Research priorities in regional anaesthesia: an international Delphi study

Jenny Ferry; Owen Lewis; James Lloyd; Kariem El-Boghdadly; Rachel Kearns; Eric Albrecht; Fernando Altermatt; Balakrishnan Ashokka; Amany E. Ayad; Ezzat S. Aziz; Lutful Aziz; Balavenkatasubramanian Jagannathan; Noreddine Bouarroudj; Ki Jinn Chin; Alain Delbos; Alex de Gracia; Vivian H.Y. Ip; Kwesi Kwofie; Sebastian Layera; Clara A. Lobo; Mohammed Mohammed; Eleni Moka; Milena Moreno; Bethan Morgan; Arthur Polela; Poupak Rahimzadeh; Suwimon Tangwiwat; Vishal Uppal; Marcelo Vaz Perez; Thomas Volk; Patrick B.Y. Wong; James S. Bowness; Alan J.R. Macfarlane

doi:10.1016/j.bja.2024.01.033

Research priorities in regional anaesthesia: an international Delphi study

Jenny Ferry, Owen Lewis, James Lloyd, Kariem El-Boghdadly, Rachel Kearns, Eric Albrecht, Fernando Altermatt, Balakrishnan Ashokka, Amany E. Ayad, Ezzat S. Aziz, Lutful Aziz, Balavenkatasubramanian Jagannathan, Noreddine Bouarroudj, Ki Jinn Chin, Alain Delbos, Alex de Gracia, Vivian H.Y. Ip, Kwesi Kwofie, Sebastian Layera, Clara A. LoboMohammed Mohammed, Eleni Moka, Milena Moreno, Bethan Morgan, Arthur Polela, Poupak Rahimzadeh, Suwimon Tangwiwat, Vishal Uppal, Marcelo Vaz Perez, Thomas Volk, Patrick B.Y. Wong, James S. Bowness^*, Alan J.R. Macfarlane

^*Corresponding author for this work

Centre for Human & Applied Physiological Sciences

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Background: Regional anaesthesia use is growing worldwide, and there is an increasing emphasis on research in regional anaesthesia to improve patient outcomes. However, priorities for future study remain unclear. We therefore conducted an international research prioritisation exercise, setting the agenda for future investigators and funding bodies. Methods: We invited members of specialist regional anaesthesia societies from six continents to propose research questions that they felt were unanswered. These were consolidated into representative indicative questions, and a literature review was undertaken to determine if any indicative questions were already answered by published work. Unanswered indicative questions entered a three-round modified Delphi process, whereby 29 experts in regional anaesthesia (representing all participating specialist societies) rated each indicative question for inclusion on a final high priority shortlist. If ≥75% of participants rated an indicative question as ‘definitely’ include in any round, it was accepted. Indicative questions rated as ‘definitely’ or ‘probably’ by <50% of participants in any round were excluded. Retained indicative questions were further ranked based on the rating score in the final Delphi round. The final research priorities were ratified by the Delphi expert group. Results: There were 1318 responses from 516 people in the initial survey, from which 71 indicative questions were formed, of which 68 entered the modified Delphi process. Eleven ‘highest priority’ research questions were short listed, covering themes of pain management; training and assessment; clinical practice and efficacy; technology and equipment. Conclusions: We prioritised unanswered research questions in regional anaesthesia. These will inform a coordinated global research strategy for regional anaesthesia and direct investigators to address high-priority areas.

Original language	English
Pages (from-to)	1041-1048
Number of pages	8
Journal	British Journal of Anaesthesia
Volume	132
Issue number	5
DOIs	https://doi.org/10.1016/j.bja.2024.01.033
Publication status	Published - May 2024

Keywords

pain management
priority setting
regional anaesthesia
research
training and assessment

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Ferry, J., Lewis, O., Lloyd, J., El-Boghdadly, K., Kearns, R., Albrecht, E., Altermatt, F., Ashokka, B., Ayad, A. E., Aziz, E. S., Aziz, L., Jagannathan, B., Bouarroudj, N., Chin, K. J., Delbos, A., de Gracia, A., Ip, V. H. Y., Kwofie, K., Layera, S., ... Macfarlane, A. J. R. (2024). Research priorities in regional anaesthesia: an international Delphi study. British Journal of Anaesthesia, 132(5), 1041-1048. https://doi.org/10.1016/j.bja.2024.01.033

@article{e76d1f16aa8d4219ad989105f76c07dd,

title = "Research priorities in regional anaesthesia: an international Delphi study",

abstract = "Background: Regional anaesthesia use is growing worldwide, and there is an increasing emphasis on research in regional anaesthesia to improve patient outcomes. However, priorities for future study remain unclear. We therefore conducted an international research prioritisation exercise, setting the agenda for future investigators and funding bodies. Methods: We invited members of specialist regional anaesthesia societies from six continents to propose research questions that they felt were unanswered. These were consolidated into representative indicative questions, and a literature review was undertaken to determine if any indicative questions were already answered by published work. Unanswered indicative questions entered a three-round modified Delphi process, whereby 29 experts in regional anaesthesia (representing all participating specialist societies) rated each indicative question for inclusion on a final high priority shortlist. If ≥75% of participants rated an indicative question as {\textquoteleft}definitely{\textquoteright} include in any round, it was accepted. Indicative questions rated as {\textquoteleft}definitely{\textquoteright} or {\textquoteleft}probably{\textquoteright} by <50% of participants in any round were excluded. Retained indicative questions were further ranked based on the rating score in the final Delphi round. The final research priorities were ratified by the Delphi expert group. Results: There were 1318 responses from 516 people in the initial survey, from which 71 indicative questions were formed, of which 68 entered the modified Delphi process. Eleven {\textquoteleft}highest priority{\textquoteright} research questions were short listed, covering themes of pain management; training and assessment; clinical practice and efficacy; technology and equipment. Conclusions: We prioritised unanswered research questions in regional anaesthesia. These will inform a coordinated global research strategy for regional anaesthesia and direct investigators to address high-priority areas.",

keywords = "pain management, priority setting, regional anaesthesia, research, training and assessment",

author = "Jenny Ferry and Owen Lewis and James Lloyd and Kariem El-Boghdadly and Rachel Kearns and Eric Albrecht and Fernando Altermatt and Balakrishnan Ashokka and Ayad, {Amany E.} and Aziz, {Ezzat S.} and Lutful Aziz and Balavenkatasubramanian Jagannathan and Noreddine Bouarroudj and Chin, {Ki Jinn} and Alain Delbos and {de Gracia}, Alex and Ip, {Vivian H.Y.} and Kwesi Kwofie and Sebastian Layera and Lobo, {Clara A.} and Mohammed Mohammed and Eleni Moka and Milena Moreno and Bethan Morgan and Arthur Polela and Poupak Rahimzadeh and Suwimon Tangwiwat and Vishal Uppal and {Vaz Perez}, Marcelo and Thomas Volk and Wong, {Patrick B.Y.} and Bowness, {James S.} and Macfarlane, {Alan J.R.}",

note = "Publisher Copyright: {\textcopyright} 2024 The Author(s)",

year = "2024",

month = may,

doi = "10.1016/j.bja.2024.01.033",

language = "English",

volume = "132",

pages = "1041--1048",

journal = "British Journal of Anaesthesia",

issn = "0007-0912",

publisher = "Elsevier",

number = "5",

}

Ferry, J, Lewis, O, Lloyd, J, El-Boghdadly, K, Kearns, R, Albrecht, E, Altermatt, F, Ashokka, B, Ayad, AE, Aziz, ES, Aziz, L, Jagannathan, B, Bouarroudj, N, Chin, KJ, Delbos, A, de Gracia, A, Ip, VHY, Kwofie, K, Layera, S, Lobo, CA, Mohammed, M, Moka, E, Moreno, M, Morgan, B, Polela, A, Rahimzadeh, P, Tangwiwat, S, Uppal, V, Vaz Perez, M, Volk, T, Wong, PBY, Bowness, JS & Macfarlane, AJR 2024, 'Research priorities in regional anaesthesia: an international Delphi study', British Journal of Anaesthesia, vol. 132, no. 5, pp. 1041-1048. https://doi.org/10.1016/j.bja.2024.01.033

TY - JOUR

T1 - Research priorities in regional anaesthesia

T2 - an international Delphi study

AU - Ferry, Jenny

AU - Lewis, Owen

AU - Lloyd, James

AU - El-Boghdadly, Kariem

AU - Kearns, Rachel

AU - Albrecht, Eric

AU - Altermatt, Fernando

AU - Ashokka, Balakrishnan

AU - Ayad, Amany E.

AU - Aziz, Ezzat S.

AU - Aziz, Lutful

AU - Jagannathan, Balavenkatasubramanian

AU - Bouarroudj, Noreddine

AU - Chin, Ki Jinn

AU - Delbos, Alain

AU - de Gracia, Alex

AU - Ip, Vivian H.Y.

AU - Kwofie, Kwesi

AU - Layera, Sebastian

AU - Lobo, Clara A.

AU - Mohammed, Mohammed

AU - Moka, Eleni

AU - Moreno, Milena

AU - Morgan, Bethan

AU - Polela, Arthur

AU - Rahimzadeh, Poupak

AU - Tangwiwat, Suwimon

AU - Uppal, Vishal

AU - Vaz Perez, Marcelo

AU - Volk, Thomas

AU - Wong, Patrick B.Y.

AU - Bowness, James S.

AU - Macfarlane, Alan J.R.

PY - 2024/5

Y1 - 2024/5

N2 - Background: Regional anaesthesia use is growing worldwide, and there is an increasing emphasis on research in regional anaesthesia to improve patient outcomes. However, priorities for future study remain unclear. We therefore conducted an international research prioritisation exercise, setting the agenda for future investigators and funding bodies. Methods: We invited members of specialist regional anaesthesia societies from six continents to propose research questions that they felt were unanswered. These were consolidated into representative indicative questions, and a literature review was undertaken to determine if any indicative questions were already answered by published work. Unanswered indicative questions entered a three-round modified Delphi process, whereby 29 experts in regional anaesthesia (representing all participating specialist societies) rated each indicative question for inclusion on a final high priority shortlist. If ≥75% of participants rated an indicative question as ‘definitely’ include in any round, it was accepted. Indicative questions rated as ‘definitely’ or ‘probably’ by <50% of participants in any round were excluded. Retained indicative questions were further ranked based on the rating score in the final Delphi round. The final research priorities were ratified by the Delphi expert group. Results: There were 1318 responses from 516 people in the initial survey, from which 71 indicative questions were formed, of which 68 entered the modified Delphi process. Eleven ‘highest priority’ research questions were short listed, covering themes of pain management; training and assessment; clinical practice and efficacy; technology and equipment. Conclusions: We prioritised unanswered research questions in regional anaesthesia. These will inform a coordinated global research strategy for regional anaesthesia and direct investigators to address high-priority areas.

AB - Background: Regional anaesthesia use is growing worldwide, and there is an increasing emphasis on research in regional anaesthesia to improve patient outcomes. However, priorities for future study remain unclear. We therefore conducted an international research prioritisation exercise, setting the agenda for future investigators and funding bodies. Methods: We invited members of specialist regional anaesthesia societies from six continents to propose research questions that they felt were unanswered. These were consolidated into representative indicative questions, and a literature review was undertaken to determine if any indicative questions were already answered by published work. Unanswered indicative questions entered a three-round modified Delphi process, whereby 29 experts in regional anaesthesia (representing all participating specialist societies) rated each indicative question for inclusion on a final high priority shortlist. If ≥75% of participants rated an indicative question as ‘definitely’ include in any round, it was accepted. Indicative questions rated as ‘definitely’ or ‘probably’ by <50% of participants in any round were excluded. Retained indicative questions were further ranked based on the rating score in the final Delphi round. The final research priorities were ratified by the Delphi expert group. Results: There were 1318 responses from 516 people in the initial survey, from which 71 indicative questions were formed, of which 68 entered the modified Delphi process. Eleven ‘highest priority’ research questions were short listed, covering themes of pain management; training and assessment; clinical practice and efficacy; technology and equipment. Conclusions: We prioritised unanswered research questions in regional anaesthesia. These will inform a coordinated global research strategy for regional anaesthesia and direct investigators to address high-priority areas.

KW - pain management

KW - priority setting

KW - regional anaesthesia

KW - research

KW - training and assessment

UR - http://www.scopus.com/inward/record.url?scp=85186897905&partnerID=8YFLogxK

U2 - 10.1016/j.bja.2024.01.033

DO - 10.1016/j.bja.2024.01.033

M3 - Article

C2 - 38448274

AN - SCOPUS:85186897905

SN - 0007-0912

VL - 132

SP - 1041

EP - 1048

JO - British Journal of Anaesthesia

JF - British Journal of Anaesthesia

IS - 5

ER -

Research priorities in regional anaesthesia: an international Delphi study

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