TY - JOUR
T1 - Identifying research priorities in anaesthesia and perioperative care
T2 - final report of the joint National Institute of Academic Anaesthesia/James Lind Alliance Research Priority Setting Partnership
AU - Boney, Oliver
AU - Bell, Madeline
AU - Bell, Natalie
AU - Conquest, Ann
AU - Cumbers, Marion
AU - Drake, Sharon
AU - Galsworthy, Mike
AU - Gath, Jacqui
AU - Grocott, Michael P W
AU - Harris, Emma
AU - Howell, Simon
AU - Ingold, Anthony
AU - Nathanson, Michael H
AU - Metcalf, Leanne
AU - Pinkney, Thomas
N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
PY - 2015/12/16
Y1 - 2015/12/16
N2 - 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.OUTCOMES: First '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.RESULTS: First 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.
AB - 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.OUTCOMES: First '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.RESULTS: First 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.
KW - Anesthesia
KW - Biomedical Research
KW - Humans
KW - Interprofessional Relations
KW - Patient Care Team
KW - Perioperative Care
KW - Postoperative Complications
KW - Surveys and Questionnaires
KW - United Kingdom
KW - Consensus Development Conference
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
UR - https://www.scopus.com/pages/publications/84960124533
U2 - 10.1136/bmjopen-2015-010006
DO - 10.1136/bmjopen-2015-010006
M3 - Article
C2 - 26674506
SN - 2044-6055
VL - 5
SP - e010006
JO - BMJ open
JF - BMJ open
IS - 12
ER -