Delphi study to reach international consensus among vascular surgeons on major arterial vascular surgical complications
- Author
- SML de Mik, FE Stubenrouch, DA Legemate, R Balm, DT Ubbink, DISCOVAR Study Group and Isabelle Van Herzeele (UGent)
- Organization
- Abstract
- BackgroundThe complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered major' and which minor,' following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD).MethodsComplications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if >= 80% of participants scored 1 or 2 (minor) or 4 or 5 (major).ResultsParticipants reached consensus on 9-12 major and 6-10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD.ConclusionVascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.
- Keywords
- REPORTING STANDARDS, SOCIETY
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Citation
Please use this url to cite or link to this publication: http://hdl.handle.net/1854/LU-8654468
- MLA
- de Mik, SML, et al. “Delphi Study to Reach International Consensus among Vascular Surgeons on Major Arterial Vascular Surgical Complications.” WORLD JOURNAL OF SURGERY, vol. 43, no. 9, 2019, pp. 2328–36, doi:10.1007/s00268-019-05038-3.
- APA
- de Mik, S., Stubenrouch, F., Legemate, D., Balm, R., Ubbink, D., Study Group, D., & Van Herzeele, I. (2019). Delphi study to reach international consensus among vascular surgeons on major arterial vascular surgical complications. WORLD JOURNAL OF SURGERY, 43(9), 2328–2336. https://doi.org/10.1007/s00268-019-05038-3
- Chicago author-date
- Mik, SML de, FE Stubenrouch, DA Legemate, R Balm, DT Ubbink, DISCOVAR Study Group, and Isabelle Van Herzeele. 2019. “Delphi Study to Reach International Consensus among Vascular Surgeons on Major Arterial Vascular Surgical Complications.” WORLD JOURNAL OF SURGERY 43 (9): 2328–36. https://doi.org/10.1007/s00268-019-05038-3.
- Chicago author-date (all authors)
- de Mik, SML, FE Stubenrouch, DA Legemate, R Balm, DT Ubbink, DISCOVAR Study Group, and Isabelle Van Herzeele. 2019. “Delphi Study to Reach International Consensus among Vascular Surgeons on Major Arterial Vascular Surgical Complications.” WORLD JOURNAL OF SURGERY 43 (9): 2328–2336. doi:10.1007/s00268-019-05038-3.
- Vancouver
- 1.de Mik S, Stubenrouch F, Legemate D, Balm R, Ubbink D, Study Group D, et al. Delphi study to reach international consensus among vascular surgeons on major arterial vascular surgical complications. WORLD JOURNAL OF SURGERY. 2019;43(9):2328–36.
- IEEE
- [1]S. de Mik et al., “Delphi study to reach international consensus among vascular surgeons on major arterial vascular surgical complications,” WORLD JOURNAL OF SURGERY, vol. 43, no. 9, pp. 2328–2336, 2019.
@article{8654468, abstract = {{BackgroundThe complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered major' and which minor,' following surgery for abdominal aortic aneurysm (AAA), carotid artery disease (CAD) and peripheral artery disease (PAD).MethodsComplications following vascular surgery were extracted from Cochrane reviews, national guidelines, and reporting standards. Vascular surgeons from Europe and North America rated complications as major or minor on five-point Likert scales via an electronic Delphi method. Consensus was reached if >= 80% of participants scored 1 or 2 (minor) or 4 or 5 (major).ResultsParticipants reached consensus on 9-12 major and 6-10 minor complications per disease. Myocardial infarction, stroke, renal failure and allergic reactions were considered to be major complications of all three diseases. All other major complications were treatment specific or dependent on disease severity, e.g., spinal cord ischemia, rupture following AAA repair, stroke for CAD or deep wound infection for PAD.ConclusionVascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.}}, author = {{de Mik, SML and Stubenrouch, FE and Legemate, DA and Balm, R and Ubbink, DT and Study Group, DISCOVAR and Van Herzeele, Isabelle}}, issn = {{0364-2313}}, journal = {{WORLD JOURNAL OF SURGERY}}, keywords = {{REPORTING STANDARDS,SOCIETY}}, language = {{eng}}, number = {{9}}, pages = {{2328--2336}}, title = {{Delphi study to reach international consensus among vascular surgeons on major arterial vascular surgical complications}}, url = {{http://doi.org/10.1007/s00268-019-05038-3}}, volume = {{43}}, year = {{2019}}, }
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