European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities.
Background: European Society for Trauma and Emergency Surgery (ESTES) is the European community of clinicians providing care to the injured and critically ill surgical patient. ESTES has several interlinked missions – (1) the promotion of optimal emergency surgical care through networked advocacy, (...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 50; no. 2; pp. 367 - 383 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | pictorial review tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176757549&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176757549 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2024 vid: 50 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 176757549 175692687 176757549 176757549 10.1007/s00068-023-02441-3 176757549 ppf: 367 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities. aug: au: Bass, Gary Alan Kaplan, Lewis Jay Gaarder, Christine Coimbra, Raul Klingensmith, Nathan John Kurihara, Hayato Zago, Mauro Cioffi, Stefano Piero Bernardo Mohseni, Shahin Sugrue, Michael Tolonen, Matti Valcarcel, Cristina Rey Tilsed, Jonathan Hildebrand, Frank Marzi, Ingo affil: Division of Traumatology, Emergency Surgery and Surgical Critical Care, Perelman School of Medicine, University of Pennsylvania, 51 N. 39th Street, MOB 1, Suite 120, 19104, Philadelphia, PA, USA sug: subj: Traumatology Medical Organizations Emergency Care Research Priorities Clinical Research Acute Care Surgery Membership Implementation Science Transportation of Patients Minimally Invasive Procedures Enhanced Recovery After Surgery Patient-Reported Outcomes Benchmarking Audit Technology, Medical Healthcare Disparities ab: Background: European Society for Trauma and Emergency Surgery (ESTES) is the European community of clinicians providing care to the injured and critically ill surgical patient. ESTES has several interlinked missions – (1) the promotion of optimal emergency surgical care through networked advocacy, (2) promulgation of relevant clinical cognitive and technical skills, and (3) the advancement of scientific inquiry that closes knowledge gaps, iteratively improves upon surgical and perioperative practice, and guides decision-making rooted in scientific evidence. Faced with multitudinous opportunities for clinical research, ESTES undertook an exercise to determine member priorities for surgical research in the short-to-medium term; these research priorities were presented to a panel of experts to inform a 'road map' narrative review which anchored these research priorities in the contemporary surgical literature. Methods: Individual ESTES members in active emergency surgery practice were polled as a representative sample of end-users and were asked to rank potential areas of future research according to their personal perceptions of priority. Using the modified eDelphi method, an invited panel of ESTES-associated experts in academic emergency surgery then crafted a narrative review highlighting potential research priorities for the Society. Results: Seventy-two responding ESTES members from 23 countries provided feedback to guide the modified eDelphi expert consensus narrative review. Experts then crafted evidence-based mini-reviews highlighting knowledge gaps and areas of interest for future clinical research in emergency surgery: timing of surgery, inter-hospital transfer, diagnostic imaging in emergency surgery, the role of minimally-invasive surgical techniques and Enhanced Recovery After Surgery (ERAS) protocols, patient-reported outcome measures, risk-stratification methods, disparities in access to care, geriatric outcomes, data registry and snapshot audit evaluations, emerging technologies interrogation, and the delivery and benchmarking of emergency surgical training. Conclusions: This manuscript presents the priorities for future clinical research in academic emergency surgery as determined by a sample of the membership of ESTES. While the precise basis for prioritization was not evident, it may be anchored in disease prevalence, controversy around aspects of current patient care, or indeed the identification of a knowledge gap. These expert-crafted evidence-based mini-reviews provide useful insights that may guide the direction of future academic emergency surgery research efforts. pubtype: Academic Journal doctype: pictorial review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|