Protocol for the development of a multidisciplinary clinical practice guideline for the care of patients with chronic subdural haematoma
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Published:2023-09-01
Issue:
Volume:8
Page:390
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ISSN:2398-502X
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Container-title:Wellcome Open Research
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language:en
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Short-container-title:Wellcome Open Res
Author:
Stubbs Daniel JORCID, Davies Benjamin M, Dixon-Woods Mary, Bashford Thomas HORCID, Braude Philip, Bulters Diedrik, Camp Sophie, Carr Georgina, Coles Jonathan PORCID, Dhesi JugdeepORCID, Dinsmore JudithORCID, Edlmann Ellie, Evans Nicholas RORCID, Figaji AnthonyORCID, Foster Emily, Lecky Fiona, Kolias Angelos, Joannides Alexis, Moppett Iain, Nathanson Mike, Newcombe Virginia, Owen Nicola, Peterman Lisa, Proffitt Amy, Skiterall Charlotte, Whitfield Peter, Wilson Sally R, Zolnourian Ardalan, Amarouche Meriem, Ansari Akbar, Borg Nick, Brennan Paul MORCID, Brown Charlotte, Corbett Christopher, Dammers Ruben, Das Tilak, Feilding Emily, Galea Marilise, Gillespie Conor, Glancz LaurenceORCID, Gooding Felix, Grange Robert, Gray Natalie, Hartley Peter, Hassan Taj, Holl DanaORCID, Jones JuliaORCID, Knight Richard, Luoma Val, Mee HarryORCID, Minett Thais, Novak Stephen, Peck GeorgeORCID, Ralhan Shvaita, Ramshaw Jennifer, Richardson Davina, Sadek Ahmed-Ramadan, Sheehan Katie, Sheppard Francoise, Shipway DavidORCID, Singh Navneet, Smith Martin, Sturley Rhonda, Swart Michael, Thomas William, Uprichard James, Yeardley Vickie, Menon David K, Hutchinson Peter J
Abstract
Introduction: A common neurosurgical condition, chronic subdural haematoma (cSDH) typically affects older people with other underlying health conditions. The care of this potentially vulnerable cohort is often, however, fragmented and suboptimal. In other complex conditions, multidisciplinary guidelines have transformed patient experience and outcomes, but no such framework exists for cSDH. This paper outlines a protocol to develop the first comprehensive multidisciplinary guideline from diagnosis to long-term recovery with cSDH. Methods: The project will be guided by a steering group of key stakeholders and professional organisations and will feature patient and public involvement. Multidisciplinary thematic working groups will examine key aspects of care to formulate appropriate, patient-centered research questions, targeted with evidence review using the GRADE framework. The working groups will then formulate draft clinical recommendations to be used in a modified Delphi process to build consensus on guideline contents. Conclusions: We present a protocol for the development of a multidisciplinary guideline to inform the care of patients with a cSDH, developed by cross-disciplinary working groups and arrived at through a consensus-building process, including a modified online Delphi.
Funder
National Institute for Academic Anaesthesia National Institute for Health and Care Research Addenbrooke's Charitable Trust, Cambridge University Hospitals Wellcome Trust
Publisher
F1000 Research Ltd
Subject
General Biochemistry, Genetics and Molecular Biology,Medicine (miscellaneous)
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