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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
computer science
Reaching consensus on the physiotherapeutic management of patients following upper abdominal surgery: A pragmatic approach to interpret equivocal evidence
BMC Medical Informatics and Decision Making, Volume 12, No. 1, Article 5, Year 2012
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Description
Background: Postoperative pulmonary complications remain the most significant cause of morbidity following open upper abdominal surgery despite advances in perioperative care. However, due to the poor quality primary research uncertainty surrounding the value of prophylactic physiotherapy intervention in the management of patients following abdominal surgery persists. The Delphi process has been proposed as a pragmatic methodology to guide clinical practice when evidence is equivocal. Methods. The objective was to develop a clinical management algorithm for the post operative management of abdominal surgery patients. Eleven draft algorithm statements extracted from the extant literature by the primary research team were verified and rated by scientist clinicians (n = 5) in an electronic three round Delphi process. Algorithm statements which reached a priori defined consensus-semi-interquartile range (SIQR) < 0.5-were collated into the algorithm. Results: The five panelists allocated to the abdominal surgery Delphi panel were from Australia, Canada, Sweden, and South Africa. The 11 draft algorithm statements were edited and 5 additional statements were formulated. The panel reached consensus on the rating of all statements. Four statements were rated essential. Conclusion: An expert Delphi panel interpreted the equivocal evidence for the physiotherapeutic management of patients following upper abdominal surgery. Through a process of consensus a clinical management algorithm was formulated. This algorithm can now be used by clinicians to guide clinical practice in this population. © 2012 Hanekom et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Hanekom, Susan D.
South Africa, Stellenbosch
Stellenbosch University
Brooks, Dina
Unknown Affiliation
Denehy, Linda
Australia, Melbourne
University of Melbourne
Olsén, Monika Fagevik
Sweden, Gothenburg
Sahlgrenska Universitetssjukhuset
Hardcastle, Timothy Craig
South Africa, Durban
University of Kwazulu-natal
Manie, Shamila
South Africa, Observatory
Groote Schuur Hospital
Louw, Quinette Abigail
South Africa, Stellenbosch
Stellenbosch University
Statistics
Citations: 34
Authors: 7
Affiliations: 5
Identifiers
Doi:
10.1186/1472-6947-12-5
e-ISSN:
14726947
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Cross Sectional Study
Study Locations
South Africa