a core information set for colorectal cancer surgery: a consensus study",

abstract = "OBJECTIVE: 'Core information sets' (CISs) represent baseline information, agreed by patients and professionals, to stimulate individualised patient-centred discussions. This study developed a CIS for use before colorectal cancer (CRC) surgery.DESIGN: Three phase consensus study: (1) Systematic literature reviews and patient interviews to identify potential information of importance to patients, (2) UK national Delphi survey of patients and professionals to rate the importance of the information, (3) international consensus meeting to agree on the final CIS.SETTING: UK CRC centres.PARTICIPANTS: Purposive sampling was conducted to ensure CRC centre representation based upon geographical region and caseload volume. Responses were received from 63/81 (78%) centres (90 professionals). Adult patients who had undergone CRC surgery were eligible, and purposive sampling was conducted to ensure representation based on age, sex and cancer location (rectum, left and right colon). Responses were received from 97/267 (35%) patients with a wide age range (29-87), equal sex ratio and cancer location. Attendees of the international Tripartite Colorectal Conference were eligible for the consensus meeting.OUTCOMES: Phase 1: Information of potential importance to patients was extracted verbatim and operationalised into a Delphi questionnaire. Phase 2: Patients and professionals rated the importance information on a 9-point Likert scale, and resurveyed following group feedback. Information rated of low importance were discarded using predefined criteria. Phase 3: A modified nominal group technique was used to gain final consensus in separate consensus meetings with patients and professionals.RESULTS: Data sources identified 1216 pieces of information that informed a 98-item questionnaire. Analysis led to 50 and 23 information domains being retained after the first and second surveys, respectively. The final CIS included 11 concepts including specific surgical complications, short and long-term survival, disease recurrence, stoma and quality of life issues.CONCLUSIONS: This study has established a CIS for professionals to discuss with patients before CRC surgery.",

keywords = "Adult, Aged, Aged, 80 and over, Colorectal Neoplasms/surgery, Consensus, Delphi Technique, Female, Humans, Male, Medical Oncology/standards, Middle Aged, Patient Education as Topic/methods, Randomized Controlled Trials as Topic/standards, Surveys and Questionnaires, Systematic Reviews as Topic, Treatment Outcome, United Kingdom",

author = "McNair, {Angus G K} and Whistance, {Robert N} and Barry Main and Rachael Forsythe and Rhiannon Macefield and Jonathan Rees and Anne Pullyblank and Kerry Avery and Sara Brookes and Thomas, {Michael G} and Sylvester, {Paul A} and Ann Russell and Alfred Oliver and Dion Morton and Robin Kennedy and David Jayne and Richard Huxtable and Roland Hackett and Susan Dutton and Coleman, {Mark G} and Mia Card and Julia Brown and Jane Blazeby",

note = "{\textcopyright} Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.",

year = "2019",

month = nov,

day = "14",

doi = "10.1136/bmjopen-2018-028623",

language = "English",

volume = "9",

pages = "e028623",

journal = "BMJ open",

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McNair, AGK, Whistance, RN, Main, B, Forsythe, R, Macefield, R, Rees, J, Pullyblank, A, Avery, K, Brookes, S, Thomas, MG, Sylvester, PA, Russell, A, Oliver, A, Morton, D, Kennedy, R, Jayne, D, Huxtable, R, Hackett, R, Dutton, S, Coleman, MG, Card, M, Brown, J & Blazeby, J 2019, 'Development of a core information set for colorectal cancer surgery: a consensus study', BMJ open, vol. 9, no. 11, pp. e028623. https://doi.org/10.1136/bmjopen-2018-028623

TY - JOUR

T1 - Development of a core information set for colorectal cancer surgery

T2 - a consensus study

AU - McNair, Angus G K

AU - Whistance, Robert N

AU - Main, Barry

AU - Forsythe, Rachael

AU - Macefield, Rhiannon

AU - Rees, Jonathan

AU - Pullyblank, Anne

AU - Avery, Kerry

AU - Brookes, Sara

AU - Thomas, Michael G

AU - Sylvester, Paul A

AU - Russell, Ann

AU - Oliver, Alfred

AU - Morton, Dion

AU - Kennedy, Robin

AU - Jayne, David

AU - Huxtable, Richard

AU - Hackett, Roland

AU - Dutton, Susan

AU - Coleman, Mark G

AU - Card, Mia

AU - Brown, Julia

AU - Blazeby, Jane

N1 - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.

PY - 2019/11/14

Y1 - 2019/11/14

N2 - OBJECTIVE: 'Core information sets' (CISs) represent baseline information, agreed by patients and professionals, to stimulate individualised patient-centred discussions. This study developed a CIS for use before colorectal cancer (CRC) surgery.DESIGN: Three phase consensus study: (1) Systematic literature reviews and patient interviews to identify potential information of importance to patients, (2) UK national Delphi survey of patients and professionals to rate the importance of the information, (3) international consensus meeting to agree on the final CIS.SETTING: UK CRC centres.PARTICIPANTS: Purposive sampling was conducted to ensure CRC centre representation based upon geographical region and caseload volume. Responses were received from 63/81 (78%) centres (90 professionals). Adult patients who had undergone CRC surgery were eligible, and purposive sampling was conducted to ensure representation based on age, sex and cancer location (rectum, left and right colon). Responses were received from 97/267 (35%) patients with a wide age range (29-87), equal sex ratio and cancer location. Attendees of the international Tripartite Colorectal Conference were eligible for the consensus meeting.OUTCOMES: Phase 1: Information of potential importance to patients was extracted verbatim and operationalised into a Delphi questionnaire. Phase 2: Patients and professionals rated the importance information on a 9-point Likert scale, and resurveyed following group feedback. Information rated of low importance were discarded using predefined criteria. Phase 3: A modified nominal group technique was used to gain final consensus in separate consensus meetings with patients and professionals.RESULTS: Data sources identified 1216 pieces of information that informed a 98-item questionnaire. Analysis led to 50 and 23 information domains being retained after the first and second surveys, respectively. The final CIS included 11 concepts including specific surgical complications, short and long-term survival, disease recurrence, stoma and quality of life issues.CONCLUSIONS: This study has established a CIS for professionals to discuss with patients before CRC surgery.

AB - OBJECTIVE: 'Core information sets' (CISs) represent baseline information, agreed by patients and professionals, to stimulate individualised patient-centred discussions. This study developed a CIS for use before colorectal cancer (CRC) surgery.DESIGN: Three phase consensus study: (1) Systematic literature reviews and patient interviews to identify potential information of importance to patients, (2) UK national Delphi survey of patients and professionals to rate the importance of the information, (3) international consensus meeting to agree on the final CIS.SETTING: UK CRC centres.PARTICIPANTS: Purposive sampling was conducted to ensure CRC centre representation based upon geographical region and caseload volume. Responses were received from 63/81 (78%) centres (90 professionals). Adult patients who had undergone CRC surgery were eligible, and purposive sampling was conducted to ensure representation based on age, sex and cancer location (rectum, left and right colon). Responses were received from 97/267 (35%) patients with a wide age range (29-87), equal sex ratio and cancer location. Attendees of the international Tripartite Colorectal Conference were eligible for the consensus meeting.OUTCOMES: Phase 1: Information of potential importance to patients was extracted verbatim and operationalised into a Delphi questionnaire. Phase 2: Patients and professionals rated the importance information on a 9-point Likert scale, and resurveyed following group feedback. Information rated of low importance were discarded using predefined criteria. Phase 3: A modified nominal group technique was used to gain final consensus in separate consensus meetings with patients and professionals.RESULTS: Data sources identified 1216 pieces of information that informed a 98-item questionnaire. Analysis led to 50 and 23 information domains being retained after the first and second surveys, respectively. The final CIS included 11 concepts including specific surgical complications, short and long-term survival, disease recurrence, stoma and quality of life issues.CONCLUSIONS: This study has established a CIS for professionals to discuss with patients before CRC surgery.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Colorectal Neoplasms/surgery

KW - Consensus

KW - Delphi Technique

KW - Female

KW - Humans

KW - Male

KW - Medical Oncology/standards

KW - Middle Aged

KW - Patient Education as Topic/methods

KW - Randomized Controlled Trials as Topic/standards

KW - Surveys and Questionnaires

KW - Systematic Reviews as Topic

KW - Treatment Outcome

KW - United Kingdom

U2 - 10.1136/bmjopen-2018-028623

DO - 10.1136/bmjopen-2018-028623

M3 - Article

C2 - 31727644

SN - 2044-6055

VL - 9

SP - e028623

JO - BMJ open

JF - BMJ open

IS - 11

ER -

Development of a core information set for colorectal cancer surgery: a consensus study

Abstract

Keywords

UN SDGs

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