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Defining priorities in prognostication research: results of a consensus workshop.

机译:定义预后研究的重点:共识研讨会的结果。

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PURPOSE: To establish consensus among palliative care researchers on the priorities for prognostication research. METHODS: A nominal group technique was employed involving palliative care researchers attending a workshop within a scientific meeting on prognostication. Participants worked in small facilitated groups to generate future research questions which were amalgamated and rated according to importance. RESULTS: Twenty-five meeting delegates took part in the workshop including 10 palliative care physicians and four nurses, one dietician, and 10 academic researchers, all of whom had experience and/or interest in prognosis research. A total of 40 research questions were generated and after prioritization ratings, the top five questions were: (1) How valid are prognostic tools? (=2) Can we use prognostic criteria as entry criteria for research? (=2) How do we judge the impact of a prognostic score in clinical practice? (4) What is the best way of presenting survival data to patients? (5) What is the most user-friendly validated tool? CONCLUSIONS: Although a wide range of research questions relating to prognostication were identified, the strongest priority to emerge from the consensus data concerned the validity of prognostic tools. Further research to validate existing tools is essential to ensure their clinical value.
机译:目的:在姑息治疗研究人员之间建立关于预后研究重点的共识。方法:采用名义组技术,涉及姑息治疗研究人员参加有关预后的科学会议内的研讨会。参加者在小型便利小组中工作,以产生未来的研究问题,这些问题将根据重要性进行合并和评估。结果:25位会议代表参加了此次研讨会,其中包括10位姑息治疗医生和4位护士,1位营养师和10位学术研究人员,他们所有人都具有对预后研究的经验和/或兴趣。总共产生了40个研究问题,并且按优先级排序后,最重要的五个问题是:(1)预后工具的有效性如何? (= 2)我们可以使用预后标准作为研究的进入标准吗? (= 2)我们如何判断预后评分对临床实践的影响? (4)向患者展示生存数据的最佳方法是什么? (5)什么是最人性化的经过验证的工具?结论:尽管确定了与预后相关的广泛研究问题,但共识数据中出现的最优先事项是预后工具的有效性。验证现有工具的进一步研究对于确保其临床价值至关重要。

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