Using the Delphi Technique to Achieve Consensus on Prevention and Treatment of Preterm Single Birth in China

作     者：Taishun Li Zhe Liu Huixia Yang Yali Hu 

作者机构：Medical Statistics and Analysis CenterNanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNanjing 210008China Department of Obstetrics and GynecologyNanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNanjing 210008China Department of Obstetrics and GynecologyPeking University First HospitalBeijing 100034China. 

出 版 物：《Maternal-Fetal Medicine》 (母胎医学杂志(英文))

年 卷 期：2023年第5卷第4期

页      面：206-212页

核心收录：

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

基　　金：Yali Hu is an Editorial Board Member of Maternal-Fetal Medicine. The article was subject to the journal's standard procedures  with peer review handled independently of this editor and their research groups 

主　　题：Premature birth Delphi technique Consensus Guidelines 

摘      要：Objective::This study aimed to reach a consensus among obstetric experts on the prevention and treatment of preterm single births in ***::Based on the scoping literature review and the 2014 edition of preterm birth of Clinical Diagnosis and Treatment guidelines,we generated the Delphi survey statements with five evaluation dimensions,including the definition of preterm birth,exclusion of risk factors for preterm birth,prevention,and prediction of preterm birth,treatment of preterm birth,and evaluation of intervention outcomes of preterm *** experts from the Obstetrics and Gynecology Branch of the Chinese Medical Association formed the expert group for this *** the obstetric experts participated two-round modified Delphi survey via an anonymous online survey and an online *** scores,rank sum,full score ratio,and the lowest score ratio were calculated to reflect the concentration of expert *** coefficient of variation and Kendall W coefficient were used to reflect the expert opinion coordination degree of the survey ***::The expert response rate for both rounds of surveys was 100%(41/41).Experts reached an agreement on 36 statements in five dimensions of preterm birth prevention and treatment in the first round of the survey and reached a consensus on the remaining 13 statements in the second round.A total of 49 statements(mean scores≥3,full score ratio≥20%,coefficient of variation≤0.3)were explicitly included in this guideline to form recommendations,while the remaining three clinical issues that did not reach a consensus require further determination based on evidence *** Kendall W coefficient in the two rounds of the Delphi survey were 0.20(P0.001)and 0.29(P0.001).Conclusion::The five dimensions and 49 statements,agreed upon through a two-round Delphi study,determined the recommended statements to be included in the updated guidelines for the prevention and treatment of preterm birth in ***