TY - JOUR
T1 - Prioritizing research for patients requiring surgery in low-and middle-income countries
AU - National Institute for Health Research Global Health Research Unit on Global Surgery
AU - Nepogodiev, D.
AU - Moore, R.
AU - Biccard, B.
AU - Rayne, S.
AU - Costas-Chavarri, A.
AU - Lapitan, M. C.
AU - Makupe, A.
AU - Oluseye Adisa, A.
AU - Uzair Qureshi, A.
AU - Drake, T. M.
AU - Ademuyiwa, A.
AU - Alexander, P.
AU - Allen Ingabire, J. C.
AU - Al-Saqqa, S. W.
AU - Khairy Salem, H.
AU - Teddy Kojo Anyomih, T.
AU - Lawani, I.
AU - Lorena Aguilera, M.
AU - Ramos-De la Medina, A.
AU - Spence, R.
AU - Tabiri, S.
AU - Yepez, R.
AU - Smart, N.
AU - Chu, K.
AU - Davies, J.
AU - Fitzgerald, J. E.
AU - Ghosh, D.
AU - Koto, Z.
AU - Magill, L.
AU - Muller, E.
AU - Ots, R.
AU - Shaw, C.
AU - Verjee, A.
AU - Harrison, E. M.
AU - James Garden, O.
AU - Sundar, S.
AU - Glasbey, J. C.
AU - Chakrabortee, S.
AU - Martin, J.
AU - Lilford, R.
AU - Smith, M.
AU - Brocklehurst, P.
AU - Morton, D. G.
AU - Bhangu, A.
PY - 2019/1
Y1 - 2019/1
N2 - Background: The National Institute for Health Research Global Health Research Unit on Global Surgery is establishing research Hubs in low-and middle-income countries (LMICs). The aim of this study was for the Hubs to prioritize future research into areas of unmet clinical need for patients in LMICs requiring surgery. Methods: A modified Delphi process was overseen by the research Hub leads and engaged LMIC clinicians, patients and expert methodologists. A four-stage iterative process was delivered to prioritize research topics. This included anonymous electronic voting, teleconference discussions and a 2-day priority-setting workshop. Results: In stage 1, Hub leads proposed 32 topics across six domains: access to surgery, cancer, perioperative care, research methods, acute care surgery and communicable disease. In stages 2 and 3, 40 LMICs and 20 high-income countries participated in online voting, leading to identification of three priority research topics: access to surgery; outcomes of cancer surgery; and perioperative care. During stage 4, specific research plans to address each topic were developed by Hub leads at a priority-setting workshop. Conclusion: This process identified three priority areas for future research relevant to surgery in LMICs. It was driven by front-line LMIC clinicians, patients and other stakeholders representing a diverse range of settings. The results of the prioritization exercise provide a future framework for researchers and funders.
AB - Background: The National Institute for Health Research Global Health Research Unit on Global Surgery is establishing research Hubs in low-and middle-income countries (LMICs). The aim of this study was for the Hubs to prioritize future research into areas of unmet clinical need for patients in LMICs requiring surgery. Methods: A modified Delphi process was overseen by the research Hub leads and engaged LMIC clinicians, patients and expert methodologists. A four-stage iterative process was delivered to prioritize research topics. This included anonymous electronic voting, teleconference discussions and a 2-day priority-setting workshop. Results: In stage 1, Hub leads proposed 32 topics across six domains: access to surgery, cancer, perioperative care, research methods, acute care surgery and communicable disease. In stages 2 and 3, 40 LMICs and 20 high-income countries participated in online voting, leading to identification of three priority research topics: access to surgery; outcomes of cancer surgery; and perioperative care. During stage 4, specific research plans to address each topic were developed by Hub leads at a priority-setting workshop. Conclusion: This process identified three priority areas for future research relevant to surgery in LMICs. It was driven by front-line LMIC clinicians, patients and other stakeholders representing a diverse range of settings. The results of the prioritization exercise provide a future framework for researchers and funders.
UR - http://www.scopus.com/inward/record.url?scp=85059926822&partnerID=8YFLogxK
U2 - 10.1002/bjs.11037
DO - 10.1002/bjs.11037
M3 - Article
C2 - 30620063
AN - SCOPUS:85059926822
SN - 0007-1323
VL - 106
SP - e113-e120
JO - British Journal of Surgery
JF - British Journal of Surgery
IS - 2
ER -